Are there non US Img friendly programs in CA? I hear UCs do not really take non us trained doctors. Is this true? Any program that actually does receive them?

Looking for some evidence-based responses on the neurological examination - sensation, specifically. Since both pain and light touch are carried by the spinothalamic tracts, must they both be tested for?

What about proprioception and vibration?

Hello guys, I am a nursing student and I am currently grappling with understanding the nomenclature for the subtypes of hemorrhagic stroke.

Hemorrhagic stroke is divided into intracerebral and subarachnoid hemorrhages, which doesn't make sense to me. Intracerebral hemorrhage, for example, should ONLY be bleeding into brain parenchyma and NOT the stroke ("neurological deficit attributed to an acute focal injury of the central nervous system (CNS) by a vascular cause...") itself. However, in most articles I have looked at, the cause (intracerebral hemorrhage) is called the stroke itself, when it should've been called intracerebral HEMORRHAGIC stroke. Your thoughts please.

The stroke definition excerpt is from the ASA/AHA document on the "updated definition of stroke for the 21st century".

Hello my fellow neurologists! I don’t know how this will be taken among our neurology group, but I wanted to have all the information possible before making a decision. I am currently a Pgy-1 neurology resident thinking about my fellowship options.

To start with, I am pretty sure at this time, I want to do outpatient practice and not be in academic setting for many reasons. I honestly enjoy everything about neurology at this time so no specific sub-speciality/fellowship entice me but I can do any fellowship if it would increase my pay potential. End goal : decent 8-5 clinic schedule with a lot of procedures/infusions and make good money (at least 600k after few years of practice) So I arrived at Pain medicine fellowship after Neurology residency which sounded lucrative with decent lifestyle some people touching the 7-figure without working their ass off. My question to this beautiful community :

1. Given my desire to make the above said money, is it worth to do pain medicine fellowship ? Or do you think there a way I can make it even with neurology incorporating many things like infusions, botox, EMG/EEG into my practice?
2. What’s a neurologist pov of pain medicine. I understand it has a lot of suffering/ emotional trauma to deal with. Is there anything else you think I should know?

I know money is not everything, but this is something I have thought through many times over and over. I am open to any thoughts/ advice in general as well.

Not that I only want to aim for board prep, there's a lot I think any doctor should know about these topics, but I want to provide at least the minimum residents are supposed to learn.

I wanted to let you all know the app has again been updated. The update is free to all existing users.

Here is a video going over how to use everything: https://www.youtube.com/watch?v=e2wBmc7EZfE

Thanks again for all the great suggestions and I hope you find it helpful!

I’m very in between neuro and IM or FM. I love neuro, it’s the most interesting organ system, I love the imaging, physical exam, patient population, the treatments are very powerful and can have amazing outcomes, and I love the hard cases where there is no solution but I can still help a patient/family understand their disease and prognosis which to me is very meaningful.

However I also love primary care… I like coordinating care, addressing “basic” chronic disease, treating HTN and diabetes, the trust between a PCP and patient, etc.

Is it possible to be a “pseudo-PCP” in neuro? Like taking the lead on treating HTN, diabetes, cholesterol, overactive bladder, UTIs, etc, while also primarily treating neuro conditions? Or is it too far out of training to be effective/ethical? Just trying to find my best fit which is why I ask :)

Thanks!

For the epileptologists out there, just curious how your institutions set up your schedules for comparison. Currently at a small epilepsy practice with one week of LTM and EMU FOR 7 days, then two weeks of 5 day clinics. There’s no protected time to read ambulatory and routine EEGs and have to read them between clinic patients. Am I doing too much?

Saw a patient in the ED with a week of low back pain with progressive lower extremity weakness and bowel/bladder incontinence. The ED obtained a lumbar MRI wo contrast that showed T2 hyperintensity in T12-L1 with concerns for transverse myelitis. On exam he had diffuse weakness throughout his lower extremities symmetrically. His patellar and ankle reflexes were reduced and only had mild decrease in vibration on his toes worse on the left side. Wouldnt we expect to see UMN signs if this was indeed TM? Also why wouldn’t he have any deficits to light touch or temperature?

Does anyone have opinion about the CadCare plans for the Summit?

They recommend level 3 for the yearly preventative maintaince with free loaner. The problem is this is $1900 / year.

I know you are supposed to have the machines calibrated yearly, Ive never done this and know no-one who does.

