there was another thread on this that you may want to look at. Basically it comes down to how much of a diagnostician you want to be. Neuro loves to hunt for the lesion and enjoys the satisfaction in arriving at a diagnosis. PM&R is more interested in understanding what the results of the lesion are and how to add function/improve quality of life. However some areas of rehab are more into diagnostics: sports, pain, EMG.cyanocobalamin said:I tried to look through and search the threads to see if anyone had considered both PM&R and neuro; if you did look at both why did you choose one over the other?
I also am not interested in PM&R, and am going into neuro, but I do know the PM&R chair at rush in chicago is double boarded neuro/pm&R and sees mainly TBI patients.cyanocobalamin said:I tried to look through and search the threads to see if anyone had considered both PM&R and neuro; if you did look at both why did you choose one over the other?
I thought that the standard for PM&R residencies was for residents to perform at least 200 EMGs during their training so they could qualify to sit for the electrodiagnostic boards. On the interview trail, this varied greatly (with the most being over 800). Obviously, the more you do, the more you see, and thus, better you are...this applies both to Neuro as well as PM&R, since Neuro also has to get exposure to EEG/Sleep, etc. during their training.bustbones26 said:I think of it this way, since a great number of rehab patients will be victims of head injury, spinal cord injury, stroke, you need to have a solid knowledge of neuro as a PM&R in order to understand that patient's injury and how to go about planning their rehab. As far as diagnosing a neurological condition, offering medical managment of said conditions, that is the neurologist job.
Now, where I am hazy is on the whole EMG/NCV thing. Seems as if both Neuro and PM&R docs are trained to do these and in some cases, a PM&R doc could potentially earn quite a referral practice of doing these studies. Now i have heard all kinds of opinions about this, I have heard some neurologist state that PM&R docs do not get the training they do, SOme PM&R docs are good, some are bad, etc. etc. SO perhaps some others can shed some light on this subject.
drusso said:The newly proposed ACGME Neuromuscular Medicine Fellowship will be open to graduates from both PM&R and neurology.