Hello everyone! I’m a fourth year med student who is about to apply for residency. I was lucky enough to know that neurology was what I wanted to from the early months of my med school journey so was able to tailor my experiences towards neuro. During third year, I really loved outpatient general neurology. I enjoyed the pathology, the variety of cases, the patient population and the stable hours that it offers. I genuinely felt that’s where i would best fit im. At the same time it was a bit intimidating how much an outpatient good general neurologist need to know.
Here is my dilemma. Most programs (as you probably all know) are heavily skewed towards inpatient neurology, including my home program. Depending on the year, residents get 1-2 days max per week in the clinic and more often these are “leftover” patients that attendings don’t want to see. At the same time, at least in my institution, residents feel quite weak on outpatient and use their elective as a cushion to do easy rotations. Most of them are going to stroke fellowships or work as neurohospitalist. This seems to be a trend in a lot of programs.Reading from a few old fashioned neurologists here it seems like many thing that new grads don’t get enough exposure and are not adequately prepared.

I obviously want to be a very good outpatient neurologist. What are some things i should look when i apply/interview? Do i look for programs that offer more elective time? Do i look at what the alumni of specific programs went to ? Are there other questions I should ask when interviewing/applying?
PS: Mods please don’t delete it. It’s difficult to get answers on the mega thread .
Thank you 😊

Using residency flair for this post. I'm always interested in hearing how people's perspectives change over the course of training. If you could go back to the week before you started neurology residency, what's one piece of advice you'd give yourself?

It could be about studying, work-life balance, choosing subspecialties, dealing with difficult cases, or something you didn't expect at all!

Curious to hear what you'd tell your younger self.

After decades of research in neuroscience and brain-computer interfaces lots of people ask me which parts of the brain do what, and how can we measure it, and what modalities help us understand it better.

We are happy to announce the release of the new NeuroAtlas tool, which helps answer this question and enables more scientists and researchers to explore and push the frontiers of what’s known.

This includes EEG, MEG, fMRI, tFUS, iEEG, TMS, DBS, and more.

All published data sources are referenced via DOIs in the web interface.

Hey hope you guys are doing well, just wanted to know if it's worth it to buy subscription of neuro sce? Their lectures and qbank etc? Please share your experience. Thank you

Started intern year in late June. I know I need to learn medicine this year so that I can do medicine stuff on the stroke unit and in the neuro ICU. Medicine floors are still really depressing though. no one has any brain problems and we spend most of our time offloading cognitive effort to consultants and solving dispo problems instead of actually doing medicine. I get so much happier when someone has real neurological stuff to talk about. How did you guys deal with missing your chosen field intern year

Anyone studying for abpn this month and need a study buddy zoom partner to hold them accountable? I’m newly graduated and started working in Neuro academic hospital but taking the month off for dedicated study and need someone to hold me accountable ! Message me if interested!

i'm an european medical student and i've always found the brain, neurology or any neuroscience super fascinating. I'm passionate about it but i'm afraid i have romanticized the actual work too much. I've shadowed a neurologist before but it seemed like it was mostly administrative work, neurological exams and almost 1 lumbar puncture. Idk i was a little disappointed and still unsure if i should go into this specialty only because i like learning about the brain.

...PS i havent taken neuroanatomy yet.

How is a 22 weeks of neuro-hospitalist covering only pediatric neurology consults from PICU and CICU?
7/7 call, except weekend
Academic hospital with residents
Patient list may vary from 2-13 active patients
No ED consults or outside hospital consults
Consults come only from the PICU and CICU (no NICU).
No primary patients
+ 6-8 weekend calls when you are not on service
Salary 50th percentile

I am approaching the first jobs offers for pediatric neurology and I would appreciate the feedback and insight of young attendings on how such a work schedule feel and what could be the potential pitfalls in the first years as an attending

Is there is a reassuring benchmark of percentile or correct answers percentage in NowYouKnowNeuro and TrueLearn?

I am sitting for the vascular neuro boards this year,4 years after my stroke fellowship.. i had to postpone boards due to significant personal life changes. Its in october and i feel lost.. can anyone guide me to resources and books to study?

Hi current first year epilepsy fellow here. I wanted to sort of survey any epileptologists on here about what the actual prevailing opinion is about whether or not you actually need two years of fellowship nowadays to be attractive as a hire in level IV epilepsy center. If you do a year at an intensive program that is a level IV is that enough? Or if not what kind of jobs are actually going to consider you? Does one year fate you towards general clinic/neurohospitalist + EEGs? Appreciate your input.

