What do people interested in neuroscience usually go into?

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MedicalAuthor

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Does it correlate that heavily with neurology? From my understanding, neurology is more of a 'depressing' field because there isn't much you can do for patients (though, also from my understanding, this may be changing with advancements in treatments). The other option, neurosurgery, just so happens to be the craziest intense specialty out there.

So do people who find neuroscience fascinating usually just put that interest on the backburner?
 
Off the top of my head, IM, FM, EM, Peds, Gas, Rads, ENT, and Optho all incorporate a fair amount of neuroscience into daily practice. I'm sure there's a few more out there as well.

Just not as much as Neurology.
 
Yeah Neuro! There's no doubt in my mind that my passion for neuroscience explains my interest in wanting to pursue Neurology.
 
Yup. Neuroscience major here, and as an MS1 top two choices at this point are Gas and Neurology. And I'm not so sure it's "depressing" because you can't do a lot for patients - you can. It's probably more "depressing" because it often requires long assessments that don't rake in the $$$ like procedures do.
 
Does it correlate that heavily with neurology? From my understanding, neurology is more of a 'depressing' field because there isn't much you can do for patients (though, also from my understanding, this may be changing with advancements in treatments). The other option, neurosurgery, just so happens to be the craziest intense specialty out there.

So do people who find neuroscience fascinating usually just put that interest on the backburner?

Neuropathology is probably the most ''sciency'' of the neuroscience fields. I've spent some time with our neuropathologist at sign out - it's really interesting to diagnose all of the brain tumors and biopsy/resection material. There's even quite a few rare and interesting conditions that come up from autopsy material (though there weren't all that many autopsies). The lifestyle seemed super chill though - a lot of scholarly discussion of different disease processes, everyone is drinking coffee, no rounding or anything. I think he worked about 9-4 every day.
 
Yup. Neuroscience major here, and as an MS1 top two choices at this point are Gas and Neurology. And I'm not so sure it's "depressing" because you can't do a lot for patients - you can. It's probably more "depressing" because it often requires long assessments that don't rake in the $$$ like procedures do.

That's adorable
 
Neuropathology is probably the most ''sciency'' of the neuroscience fields. I've spent some time with our neuropathologist at sign out - it's really interesting to diagnose all of the brain tumors and biopsy/resection material. There's even quite a few rare and interesting conditions that come up from autopsy material (though there weren't all that many autopsies). The lifestyle seemed super chill though - a lot of scholarly discussion of different disease processes, everyone is drinking coffee, no rounding or anything. I think he worked about 9-4 every day.

I think they have pretty decent amount of time spent outside of work keeping up with the literature and reading to stay sharp.
 
Does it correlate that heavily with neurology? From my understanding, neurology is more of a 'depressing' field because there isn't much you can do for patients (though, also from my understanding, this may be changing with advancements in treatments). The other option, neurosurgery, just so happens to be the craziest intense specialty out there.

So do people who find neuroscience fascinating usually just put that interest on the backburner?

I wouldn't necessarily call it a "depressing" field.

Practice wise neurology encompasses a lot of things. You can specialize in a variety of different subspecialties - stroke, endovascular, neuro-ICU, headache, epilepsy, sleep (i think), etc. There's also pediatric neurology, which has a LOT more treatment outcomes for their patients. There's a lot of medical therapies. If you do endovascular or neuro-ICU there's some procedural stuff as well (especially in endovascular, which is basically just endovascular neurosurgery).

Lifestyle wise, it may not make the minimum 500k that seems to be the prerequisite for SDN members 🙄, but it does well for itself. Private practice does quite well money wise and there's a good variety of options.

Don't discount neurology as a field yet.
 
I think they have pretty decent amount of time spent outside of work keeping up with the literature and reading to stay sharp.

Yeah - they definitely do. Pathology is a reading-heavy field. I think that both pathology and radiology tend to require quite a bit of reading.
 
What's with the attitude? I'm not allowed to have top choices? Nowhere did I say "NEURO OR BUST" or that my top choices wouldn't change as I made it through rotations. The whole point of saying I am an MS1 was to indicate that my interests might change.

