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Hey, do you know of any osteopathic neurosurgical residencies that allow you to obtain a PhD during residency? I know some allopathic NS residencies have that but can't find anything on osteopathic.
What do you think about spine surgeons who obtained their training through an orthopedics residency, followed by a spine fellowship? Do they usually work on the same types of cases or do they usually have a division of labor based on their previous residency training; if so, how is it divided for spine cases?
medpr actually asked this question, i believe and he already answered it. I wish i knew what page number so i could quote it, but it's definitely there.
#384
As we wait, I'd venture to say that functional NS has perhaps among the best hours. These surgeons perform DBS, lobectomies to treat epilepsy, etc. You could stick strictly to functional procedures and have a great lifestyle if you're willing to take a hit in reimbursement. Most in NS with functional fellowships must also work as a general neurosurgeon to maintain typical reimbursements. There isn't nearly the demand for functional procedures as there are in general practice. My mentor, a fxnl neurosurgeon, must also perform the gamut of general procedures from trauma to laminectomies as part of his position at an academic medical center.Oh thanks terrific!
In that case, I will ask another question: Are there any neurosurgery fellowships that can lead to a relatively lifestyle-friendly specialty, eg. total of 60h/week instead of the usual 80+h/week and minimal call? Maybe spine in private practice?
Oh thanks terrific!
In that case, I will ask another question: Are there any neurosurgery fellowships that can lead to a relatively lifestyle-friendly specialty, eg. total of 60h/week instead of the usual 80+h/week and minimal call? Maybe spine in private practice?
Thank you!
Although this is far off, I'm curious. How do you keep your clinical skills up to par if you don't do anything clinically related for 1-2 years?
Hey, do you know of any osteopathic neurosurgical residencies that allow you to obtain a PhD during residency? I know some allopathic NS residencies have that but can't find anything on osteopathic.
What book do you recommend for neuroanatomy? What is the best way to study neuroanatomy/physiology?
Neusu, thank you so much for contributing time to build up this thread, I'd say many pre-meds have learned a great deal from your posts!
I was wondering if you know how many (percentage wise?) NS resident graduates elect to pursue fellowships? What are the various options and most popular fellowships residents pursue? And although this may sound very straight forward, what are the pros/cons of electing/not electing to pursue a fellowship in NS? Thank you!
What do you think about spine surgeons who obtained their training through an orthopedics residency, followed by a spine fellowship? Do they usually work on the same types of cases or do they usually have a division of labor based on their previous residency training; if so, how is it divided for spine cases?
This really isn't the place to ask that question.Hello all,
I have just a random question about how the nervous system functions in regards to pain. I have a good friend who insists that the sympathetic nervous system is responsible for the perception of physical pain. However, I was under the impression that the sympathetic / parasympathetic nervous system regulate things like vasodialation and muscle contraction in the GI and respiratory tracts (fight or flight), and the central nervous system handled external sensory information. So what's going on? How is pain processed in the body?
Hello all,
I have just a random question about how the nervous system functions in regards to pain. I have a good friend who insists that the sympathetic nervous system is responsible for the perception of physical pain. However, I was under the impression that the sympathetic / parasympathetic nervous system regulate things like vasodialation and muscle contraction in the GI and respiratory tracts (fight or flight), and the central nervous system handled external sensory information. So what's going on? How is pain processed in the body?
Oh thanks terrific!
In that case, I will ask another question: Are there any neurosurgery fellowships that can lead to a relatively lifestyle-friendly specialty, eg. total of 60h/week instead of the usual 80+h/week and minimal call? Maybe spine in private practice?
As we wait, I'd venture to say that functional NS has perhaps among the best hours. These surgeons perform DBS, lobectomies to treat epilepsy, etc. You could stick strictly to functional procedures and have a great lifestyle if you're willing to take a hit in reimbursement. Most in NS with functional fellowships must also work as a general neurosurgeon to maintain typical reimbursements. There isn't nearly the demand for functional procedures as there are in general practice. My mentor, a fxnl neurosurgeon, must also perform the gamut of general procedures from trauma to laminectomies as part of his position at an academic medical center.
I'm sure neusu has far more to say, but figured this would give you something to chew on in the interim.
Not sure if this has been asked before, but do all surgical subspecialties have an integrated version? Like does integrated neurosurgery residency exist?
Functional is a great subspecialty. There are very few surgeons who can practice solely functional and as alluded to, most have to do general neurosurgery as well. Most programs will provide sufficient training to be proficient in the bread and butter functional procedures. As an aside, functional requires a pretty robust ancillary staff or referral base. Basically, a set of movement disorder or spasticity neurologists with whom you closely work. Without that, you a steady referral base and long-term follow up for your patients.
I have a 206 on step 1 and unfortunately I failed Step 2 CS. I am willing to do anything at all to get into a neurosurgery residency even if it means doing another residency and try matching later on... Any tips?