Is this something I should get or pass on? They are offering 1 free year if I buy 4 upfront.

Hey all. I'm looking for your advice on journals to consider. I have quite a typical case presentation that is now autopsy confirmed but with unusual and novel neuroimaging findings. I'm keen to get this published as a case report, and keen to aim high.

Any recommendations on neurology journals that publish case reports? Would be keen to hear of particular experiences with individual journals too.

Hi,

I am a second year PhD student in vision science. I have started collecting eye movement data whole doing a hazard perception test (video reaction time). I want to analyse the difference in eye movements specially related to driving skills between groups.

As this is the first time I'm using a eye tracker, it would really helpful if some researchers can suggest me any materials that can help to learn the analytic methods.

Also, do you have any suggestions for specific parameters that I would be great check in eye movement data?

Thanks in advance!

Hey all,

I've been looking at a variety of programs and their alumni just out curiosity and have noticed that many of the fellowship matches for majority of residents seem awesome even coming from more university affiliated programs.

Does prestige impact fellowship match at all? If not, should location take priority in residency selection?

Thanks

Hello! I have a quick question. During the contraction of a muscle, let's say for example the biceps muscle, the direct and nigrostriatal pathways will enable the biceps to move and would it be correct to say that at the same time the indirect pathway would be preventing contraction or relaxing the triceps muscle, because it would be the antagonist muscle during that movement.

Was wondering how much to charge for weekend coverage ?

Is there anywhere that rates are available?

I’ve read several proposed theories on syrinx formation and am inclined to follow the Waterhammer theory based on my training. Towards which theory do you most lean?

The ipsi 3 palsy and contra paresis/plegia makes sense but why the contra ataxia? Can’t seem to find a clear answer on how to explain this anatomically. One guess is the rubrocerebellar fibers within the triangle of Mollaret become disrupted, but even that isn’t clear. Anyone know? Thanks

Hi all! I am an MS3/4 applying to residency this summer and have been wanting/planning to apply to neurology since before I even applied to medical school (it was what led me into this field). Anyway, I know that neurology isn't *particularly* competitive but I want to set myself up to hopefully be able to match high on my list (I am particularly keen on Utah and would be absolutely thrilled to end up there for a multitude of reasons - if anyone has any insight on Utah specifically that would be great).

Anyway, I am at a T10 MD school (probably doxxing myself but #1 for primary care for many many years now, not that that matters). I have gotten high pass in four of my core third year rotations (IM, psych, obgyn, surgery) and honors for two (peds, fam med). All have left what I would consider fairly to really strong comments about my work ethic, character, friendliness, etc that will go on whatever review form or whatever that is that goes out to residency apps. I am my neurology rotation now that I hope and anticipate honoring with the group already offering to write me a letter (I was also going to get letters from IM and FM who I know can speak really really highly of me and my experiences with them).

As for academic stuff, I passed step 1 on the first try, passed all my pre-clinicals with no academic concerns, and just got a 261 on step 2 (I know this isn't *super* above average but I am also worried about it being *too* high and places thinking I am applying neuro as a back up or something?).

I only have one research experience - a review study and poster presentation in neuro-oncology during MS1. I am also about to hopefully start working on a case study with one of my neurology attendings here soon.

I have a handful of extracurriculars - mostly during MS1-2 with outreach and stuff like that. During my MS2 year I was selected out of my whole class for an annual award for "excellence in anatomy" ie I guess I did pretty good in anatomy lab and what not but pretty cool (I also got a $3000 check for this so that was awesome lol).

Anyway, I have other things from pre-med school that I don't know if I should/would include (i.e. ran DII track and field and got multiple conference awards, worked as a medical scribe for gyn onc, worked as a medical assistant for fam med, wrote for my university news station as a sports reporter, was a science/math tutor for high school kids, etc).

I can't really afford to do an away in Utah or elsewhere for that matter though I'm not sure I would anyway lol. My school doesn't have any sub-I's in neurology (they had neurocritical care sub-I prior to this year but was discontinued) so I was just going to do an IM/critical care sub-I and some neuro electives (EEG/epilepsy, child neuro, etc).

Any thoughts, feedback, suggestions, important things I know/should keep in mind would be super appreciated!