I just think it's weird when M1s or M2s have any clue what they want to do without having gone through rotations - hence why you get like 40 people coming into med school who are interested in ortho or whatever.

Don't take it personally, I just think it's funny in general.
 
Neuroscience is indeed fascinating, but one thing to keep in mind is that the fascinating subject matter does not always equate to enjoying the specialty. I too think neuroscience is really interesting, but I absolutely hated neuroanatomy and the kinds of diseases that neurologists treat all bore me. I don't think I'd enjoy treating stokes, seizure disorders, MS, etc all day long.
 
Neuroscience is indeed fascinating, but one thing to keep in mind is that the fascinating subject matter does not always equate to enjoying the specialty. I too think neuroscience is really interesting, but I absolutely hated neuroanatomy and the kinds of diseases that neurologists treat all bore me. I don't think I'd enjoy treating stokes, seizure disorders, MS, etc all day long.

This. Neuroscience is a huge interest of mine, specifically the cerebral cortex and its functions and influence on behavior. Our class didn't even talk about that stuff. I came into med school thinking I would become a neurologist, but I'm not even sure I even want to do a neuro elective
 
Me and 2 other people I know from my med school class who did neuro majors in college ended up in gas. I'm not particularly interested in neuroanesthesia either for what it's worth.
 
I would add psych to the list.

Lol can't believe I forgot psych...

It's funny, but for some reason from my n=1 experience most people interested in neuroscience (NS major in undergrad or did NS research) don't really consider psych when choosing between specialties.

Maybe its just not science-y enough for them?
 
I just think it's weird when M1s or M2s have any clue what they want to do without having gone through rotations - hence why you get like 40 people coming into med school who are interested in ortho or whatever.

Don't take it personally, I just think it's funny in general.

np. I agree with you about those that are die-hard one specialty, but I don't see the problem in having an interest in something while staying open-minded about others.


alpinism said:
Lol can't believe I forgot psych...

It's funny, but for some reason from my n=1 experience most people interested in neuroscience (NS major in undergrad or did NS research) don't really consider psych when choosing between specialties.

Maybe its just not science-y enough for them?

Psych is still almost entirely different than hard neuroscience at this point - even my cognitive neuroscience courses and motivated behavior/animal behavior courses were devoid of psych.

But that's changing every day as time goes along and the ubiquitous "Chemical imbalance" is fleshed out more and more.

Still, I don't think I'd be a great psychiatrist. I have a feeling I'd end up along the lines of R. Lee Ermey.
 
PM&R. Stroke, TBI, SCI. A little superficial compared to neurology for sure, but probably have more neuro knowledge than anyone outside of Neurosurge, and Neuro (not accounting for sub-specialies like neuropath, neuro-optht, etc). Psych also involves plenty of neuro, but it is a slightly different focus.
 
Psych is just neurology that hasn't been figured out yet.
 
I just think it's weird when M1s or M2s have any clue what they want to do without having gone through rotations - hence why you get like 40 people coming into med school who are interested in ortho or whatever.

Don't take it personally, I just think it's funny in general.

To be honest, I know three residents. One is a 7th year neurosurgery resident, the other is a 2nd year ortho resident and the 3rd is a 2nd year rads resident and they all are doing what they came in to med school thinking they would do.

Also, on the interview trail when I talked to 4th years and asked them if they had been interested in (insert specialty here) from the start, about half said yes.

I personally am keeping a very open mind and can see myself getting interested in anything, but I don't think it should be considered 'weird' if people think they know what they want to do. If they're wrong they're wrong.

I do think people should keep open minds. But if they don't...hey, their prerogative.
 
Neuroscience is indeed fascinating, but one thing to keep in mind is that the fascinating subject matter does not always equate to enjoying the specialty. I too think neuroscience is really interesting, but I absolutely hated neuroanatomy and the kinds of diseases that neurologists treat all bore me. I don't think I'd enjoy treating stokes, seizure disorders, MS, etc all day long.

This is basically what I'm 'worried' about. Maybe if I wanted to get deep into neuroscience I should have done an MD/phD instead of taking off 4 years....at this point, 4 years or bust, haha.

