Neuromuscular fellowship advice

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Alexis-

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Hi guys, can you help me rank these neuromuscular fellowship programs. I have WashU as my top program but I don’t how to rank the rest. And the city is not a big factor in my decision unless two programs are equal in ranking.

Cleveland Clinic, BIDMC/Harvard, University of Michigan, Case Western, Duke University, UCLA and Vanderbilt

Thanks!
 
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You have a lot of very respectable programs on that list with some great mentors, teachers, and clinicians. Not answering your question directly, but it all depends on your goals. Things to consider about different programs:

Procedures:
1. Amount of time in the EMG lab & approximate number of EMG's each fellow gets in 1 year (adults and kids)
2. Ability to learn and be independently able to perform single-fiber EMG post-fellowship
3. Ability to learn and be independently able to perform neuromuscular ultrasound scans post-fellowship
4. Other procedural availability: botulinum toxin injections for spasticity or saliva control, skin biopsies, muscle biopsies, etc.

Clinics:
1. Does the program have a pediatric MDA clinic and do you want to be able to treat kids after fellowship?
2. Subspeciality clinics available? ALS, MDA, peds MDA, CMT, NA, etc.
3. Pathology exposure? Do you want to see the 1-off things that you'll likely never see again, or get the bread and butter of neuromuscular medicine down pat but maybe not see the rare of the rare things?

General fellowship life:
1. Call?
2. Nights / weekends?
3. Admin support?
4. Ability to attend conferences?
5. Expectation to publish or perform research during fellowship?
6. Cost-of-living
7. Family nearby?
8. Expense to move?
9. Inpatient coverage expectation?

It will also depend on if you are a neurology resident or PM&R resident applying. Many places take PM&R but not all do. Some do but don't know how to use you. Some do and have a track record for taking PM&R and treat them identical to their neurology-trained fellows.

One thing I considered was that I wanted to be in a place where other institutions referred to us, that way I knew I was getting difficult cases to work up and really having to put the diagnostic testing to the test and expand my own differential.

As well, where you do fellowship (and where you do residency) can open doors to where you ultimately want to practice. You may that city is not a big factor; however, are there any places in your list that you really don't want to live after 1 year of fellowship? Food for thought.
 
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