Child Neurology after Adult Neurology residency

typhoonegator

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  1. Attending Physician
    Dear god, why? How much money are you willing to leave on the table to go back and re-train? Would you pay half a million dollars to do it (or more)? Because that is effectively what you would be doing.

    Not trying to take the wind out of your sails, but at a certain point you need to stop cutting bait and start fishing.
     
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    NTF

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    1. Attending Physician
      I'm only an M4 who applied to child neurology this year but as I understand it it's becoming harder and harder to go the adult --> child neuro path now that training & programs are highly formalized and increasingly categorical (combined 5yrs). Most of the people who I know who went the adult-->child route did it years ago when many child neurology programs weren't even a part of the NRMP (Pedro Weisleder the PD from Nationwide is one). Those days are over especially now that child neuro programs are fully on ERAS (they used to be SF match). Right now the ACGME requirements are:

      1) Either 2yrs of peds or 1yr peds+1 yr medicine or 1yr peds+1 yr neuroscience research
      2) 12mo adult neurology
      3) 2 yr child neurology

      New ACGME guidelines are coming out in a couple of months so some of this may change slightly. Plus, I don't know whether some of your adult training might also be allowed to apply towards your 2yrs of child neuro.

      You'll need at least 1yr of gen peds so I suggest calling peds programs after the match (those with unfilled spots) and see if you can line up a 1 yr peds prelim. Or you could try to match into a peds prelim next year. You could also call child neuro programs (>a dozen programs don't fill every year) and inquire about individualizing a curriculum for you. They may even be able to assist you in arranging the peds prelim.

      Anyways, best of luck to you. I'd be interested in hearing how things work out for you because I've run into several adult neurology residents who expressed similar sentiments as yours after their 3mo of child neuro.

      Sorry if a lot of this info is stuff you already now.
       

      bustbones26

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        I am currently a neuro PGY-3 and I'm considering doing a pediatrics neurology residency after the completion of adult neurology.

        Has anyone done this, or knows of someone who did?

        Its been done. The one thing that I think detracts most from doing this is the one year internship of peds that you'd have to suffer. I have to admit, it would be pretty hard to go back to being an intern while knowing that you could be out there on an attending salary.

        If its something that you really have your heart set on doing, then by all means do it. I just think that its a lot of pain for making just as much (or less) than you would as a general neurologist. On a bright note, you'd certainly be in demand.
         

        bustbones26

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          Instead of fishing, it would be more efficient to just eat your own chum since that is about all that is left in adult neurology after the severe EMG cuts.

          Hey, you can always sell bee sting therapy to MS patients :laugh:

          On a more serious (and sad note), you can also just become a Lyme Literate Doctor (LLD) and sell plenty of "snake oil" services for CASH.
           

          DD214

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            Hey, you can always sell bee sting therapy to MS patients :laugh:

            Medicare has announced an 89% cut in reimbursement in bee sting therapy for 2014. Don't worry though, the AAN will have a free webinar to help you understand the changes and impact to your practice.
             
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