About to be a fresh residency grad, starting fellowship in July. Program wants me to take boards this year and applying for full license in hopes I could also possibly moonlight. I was wondering if anyone was interested in going a Discord Server study group. This helps maintain possible anonymity and don't have to share your phone number or anything with a complete stranger on reddit 😂) largely where people can clarify different topics, share possible resources and just help out. Even those who have taken and passed can help provide reassurance or clarification. The exam is fucking expensive and I don't want to have to pay for it again next year. I want to this right especially since I know I will be busy in fellowship (and will have to worry about subspecialty boards after that as well) and need to remain disciplined. Just wanted to know if there was interest and was possibly thinking of sorting out the semantics this weekend (officially 4 months out from the exam for me)

I failed my boards this past fall. First attempt. I studied by using all of truelearn qbank, some of chin-cheng, some of laughing, and some of neurology self assessment.

It felt like I was studying more than my peers (historically have had to put in more time than others its felt like) but I didn't learn very well in residency and felt like I was catching up.

Now going into this next exam cycle I'm trying to figure out which qbank to use. Looking at beat the boards vs board vitals vs nowyouknowneuro.

Leaning towards beat the boards but wanted to survey people here. If you have experience with multiple different types of qbanks I'm wondering which ones you found more accurate to the exam.

also planning on reading all of Chin-cheng this time.

Hello! I really don’t know if I want to pursue a fellowship. Everything in neuro is interesting and I don’t feel like I want to commit to a field. But I understand that in PGY-1 my exposure is limited, I only had 6 weeks of Neuro consult so far. The question arises, what should I focus my one month of elective on in PGY 2? What would be the best elective I can take to increase my exposure to neurology as a general neurologist?

“ What elective was the most helpful in residency? “

I am not interested in research. Any help or guidance would be greatly appreciated. Thank you!

Hi guys!

I want to ask, is it possible in the field of neurology to deal only with a specific subspecialty: for example, epileptology or movement disorders? I like neurophysiology, everything related to the brain, and I am also actively studying headaches and partially epileptology. But I can't say that I'm a fan of general neurology. Thanks!

I’m starting a rotation in child’s neurology for the first time and I’m pretty nervous. I feel like I don’t know anything. How do I prepare? What should I read up on? Are there history checklists for common presentations? I’m nervous and want to do well in my rotation.

I am looking at quasi academic / semi academic hospital systems because I don’t want to climb this ladder anymore. I still want to do some clinical research because I like it, but I don’t want to chase after grants. Anybody with experience going from academic to semi-academic setting and still able to some good research please comment to let me know how you do it without grants or your institution gives you protected time / you get grant from industry.

Planning to apply for 2026 match cycle Non US IMG visa requiring Step 1 pass Step 2 223 Step 3 230 3 LORs from US doctors in neurology 1.5 year of research in neurology 4 publications in neurology Q1 &Q2 journals Possibility of matching into neurology?

Hello everyone, I am debating whether I should do a neurophysiology fellowship or go for a general neurologist job after residency. I am 36 years and can’t wait to get started with my life. It took me a while to get matched in residency considering that I am an IMG. I have accumulated debts in the process and it’s getting difficult day by day to deal with them. My spouse is struggling in his job search and I my mother is suffering from stage 4 lung cancer. I am in PGY 3 year now and waiting two more years to get started feels like a big burden. Please share your thoughts. I appreciate any feedback.

Like the title says. Am an M3 applying to Neuro. Have good scores, etc and want to do interventional after working with some Neuro IR ppl at my hospital. Given NIR is (apparently) very competitive, I wanted to query this crowd to see if anyone has thoughts about which programs would best prepare residents to compete for these fellowships? Ideally, the programs would have a busy NIR service run by neurologists? Not sure. Do you all have any thoughts? Thanks!

There's not much I can find regarding this topic. Can someone who has worked or is working with telestroke answer a few questions? Would be very much appreciated.

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1. can I get a general workflow of the day? You get consults from ED physicians? how is the physical exam done? do you control a robot that looks around? how are the video quality? what if patient speaks another language? who is on the hook for a missed exam finding? you then chart like you would in person? how much time do you spend on each case? how many consults a day do you get?

2. from what I gathered about compensation, about every additional 8hr/wk you work, you net ~100k more annually? so working fulltime at 40hrs/week net ~500k? Please confirm or deny this with a more accurate figure.

3. is vascular fellowship necessary to enter the market? If I wanted to also supplement with EEG etc, do I need to do both neurophys and vascular fellowship?

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Thank you again.