How does the prelim year work?

This forum made possible through the generous support of SDN members, donors, and sponsors. Thank you.
Get help with your application

Use all the free resources available to you from SDN: articles, guides, expert advising, forums discussions, and school research.

Captain DO

Full Member
7+ Year Member
Advertisement - Members don't see this ad
My understanding is you need 1 IM prelim year before the 3 Neuro years.

For the programs that don't offer an IM spot...Do you apply to regular 3yr IM residencies or are there special prelim IM residencies?


If you apply to a regular 3 yr IM residency, are you supposed to act like its a regular IM interview? or do you say its a prelim year interview?

If you say its for prelim, wouldn't that work against you? PDs don't want someone for only 1 year then be 1 short PGY-2 and 3?

If you're not supposed to say anything, isn't that lying/bad for IM applicants, creating problems when you break the news after PGY-1?

I'm just having trouble processing that not only are there residencies that dont offer an entire year of the requirements, but that also don't have a solid plan for its residents for that year...
 
This is one of the biggest headaches of neurology because you have to have to apply for prelim and interview for many more programs (neurology+prelim). The prelim interviews are really hard to get. I highly recommend to anyone that is applying for neurology that you at onset apply to a ton prelims along with neurology (probably more for prelim than neurology). Look at charting the outcomes data and look at prelims that have a ton of spots. I made the dumb mistake of applying to a bunch of prelims that had 2 spots and if you look on their website they always just take internals. Was big waste of money.
 
There are quite a few neuro applicants who only apply to categorical programs to avoid the hassle of interviewing for prelims. If I remember correctly, you can do a transitional year instead of prelim medicine. If you do a transitional year, just make sure you meet ABPN requirements for the minimum number of medicine months and also do a month of psychiatry. However, there are many transitional year programs that are "cush" and will not prepare you well for managing medically-complicated neurology patients.