Hoping to do neuro-IR - what programs should I do aways at?

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Alexxxxx

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I'm a 3rd-year med student about to apply for away rotations, and I'm wondering if there are any specific neuro programs I should apply to if I am hoping to do neuro-IR. Should I prioritize prestigious programs/the historical top 7? I am in Ohio, and I'm thinking about doing 3 aways in total at UMich, maybe cleveland clinic, and mass gen - any thoughts?
 
Any program where the interventional neuro fellowship is under neurology rather than neurosurgery or radiology. Then any program that has an in house interventional neuro fellowship. There's only 80 or so.
University of Missouri should be on the list.
 
Any program where the interventional neuro fellowship is under neurology rather than neurosurgery or radiology. Then any program that has an in house interventional neuro fellowship. There aren't that many of them.
University of Missouri should be on the list.
Thanks for the advice. I think MSU also has this setup. Also, my home institution (wright state) only has neurology trained interventionalists, but the program is new and only takes 1 fellow per 2 years, and I want to do my residency somewhere else.
 
While it would be easier to match into the neurology-run NIR fellowship at your home institution, I would remind you that it is still early in your training. Things happen and people may develop different goals in those formative years in the residency. Take it from me; I was interested in NCC but had no idea I would be interested in NIR as a med student. That said, if I were you, I would go to a program with a good reputation for neurology training and NIR fellowship, where you could get great training, develop network, meet mentors, and push for early exposure in NIR. Best of luck!
 
Agree with above in getting training at a program with full breadth of neurology in every subspecialty if possible, instead of pigenhole-ing yourself into a program that has in-house neurology-run NIR fellowship as some of these programs are located in lesser-than-desirable areas or hospitals (e.g., JFK in NJ).

Outlook definitely changes as people rotate through different subspecialties within neurology. Needing to be on call every 3 or 4 weeks (sometimes even every 2) is not bad when you are young but horrid after a few years as an attending and scares away quite a few people who might be interested in NIR initially.
 
Agree with above in getting training at a program with full breadth of neurology in every subspecialty if possible, instead of pigenhole-ing yourself into a program that has in-house neurology-run NIR fellowship as some of these programs are located in lesser-than-desirable areas or hospitals (e.g., JFK in NJ).

Outlook definitely changes as people rotate through different subspecialties within neurology. Needing to be on call every 3 or 4 weeks (sometimes even every 2) is not bad when you are young but horrid after a few years as an attending and scares away quite a few people who might be interested in NIR initially.
I always wondered - when a NIR is on call for a week straight, are they also doing normal work hours/elective cases on top of that, or is it just stroke/other emergencies call?
 
I always wondered - when a NIR is on call for a week straight, are they also doing normal work hours/elective cases on top of that, or is it just stroke/other emergencies call?
There is no neurology-NIR that I know where I trained or practice. However, both the radiology and neurosurgery NIR folks I know still read and have some (likely not full) cases going. I think it would depend on the volume of thrombectomy at the center. At a busy center, you are likely to be on call for stroke only while at others less busy centers (like mine), they would also have their typical work schedule, possibly adjusted slightly when they are on call. Good questions however to ask when you rotate through different neurology departments as a student.
 
There is no neurology-NIR that I know where I trained or practice. However, both the radiology and neurosurgery NIR folks I know still read and have some (likely not full) cases going. I think it would depend on the volume of thrombectomy at the center. At a busy center, you are likely to be on call for stroke only while at others less busy centers (like mine), they would also have their typical work schedule, possibly adjusted slightly when they are on call. Good questions however to ask when you rotate through different neurology departments as a student.
Thanks 🙂 And I'm just curious, what specialty are you in?
 
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I always wondered - when a NIR is on call for a week straight, are they also doing normal work hours/elective cases on top of that, or is it just stroke/other emergencies call?

It depends entirely on the institution’s culture and case volume. Regardless of your base specialty, you will need to build your elective case volume and will have some straightforward elective cases during your call week. Ideally, you wouldn’t do a complex AVM case in your call week, but you can have your repeat DSA or kyphoplasty as long as your institution has an angio suite for emergent cases.
 
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