Hello all,
I have just a random question about how the nervous system functions in regards to pain. I have a good friend who insists that the sympathetic nervous system is responsible for the perception of physical pain. However, I was under the impression that the sympathetic / parasympathetic nervous system regulate things like vasodialation and muscle contraction in the GI and respiratory tracts (fight or flight), and the central nervous system handled external sensory information. So what's going on? How is pain processed in the body?
It seems like 4th year - at least the first half of it - is quite busy in terms of preparing your ERAS, scheduling CS/CK, 4th year required rotations, away rotations, and interviews. How did you exactly manage all of this, besides meeting with your advisor? Did you take CK before/after submitting your ERAS?
Did you do any aways? If so, how many? How did you decide where to go; in particular, did you attend programs you thought you would match more easily at or were you swayed by the name of a particular institution?
Hello all,
I have just a random question about how the nervous system functions in regards to pain. I have a good friend who insists that the sympathetic nervous system is responsible for the perception of physical pain. However, I was under the impression that the sympathetic / parasympathetic nervous system regulate things like vasodialation and muscle contraction in the GI and respiratory tracts (fight or flight), and the central nervous system handled external sensory information. So what's going on? How is pain processed in the body?
(FTFYThe autonomic nervous system, or sympathetic and parasympathetic (as well as enteric) nervous system is purely efferent, or from the central nervous system to the body. There is no afferent, or return to the central nervous system, involved. Increase in sympathetic nervous system causes an increase in release of adrenaline/epinephrine from the adrenal/suprarenal glands which can have a central effect. The physical perception of pain is from a delta and c fibers. Overstimulation of any peripheral nerve can be perceived as pain e.g. too much contraction on a alpha or too much vibration on a beta is painful, but pain is transmitted via the aforementioned fibers. Again, sympathetic response augments this, and perception of pain is certainly increased with increased sympathetic output.
Even so, I question if, perhaps too much sympathetic output causes an analgesia. Certainly, there are examples when someone was severely injured, say a soldier in battle who was shot and kept charging, and didn't feel the pain of the injury. Perhaps, though, they may just have endorphines as well. Nonetheless, interesting question.
I didn't think neusu would elect to answer. I stand corrected. 😳 But per SDN custom, asking questions off topic to the thread at hand is still frowned upon. Nevertheless, I loved the answer. 👍
I didn't think neusu would elect to answer. I stand corrected. 😳 But per SDN custom, asking questions off topic to the thread at hand is still frowned upon...
Historically, everyone did a prelim surgery year and then specialties like neurosurgery, urologu, orthopedics, and ophthalmology split off to an integrated program. Now, neurosurgery is completely integrated. You still spend several months on general surgery, but you are owned by neurosurgery.
Good point, totally forgot about the "anything" qualifier. I stand corrected yet again lolHow was that off-topic in an "ask me anything" forum? While most stick to the general advice on becoming a n-surg, it still seems OP put himself out there for other things as well. Besides he/she handles unwanted questions just fine - by ignoring them.
Good point, totally forgot about the "anything" qualifier. I stand corrected yet again lol
Is it worth it?
80 hours a week for life? How is it possible to have ANY kind of life out side of work?
Im interested in neurology, do you guys respect them?
Did you do any case reports during third year? How did you find and ask faculty about doing them? Would I wait until my surgery rotation to inquire about doing one or is it appropriate to ask at the start of my ms3 year?
Not sure if this has been covered, but what do you think about the future of functional neurosurgery with the recent "success" that UCSF has had in their transplantation of neural stem cells? Do you think in the next 15-20 years, it will become something feasible and common?
Functional has a bright future. We are figuring out more and more about how and why what we do works and learning more about how to interface with the human nervous system.
I am not particularly familiar with the UCSF study. Perhaps post a link?
I only have one good eye due to a retinal detachment (it's fixed, but w/ vision loss). Do you think that would that preclude me from surgical fields? I plan to become a doctor, regardless, but I would like to know my options.
Thanks!
Are you implying that the PSLF 10-year clock starts from the beginning of the forbearance period?A lot of the neurosurgery residents I talk to have their loans in the public service loan forgiveness program. They have several options for repayment, which are nice, including standard, income based, and graduated payment plans. Many residents defer or put their loans in forbearance during residency because the amount being paid per month is a sizable chunk of disposable income that could be utilized elsewhere.
Haha... owned.
Neusu, thank you very much for this thread! I am very interested in surgery, and neuro is one I'm considering.
I have a question for you; I had an opportunity to watch a general surgery of removing the gall bladder and fixing a hiatal hernia. I realized that I would not enjoy working with laparoscopy; I would much prefer a surgical specialty where I can actually see the said organ and not fully rely on a screen. I assume in neurosurgery that you get to actually see the organ while using technology to pin-point a tumor? Do you know of other specialties that don't rely heavily on screens?
Thanks again for your time.
Do you plan to stay in academics? Does academics usually lead to a better lifestyle because the residents take the bulk of the call or a worse lifestyle because of the additional requirements of publishing, etc.?