Fellowship Help

[neurocuts]

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Hello everyone,

I would greatly appreciate some advice. I'm a PGY3 resident who is very late with submitting my applications for fellowship - my delima is choosing between a stroke or emg fellowship. In the future I envision myself practiving 75% in patient and 25% outpatient neurolgy. Although a stroke fellowship would better prepare me for a career as a neurohospitalist, however, I feel emg fellowship would give me more options to practice both inpatient and outpatient neurology.

Are there any neurohospitalist position availble that still allow some outpatient clinic days? Also, are there any attendings that can comment on burnout of neurohospitalist?

Thank you in advance for your comments/advice.

 

[typhoonegator]

There are definitely hospitalist jobs that have some clinic exposure. Burnout is related to the amount of time on service in most cases. If you can limit hospitalist weeks by supplementing with some clinic, that might help. Tough to have a full clinic and do hospitalist too, though, because it is difficult to deal with weeks on service, and clinic issues tend to creep into other domains -- your patients don't care if you're on service.

 

[Strokeguy]

There is great variability in the 'work profile' of neurohospitalists. I do think though that if you want just 25% outpt clinic time then stroke fellowship should be sufficient. You would also follow those pts as an outpt and can fill your clinic with gen neuro as well. There will be no dearth of pts if you seek 75% inpt and 25% outpt time. Add neurosonology to this for outpts. There are people I know who have done neurophys and then vasc neuro fellowships as well as those who did initially stroke and then neurophys. I guess it just depends on what your employer requires and what you want.

 

[SeattleMD]

Burnout is, as others have said, quite variable but a concern for many neurohospitalists. As the field matures and practice models become clearer this should be less of an issue.

A stroke fellowship (imo) would be more useful on the inpatient side.

Some info on burnout - http://cp.neurology.org/content/2/4/319.short?sid=80e2b998-19b9-462b-a4b6-c20407e671e2