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Hello there, fresh PGY-2 here, and as if the stroke service and call schedule weren't enough stress already, I started looking into fellowships just to make matters worse. I seriously cannot imagine myself having to decide on a subspecialty a year from now, but yet here we are. Part of me just wants to forgo more training and just go straight into general Neuro, but with majority of people going into fellowships nowadays, part of me also feels like I may regret it. Especially when most subspecialties are just one more year of training.
I really am not interested in any research or academia, and I just want to work in a community setting doing both inpatient and outpatient most preferably. I also want to live comfortably with a good income (hopefully at least >350K) and have good work/life balance. I may be asking for too much on that last part.
Anyway, at first, I was thinking just getting good at one particular extra skill set like EEG or EMG by pursuing Epilepsy or NM, but so far these specialties are not really fitting quite well in my mind yet (maybe I need more exposure). Also, the thought of learning the whole human anatomy again for NM/EMG is daunting to me. Then recently, I started looking at Movement disorders, to be honest, I felt like this is the kind of patients and topic I would enjoy the most, but then I learned reimbursement sucks for movement docs (with salaries more in the 200K's), and I would honestly hate to go into one extra year of training only to decrease my salary (or maybe I am thinking about this wrong). I've also thought about Neuroimmunology (MS), but I have not had any exposure in it yet to really form an opinion. Mixed or single track CNP feels like they just give you enough skills to be Ok at EEG, EMG, or both, but you're not really an expert at anything (so not sure if they are worth it or not). Sleep medicine sounds like a good gig with decent pay, but it just seems very monotone to me with everything coming through the door being sleep apnea, and it also seems to be mostly geared towards outpatient.
I know for sure I don't want to pursue NCC, Stroke, pain, or NIR. Right now, I just need some insights on the different subspecialties to be able to structure my second year better and hopefully make up my mind by 3rd year (or maybe I just need a Hoorah moment). I would appreciate any advice or insight in this thread. Thank you for your participation already!
Edit: Aso have no idea about fields like neuro-onc, behavioral neuro, dementia, Neuro-infectious disease, neuro-otology, or neuro-ophtho.
(Edited to make it more readable...hopefully lol)
I really am not interested in any research or academia, and I just want to work in a community setting doing both inpatient and outpatient most preferably. I also want to live comfortably with a good income (hopefully at least >350K) and have good work/life balance. I may be asking for too much on that last part.
Anyway, at first, I was thinking just getting good at one particular extra skill set like EEG or EMG by pursuing Epilepsy or NM, but so far these specialties are not really fitting quite well in my mind yet (maybe I need more exposure). Also, the thought of learning the whole human anatomy again for NM/EMG is daunting to me. Then recently, I started looking at Movement disorders, to be honest, I felt like this is the kind of patients and topic I would enjoy the most, but then I learned reimbursement sucks for movement docs (with salaries more in the 200K's), and I would honestly hate to go into one extra year of training only to decrease my salary (or maybe I am thinking about this wrong). I've also thought about Neuroimmunology (MS), but I have not had any exposure in it yet to really form an opinion. Mixed or single track CNP feels like they just give you enough skills to be Ok at EEG, EMG, or both, but you're not really an expert at anything (so not sure if they are worth it or not). Sleep medicine sounds like a good gig with decent pay, but it just seems very monotone to me with everything coming through the door being sleep apnea, and it also seems to be mostly geared towards outpatient.
I know for sure I don't want to pursue NCC, Stroke, pain, or NIR. Right now, I just need some insights on the different subspecialties to be able to structure my second year better and hopefully make up my mind by 3rd year (or maybe I just need a Hoorah moment). I would appreciate any advice or insight in this thread. Thank you for your participation already!
Edit: Aso have no idea about fields like neuro-onc, behavioral neuro, dementia, Neuro-infectious disease, neuro-otology, or neuro-ophtho.
(Edited to make it more readable...hopefully lol)
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