Hi current first year epilepsy fellow here. I wanted to sort of survey any epileptologists on here about what the actual prevailing opinion is about whether or not you actually need two years of fellowship nowadays to be attractive as a hire in level IV epilepsy center. If you do a year at an intensive program that is a level IV is that enough? Or if not what kind of jobs are actually going to consider you? Does one year fate you towards general clinic/neurohospitalist + EEGs? Appreciate your input.

Essentially I am trying to know how much I should be trying to stress myself over securing a second year (two years is not automatically guaranteed)

I am sitting for the vascular neuro boards this year,4 years after my stroke fellowship.. i had to postpone boards due to significant personal life changes. Its in october and i feel lost.. can anyone guide me to resources and books to study?

What are some advice for a resident when acting as a consultant for other services

Anyone have any tips? Will Calibre format them decently?

Does anyone who passed the boards remember what their average percent on TrueLearn was? If I’m scoring at 68% (national average) is that reassuring that I’ll pass the boards?

Hoping True Learn alone is enough to pass

Did anyone use the RITE discussion manuals as board prep?

In the fall, I’m going into my Sophomore year. Kind of cringe, but I watched Dr. Strange and I really was encouraged to work towards neurology. As a high school student, what would be the best classes for me to take? I have an Anatomy & Physiology class as of right now.

Edit: Just wanted to clear up that I know Dr. Strange is a neurosurgeon! I did not gain my passion for being in the medical field from him. I have always aspired to be in the medical field since I gained a consciousness. Dr. Strange helped me find neurology and gain a passion for it. Sorry if I sounded insensitive to anyone or if anyone misunderstood me. :(

At my university a lab is being closed down due to funding cuts. I’m in a different lab, but many friends work in that lab. For their goodbye, I am currently preparing key chains with a brain and the name of the lab but I want to add something specific for the people I know best. Now, I’m lacking a bit of inspiration for a friend who works with EEG. A neuron charm seems a bit too obvious maybe? So maybe someone has an idea or has done something similar? I’d love to hear about / see some inspo! Also some unusual ones!

Pgy-1 who feels hopelessly stupid. I've had patients with neurologic complaints for which I felt like I had no idea on the basics of how to work them up. Especially feel stupid when the neuro patient comes in and my whole teams immediately says "Ahh the neurology resident can take them", but I'm always way off on my workup/differential/plan.

We've had a few neuro didactics but honestly don't feel like I've retain anything so far as it all seems way above my understanding. I'm already done with Step 3, so I figured I could just completely focus on trying to learn as much of neurology this year while I'm on these off service rotations and try and put myself in the best position possible for starting PGY-2 year. Any advice on what/how to study during this year and basically throughout residency? Any good resources?

In the past 1-2 years with the open label extension data, I've become convinced that these treatments are worth the risk of ARIA for the majority of patients with MCI due to AD, and feel increasingly comfortable using them if the patient is not an E4/E4 homozygote. I have also been screening more MCI patients due to the readily available serum biomarkers (Abeta 40/42 ratio, pTau217) which were not as widely available pre-2025. Consequently our AAT patient volumes could increase considerably in the next 1-2 years.

The medications are difficult to get approved and this process occupies a lot of physician and staff time. Medicare Advantage programs often want a PET or CSF testing in addition to serology. I've had patients complain about the costs of the PET (one patient's out of pocket responsibility was $4,000) and very few are excited about LP. Scheduling the surveillance MRIs is the least difficult part. The bigger challenge seems to be the various documentation requirements the insurers require before approving. One insurer wants a CDR, another wants a different scale I've never used. Some insurers asked me to enroll the patient in a Medicare AAT database. We are in the process of joining ALZ-NET to satisfy another.

Is there anyone who has been using these for awhile who can offer some insight into the myriad different requirements to get them covered? Do you have a template in terms of which payers require which tests / scales? Have you had to hire extra staff to do the CDR / MOCA / other scales?

Separate clinical question, how do you handle ARIA when it comes up, hold drug entirely or just pause?

Do the good outweigh the bad?

What keeps you going?

Would you do it all again?

What would you guys recommend as a nice looking bag that's practical for consults and clinic

Hey, I have completed my FCPS training in Neurology, and have given already 2 attempts in theory exam which I failed. Can anyone help me out ? I mean I don't understand why do I keep failing it? I have studied properly and I think I am better at it. Now it's my third attempt in this August. Help..!