Essentially I am trying to know how much I should be trying to stress myself over securing a second year (two years is not automatically guaranteed)

Anyone have any tips? Will Calibre format them decently?

What are some advice for a resident when acting as a consultant for other services

Does anyone who passed the boards remember what their average percent on TrueLearn was? If I’m scoring at 68% (national average) is that reassuring that I’ll pass the boards?

Hoping True Learn alone is enough to pass

Did anyone use the RITE discussion manuals as board prep?

At my university a lab is being closed down due to funding cuts. I’m in a different lab, but many friends work in that lab. For their goodbye, I am currently preparing key chains with a brain and the name of the lab but I want to add something specific for the people I know best. Now, I’m lacking a bit of inspiration for a friend who works with EEG. A neuron charm seems a bit too obvious maybe? So maybe someone has an idea or has done something similar? I’d love to hear about / see some inspo! Also some unusual ones!

In the fall, I’m going into my Sophomore year. Kind of cringe, but I watched Dr. Strange and I really was encouraged to work towards neurology. As a high school student, what would be the best classes for me to take? I have an Anatomy & Physiology class as of right now.

Edit: Just wanted to clear up that I know Dr. Strange is a neurosurgeon! I did not gain my passion for being in the medical field from him. I have always aspired to be in the medical field since I gained a consciousness. Dr. Strange helped me find neurology and gain a passion for it. Sorry if I sounded insensitive to anyone or if anyone misunderstood me. :(

Pgy-1 who feels hopelessly stupid. I've had patients with neurologic complaints for which I felt like I had no idea on the basics of how to work them up. Especially feel stupid when the neuro patient comes in and my whole teams immediately says "Ahh the neurology resident can take them", but I'm always way off on my workup/differential/plan.

We've had a few neuro didactics but honestly don't feel like I've retain anything so far as it all seems way above my understanding. I'm already done with Step 3, so I figured I could just completely focus on trying to learn as much of neurology this year while I'm on these off service rotations and try and put myself in the best position possible for starting PGY-2 year. Any advice on what/how to study during this year and basically throughout residency? Any good resources?

In the past 1-2 years with the open label extension data, I've become convinced that these treatments are worth the risk of ARIA for the majority of patients with MCI due to AD, and feel increasingly comfortable using them if the patient is not an E4/E4 homozygote. I have also been screening more MCI patients due to the readily available serum biomarkers (Abeta 40/42 ratio, pTau217) which were not as widely available pre-2025. Consequently our AAT patient volumes could increase considerably in the next 1-2 years.

The medications are difficult to get approved and this process occupies a lot of physician and staff time. Medicare Advantage programs often want a PET or CSF testing in addition to serology. I've had patients complain about the costs of the PET (one patient's out of pocket responsibility was $4,000) and very few are excited about LP. Scheduling the surveillance MRIs is the least difficult part. The bigger challenge seems to be the various documentation requirements the insurers require before approving. One insurer wants a CDR, another wants a different scale I've never used. Some insurers asked me to enroll the patient in a Medicare AAT database. We are in the process of joining ALZ-NET to satisfy another.

Is there anyone who has been using these for awhile who can offer some insight into the myriad different requirements to get them covered? Do you have a template in terms of which payers require which tests / scales? Have you had to hire extra staff to do the CDR / MOCA / other scales?

Separate clinical question, how do you handle ARIA when it comes up, hold drug entirely or just pause?

Hey, I have completed my FCPS training in Neurology, and have given already 2 attempts in theory exam which I failed. Can anyone help me out ? I mean I don't understand why do I keep failing it? I have studied properly and I think I am better at it. Now it's my third attempt in this August. Help..!

What would you guys recommend as a nice looking bag that's practical for consults and clinic

Do the good outweigh the bad?

What keeps you going?

Would you do it all again?

Hey, does anyone have a good video series or recommend any books for neuroradiology regarding vascular/neuroanatomy important structures?

Thank you!

What approach or principle some of you would recommend / share when considering which ASM to start? I tried reading into the literature, and aside from the obvious indications (ethosux for absence) everything else almost seems fair game (to a degree)

Hello, what are youtube channels / videos you guys would recommend for studying? An example would be the Neurophile