I think I'll continue studying neuro wherever I go into. The Brain Science Podcast, which is really good, is run by an EM doc.
 
People underestimate the amount that neurologists can do to treat their patients. There are a lot of chronic disease true, but its the same in a lot of internal medicine specialties as well. Can't cure diabetes in most patients either, but I'm not depressed about it.

That being said, cerebrovascular neurology has a lot of poor outcome patients due to acute nature of the insults.
 
Lol can't believe I forgot psych...

It's funny, but for some reason from my n=1 experience most people interested in neuroscience (NS major in undergrad or did NS research) don't really consider psych when choosing between specialties.

Maybe its just not science-y enough for them?

Yeah I was a neurobiology major and am currently a neuro TA aside from being a medical student, but psych doesn't do it for me like Neurology and/or Emed. I worked for a while in a psych hospital during undergrad, and even though psych is no doubt a great career choice (and fairly laid back depending on the patient population you work with), it's not hands on enough for me.
In Emed, you see a lot of neurological cases, In fact, I'd say a majority of cases have a neurological component to them. But in Emed you see just about everything and can do more things (the money is great too, especially for only working 12-16 shifts a month). And then when a neurological case comes along, it's just icing on the cake.
 
I just think it's weird when M1s or M2s have any clue what they want to do without having gone through rotations - hence why you get like 40 people coming into med school who are interested in ortho or whatever.

Don't take it personally, I just think it's funny in general.

This is true to a point, but some people have more experience than others going in. I know some people that are now residents that went to medical school with the exact same specialty in mind. I admit it is unlikely though.
 
I just think it's weird when M1s or M2s have any clue what they want to do without having gone through rotations - hence why you get like 40 people coming into med school who are interested in ortho or whatever.

Don't take it personally, I just think it's funny in general.

You think it's weird that people who have decided to pursue a minimum of 7 years post-graduate education have a "clue" about what they may want to do? That's just stupid.

Sure, it's probably not wise to enter and progress through medical school with a singular specialty-or-bust mentality, but in my opinion, it's equally, if not more, naïve to choose to attend medical school with not even the slightest idea of which specialty you may ultimately want to pursue. Believe it or not, but some of us have actually had some exposure to different medical specialties prior to starting third year; that's sort of the reason we decided to come to medical school in the first place.
 
I just think it's weird when M1s or M2s have any clue what they want to do without having gone through rotations - hence why you get like 40 people coming into med school who are interested in ortho or whatever.

Don't take it personally, I just think it's funny in general.

One could also argue that a rotation 3rd year is a 6-8 week glimpse of a field that may not be representative of a career at all. It gives you an idea, but it's not always the best picture. If your experience in that rotation sucks would you not go into that field if you really love it? There are other ways to choose your specialty of choice besides rotations 3rd and fourth year. I'm not disagreeing with what you said but I don't think 3rd and 4th year are the only opportunities to arrive at a well informed decision.

Edit: The above posters beat me to it...
 
One could also argue that a rotation 3rd year is a 6-8 week glimpse of a field that may not be representative of a career at all. It gives you an idea, but it's not always the best picture. If your experience in that rotation sucks would you not go into that field if you really love it? There are other ways to choose your specialty of choice besides rotations 3rd and fourth year. I'm not disagreeing with what you said but I don't think 3rd and 4th year are the only opportunities to arrive at a well informed decision.

Edit: The above posters beat me to it...

Particularly a rotation in neurology. It's only four weeks at my school, which is further subdivided into two, two week blocks, each at a different location.
 
You think it's weird that people who have decided to pursue a minimum of 7 years post-graduate education have a "clue" about what they may want to do? That's just stupid.

Sure, it's probably not wise to enter and progress through medical school with a singular specialty-or-bust mentality, but in my opinion, it's equally, if not more, naïve to choose to attend medical school with not even the slightest idea of which specialty you may ultimately want to pursue. Believe it or not, but some of us have actually had some exposure to different medical specialties prior to starting third year; that's sort of the reason we decided to come to medical school in the first place.

