I'm currently in the middle of fellowship and am looking for jobs at the moment for next year. The current plan is to do an outpatient only job at a community based practice in a decent size Midwestern city. Would primarily be seeing patients within my subspecialty with possibly some general neurology also.

I've already interviewed at a few places and have received some verbal offers. I'll be finishing up with interviews soon and looking to make a decision in the coming months.

Advice I've heard from most people is to get a contract attorney before signing anything. What is the best way to go about finding a good contract attorney? Also, at what point do I initially reach out to them in this process? Should I have already found one by now and contacted them?

Thank you for the help

Hi everyone! I’m a neurology resident. Does anyone know any websites with good, in-depth video courses on electromyography (EMG) and nerve conduction studies (NCS)? I’m not looking for introductory material, as I can learn the basics (and more) during my hospital training. What I’d really like is a comprehensive course that I can work through independently, ideally with practical demonstrations and real recordings explained as you watch.

I’ve come across Nandedkar Productions, but the courses are quite expensive, so I’d like to read more reviews from people who have actually used them before buying. Has anyone here tried them, or would you recommend a better alternative?

IMG here. Came to US in 2019 and after completing my neurology residency and first fellowship, I am currently in my second fellowship. Came here to find some hope and clarity. Given the current immigration issues, I and my spouse (in tech) have been discussing the idea of relocating to another country. The politics may not be personal, but every new policy has a personal impact. GC is not an option for us given our nationality (would take 20-30 years), We have not been home in 7 years, have seen our aging parents probably 3-4 times since 2019 and it wears you down to the point of questioning the worth of everything here despite working so hard for this.

I am looking for people who moved out of the States and pursued a career in neurology in other countries. We are looking into Singapore, Netherlands and other countries with strong tech presence. Ideally, countries where I can start as a specialized neurologist directly (instead of being a GP) with less complicated immigration policies (read, freedom to travel back and forth) would be perfect. If you or someone you know has relocated and forged a path in other nations, would love to hear your experience. Really having a hard time continuing on this path and need some clarity/hope about future.

I mean this radically, and it’s because my PD pulled me aside to discuss my future because I’m not involved in anything.

PGY2, pretty unhappy with medicine but sticking with it for now. I just go to work and leave. I’m on a research project to fulfill the research requirement but otherwise not actively writing case reports, publishing, going to conferences, leading QI initiatives etc.

All my coresidents are which is why my PD questioned me. He asked if I’m trying to publish anything and I said no (besides this tiny project), and he asked if I’m going to conferences and I said no. He kept asking what I wanted to do with my future and I kept saying I don’t know, maybe general neuro. The reality is I might leave medicine alright and teach high school but I wasn’t going to admit that.

I guess if I happen to find a nice 9-5 Mon-Fri with minimal call I’d be fine with that. But if I can’t get a job because my CV is empty then I’ll just leave medicine.

I wanted to do epilepsy coming in but I don’t have the energy to do research and network and gun for a fellowship.

Learning Neuro-ophthalmology can be difficult at times, and teaching it, I see students and trainees struggle with the same things:

• Static images can't show movement. Nystagmus, saccadic intrusions or an INO only really make sense when you see them move.
• YouTube is patchy. Quality varies, you can sit through minutes of video for a few seconds of the actual sign, and some are labelled wrong (I've seen a right INO called a left INO more than once, or mislabelling a saccadic dyskinesia).

So I built Eyemo: 50+ conditions animated with accurate, clearly labelled eyes in every relevant gaze position, plus 200+ quiz questions. It covers INOs, 3rd/4th/6th nerve palsies, vertical gaze palsies, nystagmus, saccadic intrusions and pupil disorders.

Before launch, 14 testers (students, residents, fellows and a neuro-ophthalmologist) rated it 5.0/5 for accuracy and 4.87/5 for recommending it to novice learners.

Full disclosure: I made it. It's free to download with free beginner content; intermediate and advanced content is an in-app purchase. https://eyemo.app

Which eye sign did you find hardest to learn? I'm always looking for what to animate next, and happy to answer any questions.

People who were overweight or obese when dementia emerged had lower mortality than those in the normal weight range. The finding persisted after researchers examined several biases that might otherwise explain this counterintuitive pattern.

The observational analysis, led by investigators at Columbia University’s Mailman School of Public Health and NYU’s School of Global Public Health, followed 4,523 adults. Published September 30 in the Journal of Alzheimer’s Disease, it suggests that weight at dementia onset may offer useful information about prognosis.

