Am I misreading here, or are you saying that you want to do neurology but will instead do psychiatry because it has a better lifestyle but otherwise seems like a similar field to you?i'm gonna probably do Psych as that's pretty similar to neurology and I can still see my kids occasionally.
well it sounds like you are interested in psych. there is little overlap between neurology and psychiatry and the fields expand and continue to become more divergent. Most neurologists would rather gouge their eyes out than do psychiatry and the feeling is mutual. I am actually interested in behavioral neurology but I could care less about peripheral nervous system problems, stroke etc etc. also it won't make you less competitive having COMLEX only but your score on that exam does matter. obviously getting a crappy USMLE score isn't going to help you any, and programs that insist on the USMLE won't want you even if you have done it (and tbh I know of no programs that it insist on it so it's not commonly required or the programs that do are forgettable). neurology applicants do have higher board scores but it is a fairly uncompetitive speciality and I'm not sure if you look at applicants per place that neurology is any more competitive than psych. psych cares more about interpersonal and communication skills, and a general interest and commitment to the specialty. Don't worry about gunners - no one likes someone who is trying too hard. but it is important to make your presence know, show an interest, make some jokes, come across as a real person with some personality.
On the inpatient unit when you present daily progress of patients you want a 1 liner about the patient and then overnight events, any PRNs, sleep, behavior, treatment, SI/HI, and plan.. "E.g. this is a 50 year old man with a history of recurrent major depressive disorder and cocaine use disorder, admitted with SI in the context of cocaine withdrawal after breakup with his girlfriend. There were no overnight events. He took 50mg trazodone as a prn and had 5 hours of sleep. He was started on Antabuse 250mg to help with cocaine cravings, and restarted on his bupropion XL 300mg for depression and to help with his cocaine use. He is still expressing suicidal ideation but no longer voicing any intent to commit suicide. Diagnostically it is not clear whether he has a primary depressive illness or a substance-induced depressive disorder. The possibility of a bipolar spectrum disorder cannot be ruled out. Aim to discharge patient to an intensive outpatient addictions treatment program when no longer suicidal."