One could also argue that a rotation 3rd year is a 6-8 week glimpse of a field that may not be representative of a career at all. It gives you an idea, but it's not always the best picture. If your experience in that rotation sucks would you not go into that field if you really love it? There are other ways to choose your specialty of choice besides rotations 3rd and fourth year. I'm not disagreeing with what you said but I don't think 3rd and 4th year are the only opportunities to arrive at a well informed decision.

Edit: The above posters beat me to it...

Looks like a lot of people are getting defensive about what I said, so let me clarify.

I have no problem with people having a general idea about what they want to do. Hell, yes, it's true that often people who go into school living and breathing ortho or NSG or whatever sometimes do end up going into those specialties. My experience has been that the vast majority of people tend to either switch to different fields completely or jump from a particular medical/surgical subspecialty to a different one (ENT to ophtho, for example). I'm sure this also continues into residency when fellowships start.

I just think it's funny that people think they KNOW what they're going to do when they enter school. I wasn't different in that regard. I thought I KNEW I wanted to be a surgeon. I thought I was absolutely SURE I was going to be cutting dudes. But what basis did I really have other than "oh it looks kinda cool"?

As for exposure prior to medical school... to be honest most of the "exposure" that I've seen people have prior to entering med school is that "oh I shadowed XYZ surgeon or XYZ doctor" or "I scrubbed in on some of their surgeries/shadowed the doctor in the clinic a few times", which to me is VERY different from living a full day in the life of a surgery resident/surgeon. As for a 6-8 week rotation where you (usually) do live a full day in the shoes of a resident/attending... well yes, of course it's theoretically not enough but I think it's good enough to rule in/rule out rotations based on whether you could do something full time like that for the rest of your life. I also enjoyed occasional scrubbing in on surgery when I was shadowing someone for half a day... but when I was getting up at 3:30 am to be at the hospital at 4:30 am to round on pre and post op patients followed by hours of standing in the OR bored out of my mind and exhausted, that changed my view of it.

And of course there's people who have more experience than your average... I have classmates who were nurses or lab techs or whatever before coming to med school, so they've worked in the healthcare sector before. But that's very often the minority IMO.

Anyway no offense to anyone. It's just my personal opinion based on my experience.
 
Lol can't believe I forgot psych...

It's funny, but for some reason from my n=1 experience most people interested in neuroscience (NS major in undergrad or did NS research) don't really consider psych when choosing between specialties.

Maybe its just not science-y enough for them?

Honestly, I think people feel there's some sort of stigma related to psychiatry, which is a little ridiculous. They're just as "real" doctors as any others (since a common slur I do hear against psychiatry is that they're not "real" doctors... by that you could technically argue that a lot of specialties aren't "real" doctors, like pathology, which is a ridiculous line of questioning). The salaries in outpatient psych are pretty good, and they see a lot of pretty cool things.

If anything I think the outcomes in psych tend to be overall BETTER than the outcomes in neuro - it's a pretty amazing thing to see someone go from utterly bonkers to completely sane in a matter of a couple of hours with a good strong dose of haldol/ativan/benadryl.
 
Looks like a lot of people are getting defensive about what I said, so let me clarify.

I have no problem with people having a general idea about what they want to do. Hell, yes, it's true that often people who go into school living and breathing ortho or NSG or whatever sometimes do end up going into those specialties. My experience has been that the vast majority of people tend to either switch to different fields completely or jump from a particular medical/surgical subspecialty to a different one (ENT to ophtho, for example). I'm sure this also continues into residency when fellowships start.

I just think it's funny that people think they KNOW what they're going to do when they enter school. I wasn't different in that regard. I thought I KNEW I wanted to be a surgeon. I thought I was absolutely SURE I was going to be cutting dudes. But what basis did I really have other than "oh it looks kinda cool"?

As for exposure prior to medical school... to be honest most of the "exposure" that I've seen people have prior to entering med school is that "oh I shadowed XYZ surgeon or XYZ doctor" or "I scrubbed in on some of their surgeries/shadowed the doctor in the clinic a few times", which to me is VERY different from living a full day in the life of a surgery resident/surgeon. As for a 6-8 week rotation where you (usually) do live a full day in the shoes of a resident/attending... well yes, of course it's theoretically not enough but I think it's good enough to rule in/rule out rotations based on whether you could do something full time like that for the rest of your life. I also enjoyed occasional scrubbing in on surgery when I was shadowing someone for half a day... but when I was getting up at 3:30 am to be at the hospital at 4:30 am to round on pre and post op patients followed by hours of standing in the OR bored out of my mind and exhausted, that changed my view of it.