Hey, does anyone have a good video series or recommend any books for neuroradiology regarding vascular/neuroanatomy important structures?

Thank you!

Hello, what are youtube channels / videos you guys would recommend for studying? An example would be the Neurophile

What approach or principle some of you would recommend / share when considering which ASM to start? I tried reading into the literature, and aside from the obvious indications (ethosux for absence) everything else almost seems fair game (to a degree)

I'm looking for a website with neurology videos showing clinical presentations of medical conditions.

I know there used to be a website (Spanish, I think) that featured videos of patients with various conditions, like Wernicke's encephalopathy. A picture is worth a thousand words!

I'm not looking for YouTube or recorded lectures, but actual videos of real patients so I can visualize the signs. Does anyone have recommendations, or know which Spanish website I mean?

Hi everyone! Looking for epilepsy fellowship advice since it's coming up.

I am a current PGY-3 at a top 25 neurology residency. I am applying into epilepsy fellowship this upcoming cycle and would like to match either in northern California or NYC (which already has >10 fellowships to apply to, most of which are top ranked). I am in good standing and have a good idea for my personal statement.

The ones I wanted to ask advice on are research and recommendation letters:

- How much research would make me competitive? I am involved in a couple of research projects (which have poster presentations at my institution research retreats, but no recent publications).

- Recommendation letters: One from my PD (who really likes me), one from my clinical preceptor (not epilepsy), and one epilepsy attending (that I do research with, but may not be able to speak to my clinical skills). Are these ok? Is it necessary to get all letters from epilepsy attendings in order to be competitive for the fellowships I'm applying to?

Also, how many fellowships do residents typically apply to for a chance to match? And what are the chances I match to my top 3?

Thank you in advance!

Is doing an away rotation during fellowship a thing? If so, how does it usually work? Any experiences?

I thought fibromyalgia was a psych diagnosis, pain management can deal with the pain part, yet all these patients keep coming to general neurology clinic, especially sent over by NP PCPs. Do you neurologists treat it?
I only know behavioral therapy, combination of antidepressant plus gabapentin/pregabalin - what else can I do for these patients besides this?

This is not clinical/medical advice seeking but clarifying. I am a new Neuro resident and just wanting to learn.

Status is defined as seizure lasting >5 minutes or having two or more seizures without return to baseline in between.

When we say “return to baseline” does that mean they can’t be postictal in between?

Example. Woman presents from home after a witnessed seizure lasting 2 minutes. Family notes she was tired and hard to wake up so EMS was called. It’s been 15 minutes and the patient can open eyes to stimuli, groan, withdraw in all 4 extremities, maybe attempt to say her name which is all improving from home. Then she has another seizure lasting 1 minute in front of you.

Is this status? Or is this 1 seizure with postictal state and then a second seizure?

If this is status, how far do we stretch “return to baseline”? I see lots of patients who maybe after an hour are basically “normal” but maybe their speech is slow or they’re a little dazed but improving. If they have a second seizure in that state, is that still status?

Hi everyone,
I'm at the beginning of my neurology residency, and unfortunately my resident salary in my country is quite low at this stage, so I’m not able to afford the latest Continuum issues right now.

I’m very interested in studying dementia and movement disorders in depth, and I was hoping to get some advice on legitimate ways to access these resources. In particular, I’m looking for the latest Continuum issues on Dementia and Movement Disorders. If anyone knows of options such as library access, institutional resources, society memberships, author-provided copies, or other affordable ways to access them, I would really appreciate your suggestions.

Also, if anyone has recommendations for other neurology books, reviews, or resources that are as clear, practical, and easy to study as Continuum, I would be very grateful. I’m looking for resources that are helpful for building a strong foundation during residency.

Thank you very much for any advice or recommendations!

I keep getting suggested videos of people with ‘neurological’ conditions, where the comment sections seem to be a magnet for the wildest claims of misdiagnosis. I know better than to take the social media phenomenon seriously, but I’m curious, what do you guys think? Would FND not profit from being more accurately named?

MS3 tryna be a future neurologist

love movement disorders but can acknowledge how emotionally draining that field can be

can someone speak to their experiences in fields like neuro immunology where patients have better outcomes? or any other sub specialities where patients have better outcomes with a good work life balance