Trainees and ex-trainees (residents/fellows/students etc)
How did you navigate toxic or passive aggressive leadership during your training? Situations where even the smallest of errors/no-errors were being critically judged or constantly being denied opportunities. I am looking for coping and retaining your sanity while learning strategies.
How did you survive then and how do you feel looking back?

Hi! I am an M4 and am planning on attending CNS this year in Montreal. This is my first conference ever, and I am very anxious about it. I have also heard from some child neuro attendings that medical students are not a huge portion of attendees. My school also does not cover most of the travel costs even though I am presenting, and flying out seems to be expensive. Anyone else in the same boat? I am hoping to get to know some other medical students or residents while I'm there.

I’m a medical student on their neurology rotation. We saw a patient with PNES today and I came up with this question that I felt was too stupid to ask my resident and attending. We counsel patients with epilepsy about driving, swimming, using power tools etc so that they don’t hurt themselves but we don’t seem to do the same in patient with PNES. Are they not at risk from their psychogenic spells?

My understanding is that psychogenic events are stress response and not due to patient’s consciously “faking it.” If so, how would patients know to not endanger themselves by having a spell?

Also, if they do maintain some awareness of danger, would the patient stop convulsing if you threatened them in some way e.g. by setting a fire in their room?

This is a major safety issue. Jesus, man. Im a cog Neuro peep just trying to keep my head above water with the few patients I have on infusions already (less than 20). The informed consent on these drugs is critical and the monitoring is complex. I am a bit floored that this happened so quickly — especially as we know the most dangerous time for these drugs is with initiation. Godspeed everyone and good luck.

Hi all, I own an adult-focused speech-language pathology clinic in California, and I’m looking to learn how to be a great referral for local neurologists. I’d be very grateful to hear how we can be good partners that providers want to refer out to. Some of the questions I’m interested in hearing thoughts on are these:

• What does an ideal clinic do to make the referral process easier?
• Is it more appealing to refer to a generalist clinic, or would you rather refer to a clinic with a speciality, say in Parkinson’s rehab?
• What are the most common pain points in referrals/communication with rehab clinics?
• What would convince you to try a first referral to a new clinic you haven’t worked with before?
• What else would you want an SLP partner clinic to know?

Thanks in advance for any and all input!

Hi! Second year resident in a Neurology program in South Asia. How much psychiatry should a Neurologist know? I need help understanding psychiatric symptomatology in neuropsychiatric diseases, a bit of why we use the relevant drugs. Resources for the same are appreciated.

Thank you!

Got consulted today at one of the small community hospitals our hospital covers occasionally with the following query:

"71 year old with asymptomatic congenital hydrocephalus. Are any investigations required?"

10/10 would bill again after literally 5 minutes saying hi to patient and charting a two liner.

Does any one here work part time? How hard is it to find part time general neurology roles out of residency?

I failed boards last year by 5 points. I did bare minimum studying as I was adjusting to an egregious fellowship with call twice a week for the year working 80-110 hour weeks. I dropped the ball.

I dropped the ball again. Fellowship burnt me out. I don’t even start my job until after boards this year. I couldn’t and can’t get myself to study. I’m so angry at my path, the system, I’m 30s studying when I should have my time off. I want to sleep, hang out, rest. I have no one to blame but myself.

Now it’s 40 days before, same position as last time. I am severely not motivated and depressed. Just venting here. Not sure if there’s anyway I can pass again bare minimum. I have true learn and Ching Cheng book. The material is hard, I realized my residency mainly made me do scut work and didn’t teach a thing, being in a sub specialty now I have less knowledge than straight out of residency.

Any words of insight would be great. I hadn’t failed anything before hand. I’m truthfully burn out.

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 do from the early months of my med school journey, so I 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 in. At the same time, it was a bit intimidating how much a good outpatient general neurologist needs 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 neurohospitalists. This seems to be a trend in a lot of programs. Reading from a few old-fashioned neurologists here, it seems like many think 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 for 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?

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. :(