Radiology Fellowship Question

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I have a male friend who is in a diagnostic radiology program at Rochester General Hospital in Rochester, New York; the program takes four years to complete. He is smart and probably could have done other more difficult specialty in medicine. He plans on doing a fellowship called neuroradiology. My questions are:

We're pretty smart too. I, for one, was accepted into a rocket surgery program before settling for radiology

1) Is it mandatory for a radiology resident to do a fellowship program in neuroradiology after the diagnostic radiology residency in order to get a job as a radiologist? My friend said in order for him to get a job as a radiologist, he needs to do a fellowship.

It's not mandatory from a regulatory standpoint, but it essentially is from a functional one. Nowadays, radiologists without a fellowships will find themselves at a significant disadantages with respect to marketability. Neuroradiology is just one of several fellowships available. In general, one's interests are the primary motivation for choosing one type of fellowship over another.

2) Is it necessary to get accepted into a competitive program such as Stanford University and University of San Francisco for the fellowship program in neuroradiology? Would it make any difference if a resident does his fellowship at UCLA and Cedar Sinai? My friend said Stanford and UCSF are his first few choices to choose from and they are competitive.

Also does it make any difference if a a resident goes to a particular fellowship program in neuroradiology (eg Stanford vs, UCSF vs UCLA vs Cedar Sinai)?

I'm not sure how these are different questions, but necessary is too strong of a word. If you're looking to get a private practice job, then geography is the most important factor. If you're looking to enter academics, then the prestige and connections of an institution play more of a role. Speaking more generally, of course it matters if you go to a particular fellowship - just like it matters which high school, college, medical school, internship, and residency you attend. When deciding between two programs, the degree to which is matters is unique to your particular set of circumstances.

Thank you for your help

It's clear from your questions that you're not in medicine, at least not in the U.S., and you've made similar posts in at least two different forums. I hope this has been helpful, but perhaps you need to have a serious conversation with a significant other about shared plans and goals?
 
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