PGY-1 Year in something other than IM

[Encrypted]

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Anyone heard of any programs that allow for a PGY-1 year in something other than internal med? I want to do Neurocritical care and also sub-specialize in endovascular interventional neurology. Both are more procedural than straight neurology and I was wondering if programs would allow a general surgery PGY-1 year.

 

[RenegadeSynapse]

Not for a residency in neurology. You could get to NCC via another specialty that allows for this, same goes with INR. Anesthesia, rads, and NSGY come to mind, though I think NSGY may be the only one that would allow for both NCC and INR.

As neither of those are my planned area of sub specialization, I'm perfectly willing to be corrected on any of the above points.

 

[TUGM]

The ACGME requires ~8 months of internal medicine for all PGY-1s going into neurology. During your intern year, you may be able to arrange electives or rotations in a few "more procedural" fields, but, prelim surgery is not allowed at this time. As for entering NCC, it can be done after an internal medicine residency, neurosurgery, or anesthesia residency (and also neurology, obviously). Endovascular fellowship is done through neurology, radiology, or neurosurgery. From what I've gathered, neurosurgery is the currently the way to go for endovascular, though it can be done through any of the pathways.

 

[typhoonegator]

If you do a TY, you might be able to add more surgery, but not more than the ~ 4 months left in the year after you fulfill your ACGME obligations for entrance into a neurology residency.

A general surgery prelim year in no way prepares you for groin access, lines, and PA catheters than a prelim medicine year with a couple of ICU electives. This is something I happen to know a lot about.

General surgery prelim years are mostly alternating between trying to manage a 30 patient trauma service by yourself (after they're stable and boring and just sitting around with no insurance), and crying in the bathroom.

 

[Encrypted]

Thanks for the replies! Maybe, it's just me being wary of what I saw in the MICU one day. The IM residents were having a pretty hard time getting a femoral central line in and then they paged gen. surg. to come do it (I was doing my surgery rotation at the time). Surgery did it in no time flat.

 

[typhoonegator]

You certainly don't need a prelim surgery year to procure femoral venous access. Besides, we'll teach you all that in fellowship anyway (or residency if you go to the right place).