Greetings. My name is Farid. I'm working as a resident-doctor. This is my first year and I really want to master EEG. Could you recommend me a good books, authors or YouTube-channels?

Hey neurologists, ER doctor here. I often see your migraine patients in my department, give them a cocktail of medications (depends on individual patient, but usually IV fluids + NSAID + reglan/compazine +/- Benadryl +/- Tylenol +/- steroid +/- MgSO4 +/- any relevant nerve blocks they’re willing to try). Generally, patients respond to some degree and I discharge them to follow up in clinic. On discharge, what meds (if any) would you recommend sending them out on? I tend to try zofran ODT, reglan/compazine oral in conjunction with OTC meds, but our neurologists often send patients out on things I’m less familiar with (triptans, Nyrtec, etc.). What do you want me to send patients out on? Especially if you think it would help prevent return visits/ status migrainosus. Thanks!

Thought this could be a good place to ask questions regarding SF match, posting interview data, and general questions for the 2025 Movement Fellowship Positions

In acute stroke or herniation, does cranial nerve dysfunction always result due to ischemia of the brainstem nuclei or cortical area controlling the cranial nerve? Or can it be due to ischemia of the nerve distally or mass effect on the actual nerve itself as its exiting the brainstem?

I’m assuming it can be either way, I’m just confused as to how you could localize it to the brainstem nuclei vs the actual nerve

I am soon to be 28 (F) and weighing the options of a major career change. I've always been intrigued to explore becoming a woman in STEM, but wondering if starting over fresh to pursue a PHD this late in life is a fever dream. I'm trying to figure out a read on what my day to day would look like if I make the leap.

What are the most rewarding and least fulfilling parts or your career? What does your day to day schedule look like, and what is your work-life balance comparison? Has anyone went through the pursuit of marriage and children while studying? What's something you wish you were told from day one or any insights you can provide for guidance?

Any thoughts are appreciated!

I want to match into neuro residency, i have a chance to do an elective either Internal (infectious disease or other) or pain management (under anesthesia department) which one do you think would be better for my application?

What is an average step 2 score to be considered for neurology. I understand that the evaluation process does not just depend on step 2 score however i would like to know the minimum score to be considered as a non-us img?

Was it just me or was this latest edition of the continuum headache was for from what was desired?

The only in-depth article was the one on cgrps, the part referring to the prophylactic treatment of migraines barely mentions traditional drugs, there is no specific article for tension-type headaches, and they practically do not mention nerve blocks or the treatment of primary headaches in pregnant women.

The uptodate articles are much more complete, in-depth and cover practically all aspects of the treatment of primary headaches.

Disappointing…

Hello, everyone. I'm a psychiatry PGY-1 and at a psychopatology discussion my Staff asked us what is the evolutive reason for the pyramidal decussation to exist, I've made some research and most of the stuff I found only talks about its anatomy and clinical impact, but not the evolutive aspects. Can you enlighten me? Thank you and I'm sorry about my english.

Hi everyone,

I'm currently in a bit of a unique situation and could really use your insights. I'm studying for my MCAT (scheduled to take it in August) and planning to apply to med school in May 2025. If I get accepted, I won't start med school until Fall 2026. While I have some time on my hands, I want to make the most of it.

My background is in medical scribing, but I'm keen on shifting towards more neurology-focused roles since that's where my passion and future aspirations lie. I'm looking into positions like EEG tech, polysomnography tech, and other neurodiagnostic roles. These roles appeal to me because they're hands-on and directly related to neurology.

I'm open to undergoing the necessary training for these positions, which can take around 6 months to a year—time that I have available before med school starts. However, my main concern lies in the availability of these positions within the Inland Empire, CA, where I reside. It seems challenging to find many opportunities in this specific field here and I'm worried about investing in a training program without a clear path to employment afterward. I heard of some of these programs offering a job after training but this is something I am still looking into.

Given these points, I would greatly appreciate any advice, especially from current med students, residents, or physicians:

1. Would you recommend pursuing these neuro-focused clinical roles despite the limited job opportunities available?
2. Are there other hands-on clinical jobs you think would be beneficial for someone with my neuro interest?
3. Of the different certifications, are there any in particular that pose a benefit to others (R. EEG T, RPSGT, CPSGT, E.NSC.T, etc)?

Any insights or experiences you could share would be immensely helpful as I navigate this decision. Thanks in advance for your help!

EDIT: I would not start any of these programs until after taking the MCAT.

EDIT: I have around 5 months of experience of working in a neuro lab at my undergrad school.

Does anyone have experience with Ohio state’s neurology residency?

What is the reputation? How is the time for learning/teaching/education? How is the clinical exposure? What are the research opportunities like?

Thanks in advance!

Hi all, US MD.

Done with core clerkships, feel strong clinically. Would like to maximize this next rotation and show I’ve got the stuff. Would appreciate any online resources, templates, or even short pocketbooks. I’m a regular amboss and dot-phrase lover.

Anything helps. Thank you so much.

I was offered an away rotation at Harvard for July which I’m incredibly excited about! I’m curious if Harvard offers residency interviews to the students who rotate there (assuming I do well) or are they one of the schools notorious for not?

