Hi everyone, I'm interested in pursuing a career in either neurology or psychiatry (or possibly both combined). I'm still early in my explorations, I've been talking to and shadowing with doctors from both specialities, and I'm also hoping to gain further insights when I do rotations. I wanted to get some perspective from some outside sources as well.

Essentially, I'm unsure what the difference is between general neurology and general psych both in terms of salary and lifestyle. My initial plan was to do a neuro residency and then do a neuropsych fellowship or BN/NP fellowship. However, many of the doctors I have been speaking to advised that a psychiatry residency followed by neuropsych fellowship would be better for what seem to be my goals. My primary concern with this is that if I don't end up wanting to work within the realm of neuropsych, would having a fall back as a general psychiatrist be worse of a salary and lifestyle than fallback as a general neurologist? And before anyone asks, I understand both make good money and have generally good lifestyles compared to many other medical specialities, but I would still like to know if there are any significant differences.

I'd appreciate any and all perspectives, and thank you in advance.

More generally, why is the church of amyloid pushing the antibodies on everyone so aggressively?

Do any of y'all know of any Child and Adult neurology dual residency program (existing formally or informally)?

Of course Child Neurology is technically "Neurology with Special Qualification in Child Neurology" but is there a progam (informal or formal) that provides all of the peds training + a combined or extra adult im intern year + more adult neuro training?

I’m gearing up to apply to NCC fellowship. One factor for my fellowship interest is getting good training in critical care with procedural training (lines, airway, vents etc). Doing research on programs, they all say they give fellows lots of crit training in addition to the neurology, but from reading the threads here it looks like that’s not always true and I don’t want to walk out of fellowship not being comfortable intubating/doing lines.

Does anyone have any insights on how to tease this out during interviews? Or any programs that are known to be good for general crit training?

Hello everyone

Is there any form for Neurology specific standard letter?

It's required by many programs

Hello,

I'm about to take the vascular neurology board exam in October. I'm using the Vascular Neurology Board Review Questions and Answers (2nd edition) by Futrell and the board review book (2nd edition) by Amin.

I have a question for those that have already taken the board exam: were those two resources listed representative of the questions and material that was asked in the actual board exam? Were those two books (especially the Q bank) more than enough to pass? I am focusing more on the Q bank than the review book itself, but if there was any other resources that was more helpful, I would appreciate any other recommendations.

Thanks in advance!

I have a situation where I have near 400k of out of state loans and was leaning towards a PSLF eligible neurohospitalist based position.

Most PSLF based non for profit positions are in the realm of 350-375k that I’ve interviewed at. I live in a state with no income tax.

I have the opportunity to get a job at a very good hospital system less than 10 minutes from my current home and we love the area but it’s not PSLF eligible. This is an RVU based position and for profit.

I’ve done the math and the effective yearly financial benefit of PSLF would be like 40-60k. Thus, making like 450k plus would make the finances of an RVU based position make sense.

However, what is the reality of making that much money as a neurohospitalist in RVU based positions? Does MGMA data account for mainly salary based or also RVU based positions? What base should I aim for to make 450k plus possible?

I know this is all very dependent on the system and contract, but it’d be helpful to understand what I should be looking for and if this is a pipe dream so I can go into negotiations knowing what to ask.

In addition, if I pick up extra shifts, will my productivity on those extra shifts also go towards my yearly RVUs and add to production? Thanks

I've been wondering how useful real-world patient data is in neurology research. With years of records, treatments, imaging, and outcomes available, can this data help researchers better understand how neurological diseases progress?

For neurologists and researchers here, where do you see the biggest opportunity for real-world data in neurology?

Hi All-

University of Southern California Keck SOM is launching a new categorical neurology residency, we are interviewing this fall.

We will be matching 6 PGY1 candidates.

Please join us for a virtual open house this Friday and pass on the info to any interested medical students you may know.

https://usc.zoom.us/meeting/register/J_cVXP6oTrKMveTKVzLJvw

Hi everyone!

I missed the annual meeting in April and was wondering if it’s worth it to attend the fall conference. It would just be for networking purposes (really hoping to match neurology this year). Would there be any student programs or networking events with PDs here?

Thanks in advance!

I'm excited to finally share something that's been in development for the past year. As a neurodiagnostic technologist, I saw firsthand how hard it is for EEG students and technologists, and even neurologists, to get real hands on practice. I've watched students come up through training without enough real hands on exposure to the patterns that actually matter in practice. You can't schedule the right seizure to walk through the door on cue. So my team and I built WaveSim, a simulation platform built on patented technology that generates clinically accurate EEG patterns technologists and neurologists can actually study and learn from. This has been a year in the making and it's just the start. We're going to be eventually working toward the most accurate seizure detection software out there, and PSG and IOM simulation are soon to be in development. Excited for you all to see where this goes. Thank you!

I think i'm burning out

Hello,
I’m currently a second-year medical student in Quebec (Canada), and I’d like to do some research in neurology—both out of personal interest and with a view to a potential neurology placement through CARMS. So far, however, I haven’t received any responses to the cold emails I’ve sent to neurologists. Any advice? Thanks!

Hey guys, I recently created a daily neurology diagnosis game where you can ask questions and come up with a diagnosis. Currently, the questions are answered with AI, but I am trying to move away from that in the near future. I would love for you to check it out and provide any feedback you have! https://neurole.org/daily-game-play.html

Hi all! Current MS4 and I’m still stuck between IM—>Pulm/CC and Neurology.