And of course there's people who have more experience than your average... I have classmates who were nurses or lab techs or whatever before coming to med school, so they've worked in the healthcare sector before. But that's very often the minority IMO.

Anyway no offense to anyone. It's just my personal opinion based on my experience.

You're right in what you stated, but you don't know the poster and can't really get an idea of where he falls under. I have a classmate who is 100% going to be an ID physician. She loves micro/infectious disease, she knows her **** about it and that's all she wants. Her opinion is set and that's what she'll be. Me? I'm vested in Oncology. Cancer is my interest. I want to deal w/ and treat cancer. Am I 100%? No, but that's the field I want to pursue from past experiences/work/etc. So.... the poster may have an interest in Neuro for good reasons. We don't know why... so we can't just lump him into that category of "Oh, he's naive!"
 
If anything I think the outcomes in psych tend to be overall BETTER than the outcomes in neuro - it's a pretty amazing thing to see someone go from utterly bonkers to completely sane in a matter of a couple of hours with a good strong dose of haldol/ativan/benadryl.

You could say the same thing about a lot of neurological diseases... :laugh: Hell, I could be the best doctor in the world with just a syringe of morphine....
Cough? Diarrhea? Pain? I gotchu

Give someone with Parkinsons enough Levo/Carbido with Benztropine/Bromocriptine and they'll be fine in a couple hours.

Huntingon's? 2 loading doses of Bromocriptine.

Schizo? Lithium. :meanie:
 
You could say the same thing about a lot of neurological diseases... :laugh: Hell, I could be the best doctor in the world with just a syringe of morphine....
Cough? Diarrhea? Pain? I gotchu

Give someone with Parkinsons enough Levo/Carbido with Benztropine/Bromocriptine and they'll be fine in a couple hours.

Huntingon's? 2 loading doses of Bromocriptine.

Schizo? Lithium. :meanie:

Re your first post - understood, hence why I wanted to make it clear it was more of a rant and I wasn't picking on anybody in particular 🙂

As for this - well, the difference here I would say is that you can actually use Haldol IM depot as a long-term treatment and it produces a much more obvious and noticeable change in the patient's health and behavior, as opposed to say, an ACE inhibitor given to protect the kidney against diabetic nephropathy - that has a protective effect but it's less obvious unless you see it over many many years.
 
This is basically what I'm 'worried' about. Maybe if I wanted to get deep into neuroscience I should have done an MD/phD instead of taking off 4 years....at this point, 4 years or bust, haha.

I think I'll continue studying neuro wherever I go into. The Brain Science Podcast, which is really good, is run by an EM doc.

Well you'll have plenty of opportunities to discover which fields apply to you the most. Just enter with an open mind and maybe you'll hate the neuro block less than I did 😀
 
Psych is just neurology that hasn't been figured out yet.

Ummm, no. Psychiatry emphasizes pathology of human behavior and cognition (i.e. mood and thought disorders, primary sleep disorders, reward system disorders, perceptual disorders, somatiform disorders, attention disorders, anxiety disorders, personality disorders etc), while neurology emphasizes more non-behavioral pathology (i.e. spinal cord injury, epilepsy, stroke, Parkinson's, ALS, migraines, MS, trigeminal neuralgia, myopathies, motor neuron diseases, post-infectious demyelenating disorders, structural deficits, etc), although, the distinction is arbitrary at best. Consider Parkinson's which presents with neurological problems (i.e. cogwheeling, rigidity, tremors) and psychiatric (depression, L-dopa-induced gambling, etc). Traditionally this has been referred to as the brain vs mind dichotomy (or structural vs functional), although again, the distinction is quite arbitrary, especially as we discover more of the organic/structural basis of psychiatric disorders.