What are some good American journals and magazines where I can publish neurology related "articles" as a medical school student ? Like not just research papers but even articles

For reference: https://www.kenhub.com/thumbor/vcoXMm8HT526DKeDZcadaZTLC4o=/fit-in/413x413/filters:fill(FFFFFF,true):watermark(/images/watermark_only_413.png,0,0,0):watermark(/images/logo_url_sm.png,-10,-10,0):format(jpeg)/images/anatomy_term/s1-dermatome-2/AhKyWm0pjlutFvNECTTtzA_S1.png

Left half is the Foerster map and the right half is the Keegan and Garrett map.

My wife needs a new neuro bag for her exam tools! Any suggestions on a good, sturdy, comfortable, but lightweight bag she could use? She is petite and slim, so nothing heavy or bulky because it'll cause problems rounding on long days. Thanks all!

So I have this wild idea that it would be so fun to live abroad or in Europe while doing tele-neurology in the USA. Is this at all possible? Does anyone know anyone who has or is doing this?

Hiya, I'm a US MS3 trying to decide between Neuro and Family Medicine. Strange dyad, but the draw towards both fields for me are the deep patient connections and complex patient puzzles.

I've loved studying neurology since high school, but found it very different in clinical practice. I found stroke to be pretty algorithmic in workup and outpatient neurology to also be fairly routine with less of the diagnostic puzzle I'm looking for. I saw a lot of headache, dizziness, AMS on consults and often felt like these were pretty unsatisfactory to treat as they had no clear resolution. I'm feeling kind of disillusioned with neurology, and keep wondering whether I just like the clinical zebras.

As for FM, I realized I loved having community engagement and advocacy built into my job, as well as the patient counseling. Preventative stroke care with smoking cessation and HTN treatment was really meaningful to me. FM was a great rotation, but I keep having a nagging feeling that I'd be missing out if I abandoned neurology after all these years of loving it. I'm also from the Boston area and I feel like all the fun cases go towards the specialists moreso than generalists if I match urban.

Does anyone have any advice for the algorithm you went down for choosing either path? Thanks in advance!!

I saw a post in the medical school subreddit about what a group of each specialty should be called and wanted to more suggestions for neurologists. Some of the good ones that were commented:

-A gang(lion) of neurologists -A commissure of neurologists -A nucleus of neurologist

Any other suggestions?

Just trying to get a sense of the current landscape of this topic. anyone here know if their location of practice (mainly looking at hospital neurology/stroke with ED) to see if places have protocols in place for acute eval of CRAO and administration of tpa. thanks

One of the more intriguing possible future applications for these drugs would be giving them to pre-symptomatic patients who screen positive for an AD biomarker with the goal of significantly delaying or even preventing clinical Alzheimer disease. I understand that this is an active area of research and obviously we don't know yet if this would even work.

But in this very hypothetical situation, but if every person older than 50 or 60 gets screened for AD through their PCP (probably a serum test as these are getting much better followed by amyloid PET to confirm if positive) and if those that test positive are referred to neurology to start anti-amyloid therapy, what does that do to our field?

The demand for neurologists is already greater than the current supply, but if this scenario becomes a reality in the next 10 years, then demand for our services will absolutely skyrocket.

What does this mean for neurology compensation in the future? Hospitals stand to make a ton of money from administering high volumes of these infusions and for the MRIs required to monitor for ARIA. For example, heme/onc is very well compensated despite being a non-procedural field, mostly due to the fact that they prescribe a high volume of infusion based therapies.

I know VP shunt is the standard for everything hydrocephalus, but when is a lumboperitoneal shunt indicated? I see a fair amount of NPH workups, can an LP shunt be considered in these patients? Why wouldn’t this be a better option versus a crani and long VP shunt? Why don’t we do this more often to cut down on the invasive nature of the procedure?

Hello everyone,

I'm starting on a research-heavy fellowship program that spans 2-3 years. While it's an exciting opportunity, I'm also looking for ways to supplement my income over the weekends to support my family. I estimate needing an additional 30-40k a year to cover expenses.

I've explored options like locum and teleneurology companies. The teleneurology company offers coverage but requires 84 hours per month, which would consume all my weekends. Similarly, locum opportunities demand longer commitments that conflict with my weekday fellowship.

I have concerns about the licensing as well as non-compete policies for covered hospital for both opportunities as well from what I read in this sub.

I'm at a crossroads and seeking advice. Have any of you navigated a similar situation or have alternative suggestions? Your insights are greatly appreciated. Thank you!

I had recently got exposed to neurology and am totally loving it and had decided to pursue it further for residency Thing is that I recently got done with my emergency medicine rotations and got exposed to case of elderly negligence and abuse The old lady was in pretty critical condition and was crying her eyes out. It was a lot of pain to watch. There wasn't much we could do for her given her financial and familial limitations as well. I couldn't handle watching her in so much pain and had a mini breakdown and had to leave for few hours after the lady left cause it was difficult for me to continue immediately. Now I do realise that my reaction to this situation was absolutely unprofessional and I shouldn't have left and would definately work on it but my seniors told that if I'm pusueing neurology I should be ready to see a good share of mortality and morbidities and that there isn't much one can do often in neurology cases. And this one thing is making me question that am I good enough to go for neuro or am I making a mistake? Any insights please?

I am confused between neurology and internal medicine. i keep thinking about what the future will be and what if my decision is wrong . I have an interest in research, but I keep thinking that will it be the same in the clinical area ? •Also, will i get bored by the same cases in neurology with comparison to the varity of internal medicine? • What if i only like to read about neuro, not clinical practice? I don't know why these questions pop up.

Can someone help me.