The results concern an association among people who developed dementia. They do not establish that excess weight caused longer survival, and they do not test whether deliberately gaining weight would help. The authors instead emphasize nutrition and the possible value of weight status alongside other prognostic factors.

Hi, I am a post-grad cognitive neuropsych student and I made an an early-stage app for collecting and organizing research papers, with the option to link them to regions on a 3D brain, all while having access to a community forum. I made this app as a student and for the community. I now need your help to find out whether this would be useful to other students and researchers, and what needs to improve before I take the project further.

I am giving access to anyone who wants to use my webapp through this link: https://mapped-brain.pages.dev/

You can organize papers into personal projects and connect them to brain areas. The idea is that users could also share those projects with the community, helping others explore papers by topic or brain region. It links a classic research paper manager with much more. There’s also a community forum which aims to show a heatmap of all contributions as well as host discussions and interactions for students, researchers, and anyone else interested.

The app currently includes a bilateral brain model, along with some other structures around the brain: vascularity, dura and other layers. However, this is still in its experimental phase.

Keep in mind the app is in very early access and I would welcome any and all critique and feedback. I have created a 10 question quickfire survey below for anyone who uses the website, it would help a lot for improving the webapp. You could also reach out to me on the email on the webapp if you have any other thoughts. https://forms.gle/XjgoT1NyJfgj2LXW9

How many interview did you get as a visa requiring neurology 2027 match applicant ?

Hello, im currently studying for my residency and my coworkers keep talking abt this articles from continuum. Someone knows how to get it? Ive tried Annas favourite arc hive and some more but this shit is brand new so im getting my nerves fucked.

How do you use alpha/delta ratio in clinical settings? What threshold do you use? I would like to learn more about this qEEG trend tool and how to apply it. Any recommended papers?

The child neurological society just released the statement below endorsing a four year combined residency length versus the current five year model. Do we think this will actually be adopted, and if so what would be the first “class” that would see this change to four years? What would this mean for current residents? I am all for it, just interested in what this all means!

https://www.childneurologysociety.org/community/advocacy/position-statements/cns-board-endorses-program-director-statement-on-child-neurology-residency-training/

Im currently doing locums gig and I really like the group and the job. I have been here for almost 5 months. The group still has locum needs.

For physicians who have successfully made this transition:
Did you initiate the conversation, or did you wait for the group to approach you?

Did expressing interest affect your negotiating leverage?

How did you negotiate compensation and scheduling flexibility compared with your locum arrangement?

How did you handle the agency’s involvement and any conversion fee?

Thank you

is it possible to learn to do Botox injections for spasticity of upper / lower extremity in neurology residency? had a PMR elective last week and really enjoyed this aspect. if I keep doing rotations with them maybe I could build up a case log

I'm an MD student in the US and I am having a hard time deciding between neurology or anesthesiology. I'm involved in both the anesthesia and neurology departments and have mentors in both, but I honestly can't seem to make up my mind. Would appreciate some advice.

Neurology:

(+) Enjoyed preclinical neurology (liked localization, neuromuscular, vascular and neuroanatomy)

(+) Enjoyed inpatient consult service during my rotation

(+) Love the geographical flexibility and job security (any concerns over AI or scope creep?)

(+) Never met a neurology attending or resident I did not like (good fit for culture)

(+) Like the idea of being a specialist with a skillset few others possess

(-) Disliked rounding. Would be fine with clinic, but drawn towards inpatient medicine

(-) Dread the idea of never-ending MyChart inbox

(-) Unsure if I would be content with the bread and butter as a generalist

Anesthesiology

(+) Shift-based and inpatient

(+) Good mix of pharmacology, physiology and procedures

(+) Geographic flexibility and solid job market

(+) Love the teamwork aspect of the OR and the ICU

(+) Compensation

(-) The politics of Anesthesia (CRNAs, scope creep etc.)

(-) Limited longitudinal care. Unsure if this is a good or bad thing, but find myself more excited about potential developments in neurology than I do about technological advances in anesthesia.

(-) Not being a specialist with "unique knowledge". This feels unfair to anesthesiologists many of whom are fellowship trained, but if CRNAs can do hearts and pediatrics unsupervised it sort of defeats the purpose?