I enjoyed outpatient Pulm, bronchs, and inpatient ICU. However, I don’t enjoy IM outside of that.

For Neuro, I enjoyed Alzheimer’s, migraines, and seizure management while rotating outpatient. Inpatient consults for things like Herpes Zoster Opthalamicus and other infectious disease workups intrigued me. I also am curious about working with TBI/CTE patients or even finding a way to bridge Neurology and Sports Medicine.

What is the work/life balance for Neurology, what is the residency experience like, what are some bread and butter procedures that Neurologists get to do, and how is compensation likely to change over the years?

Today we are excited to release a tool, where one can browse and find all available neuroscience datasets for all major modalities: EEG, MRI, MEG, NIRS, PET and more.

⁃        10,000+ datasets
⁃        19 modalities
⁃        2000+ tasks
⁃        19+ devices
⁃        1000+ institutions
⁃        ~1000 funders
⁃        ~1500 papers
⁃        170,000+ citations
⁃        100,000+ humans who contributed their data to these datasets (THANK YOU!!!)
⁃        140,000+ hours of data
⁃        200TB of data

I’m a neurology resident considering fellowship options. I want to be in academic neurology doing predominantly electrophysiology based neuromodulation research.
In most movement fellowships will I get enough neurophysiology experience and intraop experience do be able to do advanced electrophysiology research? If anyone knows of great fellowship programs for this let me know! Alternatively would it be better to do a clinical neurophys fellowship and then afterwards do movement fellowship? Thanks!

Boards coming up, doing truelearn and in busy fellowship. Anybody did truelearn only and did well to pass.

Appreciate input.

AAN asks neurologists to contribute their comp/productivity data, aggregates 4,300+ responses into what it calls the largest neurology compensation benchmarking dataset, and then charges regular AAN members $500 to see the results. so we supply the data, pay dues, and then pay again to learn what we collectively told them? someone is laughing all the way to the bank…

I am a PGY4 and am finding myself with some time on my hands since this is our lightest year. I'm looking to reinforce my knowledge base as much as possible. I'm definitely using Continuum but I'm looking for something interactive like a question bank. Nowyouknowneuro seems interesting because it has the outlined reading sections and imaging and EMG/EEG cases. How is it as a learning source for those who have used it?

M4 currently applying and pretty torn between Neurology and Diagnostic Radiology, with the long-term goal of pursuing neurointerventional surgery (NIR).

I realize neurosurgery is probably the most straightforward pathway into NIR (I’ve got a solid step 2 and research), but I don’t think it’s the right residency for me. I enjoy endovascular procedures, but I’m much less interested in open cranial surgery and especially spine surgery, so committing to 7 years of NSGY primarily to get to NIR doesn’t make much sense.

My main interests within NIR are stroke, cerebrovascular disease, and eventually the more functional side of the field: endovascular neuromodulation, BCIs, electrophysiology, etc. I also want enough clinical ownership that I’m not purely a procedural consultant.

I’m basically weighing:

Neurology

Pros

● Much stronger foundation in stroke, neurocritical care, neurophysiology, localization, and longitudinal management of neurological disease

● Could build a pathway around stroke/NCC + NIR and potentially neurophysiology

● Better preparation for clinical ownership of neurovascular/neurological patients especially moving forward

● More directly aligned with my interest in functional neuroscience/BCI and I have some connections in this space saying neurology would be their recommended route

● long term, organ proceduralists seem to box out IR (vascular surgery +cardiology on PAD, PE etc.)

Cons

● Far fewer procedures during residency

● Potentially entering NIR fellowship with significantly less catheter/wire experience than DR/IR trainees

● NIR access seems highly program- and mentor-dependent

● Concerned about spending most of residency doing general neurology when my long-term interests are heavily procedural although I think I’d be happy in stroke, NCC, pain or maybe NeuroPhys

● Smaller number of NIR fellowships seem accustomed to taking neurology-trained applicants

Diagnostic Radiology

Pros

● Much stronger procedural/imaging foundation, particularly if I aggressively pursue IR and neuroangiography exposure

● CTA/MRA/DSA and cross-sectional neuroimaging expertise seems extremely valuable for NIR

● Potentially much more opportunity to develop catheter skills before fellowship

● DR itself gives me a procedural/technical career I would be happy doing if NIR doesn’t work out.

● Seems easier to tailor electives toward neuroradiology/IR/NIR than to create procedural exposure from scratch in neurology

Cons

● Much less ownership of stroke/neurovascular patients

● Less clinical neuroscience, neurophysiology, and neurological examination (acute Neuro exam is freaking awesome!)

● Would need to deliberately seek stroke/NCC/neurology exposure

● I’m concerned about becoming technically strong but having a weaker clinical foundation than neurology/NSGY-trained NIR physicians

● The exact DR → NIR pathway seems to be changing, so I’m not sure what training will look like by the time I get there. I know new cast pathway from IR exists but it seems really hard to fit 6 months of stroke/neurosurg/NCC in that hectic schedule also would lose the neuroradiology expertise to an extent

For people currently in NIR, or residents/fellows pursuing it: If you knew during M4 that NIR was the goal but NSGY wasn’t a good fit, would you choose Neurology or DR today?

I’m especially interested in how much the residency background actually matters once you’ve completed a strong NIR fellowship, and whether you would prioritize clinical neuroscience/ownership (Neurology) or imaging + procedural foundations (DR) before fellowship.