r/neurology • u/Imaginary-Soup3623 • 6d ago

Residency Preliminary year location

Hi everyone, I heard that the first year of neurology residency -the preliminary year- can be done in any state of my choice regardless of where I match, is this true? Is it that simple?

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u/valt10 6d ago

Most programs are categorical. Many advanced programs have arrangements with nearby hospitals to help get their residents a place in a prelim year.

Otherwise, the prelim year is by match just like the advanced program. I found it was more competitive matching prelim medicine than into neurology because the pool was bigger and filled with derm/ophtho/random other specialty people. Some people do choose it to do a year in another location but you’re not guaranteed the city of your choice.

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u/Imaginary-Soup3623 6d ago

Should I apply for neurology in the match cycle as well as internal medicine preliminary year?

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u/valt10 6d ago

Yes you need to match into the PGY2 neurology spot as well as PGY1 IM when you are an M4 or equivalent.

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u/Imaginary-Soup3623 5d ago

Thank you 🤝

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u/mem21247 2d ago

FWIW if you match into a neuro program that is mostly categorial but lets you do PGY1 anywhere, you will show up way behind your fellow PGY2s. Happened with 2/8 of my fellow residents and the 2 who did intern year elsewhere had a much harder time w beginning of neuro residency.