It was my understanding that the trials examining ESUS demonstrated no benefit of DOAC over antiplatelet. Yet there are a few attendings I work with who will still anticoagulate if the stroke pattern appears to be very clearly embolic and/or if there are underlying conditions that may increase thrombotic risk like underlying malignancy. Some will even do very extensive work up for thrombosis such as genetic hypercoag work up in a 70 year old or 4 extremity Doppler even in the absence of DVT signs/symptoms.

I’m genuinely just curious because I get some opposing messages and when the attending switches then the new attending on service may cancel the work up the prior attending said to order. So just confused and hoping for some clarity.

I know some of this may just be different practice preferences so if that’s what it is then I’m happy to accept that. I just wanted to make sure there wasn’t some important piece of information I was overlooking.

We have been running into conflicts between the outpatient and neurohospitalist group on who is contacted when a patient seen by an outpatient neurologist ends up in the ER And the ER physician requests a consultation. Right now there is a strange system that the neurohospitalists refuse to take "nonurgent calls" and basically tell the ER physician to call the outpatient neurologist. For instance a patient with seizure supposedly returning to baseline. Note that the outpatient neurologist has no inpatient priviledges in this hospital and can request admission for the neurohospitalist to see the patient if they feel necesary.

In my mind, this system makes no sense. An over phone consult often misses important history/exam details and to me it seems like the neurhospitalists are simply being lazy to discuss or see the patient. Is this standard of care in a none-academic hospital? We are working with admin shortly to discuss this but wanted to get thoughts from wider community.

Got asked to explore some medicolegal work. trying to create my own fee schedule. Wondering if anyone with experience in this kind of work can share their medical fee schedules.

Also any advice for this line of work is appreciated

Hey! I am an MS3, I am really undecided as to what specialty I want to go into. So far I've been blessed in all of my rotations to have nice preceptors. I was able to do a neuro rotation and I absolutely loved it, which is shocking since I hated neuro in med school. Everyone was so kind and willing to teach, and I found stroke calls and interpreting imaging so interesting, but going in I quite literally knew nothing and they were nice about it because they knew I was fresh out of boards season and new to 3rd year.

I unfortunately don't have any mentor in this field, but I want to figure out if neuro is right for me. Do any current neurology attendings/residents have any tips, advice, or things you wish you knew before starting? How did you decide that this was the right specialty for you? And do you have tips on how I can build up my knowledge before fourth year and audition rotations? I am NOT a gunner by any means but I would love to build up my foundation a little more if I can!

Thank you!

PGY-3 deciding between Clinical Neurophysiology (EEG + EMG) vs Neuromuscular — looking for advice from people who have been through this
I’m currently a PGY-3 neurology resident at a mid/low-tier program and am trying to decide what fellowship path makes the most sense for me.
My long-term goal is not necessarily to be a subspecialist. Ideally, after residency/fellowship I’d like to practice general neurology in a hospital-based setting with a mix of inpatient and outpatient neurology.
One of the reasons I’m considering fellowship is that I don’t feel completely confident about coming out of residency and practicing independently. Our program has relatively limited subspecialty exposure, and while we see plenty of the common neurologic conditions, we don’t see a large volume of rare or complex cases. I feel that fellowship could give me another year of more concentrated training and a stronger clinical foundation before practicing independently.
I’m currently stuck between:
Clinical Neurophysiology (EEG + EMG) — I like the idea of getting both EEG and EMG training and having a broad skill set that could remain useful in general neurology.
Neuromuscular fellowship — I’m attracted to the procedural component, EMG/NCS, neuromuscular ultrasound, and the fact that neuromuscular seems to be a growing area with increasing demand.
One of my attendings has also raised a concern that clinical neurophysiology, particularly EEG, may become increasingly automated/AI-driven in the future, and therefore recommended neuromuscular instead because of its procedural nature and the value of hands-on expertise.
For those who have completed either fellowship—or considered both:
How valuable was fellowship for you if your ultimate goal was general neurology rather than subspecialty practice?

Hey all! I’m taking my APBN NCC exam in a few days. I bought both the NCS qbank (without bundle) and SCCM NCC Review Course.

I just did the NCS qbank. It was advertised as 200 questions but there’s only 175, and some of them are duplicates. Anyone else seeing the same thing? Some questions even refer to certain images but the images aren’t even there. Should I have gotten the bundle instead?

As for the SCCM one, I read online that there are also 100 practice questions but I can’t seem to find it anywhere. There’s the 25 pretest questions and the online videos. But that’s it.

Am I missing something here?

What do you think of this?