In addition, there are a number of disorders, including tics, Huntington's disease, developmental delay, dementia, delirium, autism and narcolepsy, that are best characterized as "neuropsychiatric," and which usually require combined neurological and psychiatric intervention and assessment. I'd also like to point out that we probably know just as much about schizophrenia as we do about ALS, and our knowledge and understanding of both neurological and psychiatric disorders is limited at best when compared to other specialties. This, however, does not make them invalid, less scientific or less objective. It is no surprise that there is a common American Board of Psychiatry and Neurology which board certifies both psychiatrists and neurologists.

I also loved my first year neuroscience course and I was set on doing Neurology, even did a research project in the the field. Third year rolled around and I realized I was more interested in psychotic disorders, mood and anxiety disorders, addiction, personality disorders, etc than I was in SCI, MS, ALS, CVAs, Parkinson's, etc. Although, I was very surprised at how much overlap there was between the fields.

Psychiatry is an exciting and wonderful field, don't write it off because it's less "science-y" or not as "objective" as the rest of medicine. That's a bunch of crap, and related to the horrible stigma that both individuals suffering from mental illness and practitioners treating these disorders face.

My best recommendation to the OP is to work hard in medical school, learn everything, stay open-minded and then when third year rolls around, figure out how best to apply your passion for neuroscience, whether it be neurology, PM and R, psychiatry, pediatric neurology, ophthalmology, ENT or neurosurgery.
 
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Schizo? Haldol/Risperdal. :meanie:

FTFY

Lithium is for Bipolar disorder

Anyways, on topic: I think people can come in with an idea of what they want to do. If they don't change their mind, so be it. No skin off my back. I don't think it should really matter what people want to go into. 40 people wanna go into Ortho and have the scores to have a shot? Go for it.

People change their minds all the time, and I think having staff (and sometimes students like jerseytrash) going "DUDE YOU KNOW NOTHING, JUST KEEP AN OPEN MIND OMG" may make some students a little more close-minded.

Let people go what they want to go into. There's going to be IMGs to scoop up all the FM spots that 1) no one matched into and 2) no one scrambled into.
 
For some after step 1:-

Family practice
Internal Medicine
Psychiatry
 
FTFY

Lithium is for Bipolar disorder

Anyways, on topic: I think people can come in with an idea of what they want to do. If they don't change their mind, so be it. No skin off my back. I don't think it should really matter what people want to go into. 40 people wanna go into Ortho and have the scores to have a shot? Go for it.

People change their minds all the time, and I think having staff (and sometimes students like jerseytrash) going "DUDE YOU KNOW NOTHING, JUST KEEP AN OPEN MIND OMG" may make some students a little more close-minded.

Let people go what they want to go into. There's going to be IMGs to scoop up all the FM spots that 1) no one matched into and 2) no one scrambled into.

That's cool bro
 
FTFY

Lithium is for Bipolar disorder

:laugh: I know! Sorry, that was a joke. I was more or less talking about the "miracles" of lithium discussed in the 1950s for psychiatric illnesses. And also...that... lithium isn't even remotely safe.
 
:laugh: I know! Sorry, that was a joke. I was more or less talking about the "miracles" of lithium discussed in the 1950s for psychiatric illnesses. And also...that... lithium isn't even remotely safe.

We always learned it as first line for Bipolar disorder in MS2... then I go on my psych rotation and recommend it and got politely scolded by a very, very nice psych attending. ****in' PhDs..
 
We always learned it as first line for Bipolar disorder in MS2... then I go on my psych rotation and recommend it and got politely scolded by a very, very nice psych attending. ****in' PhDs..

I don't think there's any school that talks about the other meds... I only know of carbamazepine and valproic acid... but that's cause of First Aid/Step 1 👎
 
Its like that for almost all the neuropsych meds the PhDs go over in MS2.

"When you get on the wards you'll be using phenobarbital all the time"

Yes, if it were still 1920....or if I was doing my rotations in Sudan.
 
I don't think there's any school that talks about the other meds... I only know of carbamazepine and valproic acid... but that's cause of First Aid/Step 1 👎

Yeah... had maybe seen lamotrigine once on a UWorld question. Seemed like it was one of the most first line things I saw on my psych rotation.
 
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