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Neuroradiology Fellowship Thread 2022-2023
Posted by kk396 on December 7, 2022 at 1:00 pmNeuroradiology fellowship applications were released from ERAS today, so thought sharing interview invitations, rejections, and other information may be valuable for fellow applicants.
I can confirm that Barrow rejections came out early this morning.
neuropapi replied 1 year, 1 month ago 24 Members · 91 Replies -
91 Replies
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Thanks for starting the thread. Surprised to hear of a rejection already. Do you think you got filtered out somehow? Internally filled?
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Quote from Kuratz
Thanks for starting the thread. Surprised to hear of a rejection already. Do you think you got filtered out somehow? Internally filled?
I have no idea, to be honest, but I would speculate an element of both: several spots likely filled internally and I was not deemed a suitable candidate for the remaining few spots.
No word from any other programs.
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Michigan came out a while ago
Anyone know about ucla or hopkins-
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Hoping to inspire some discussion for future fellows before rank lists. I think as residents we are better when we can compare/contrast different programs. This was something I posted during my cycle and I hope it will be helpful for others. There impressions are a combo of my experiences and those of my friends who interviewed in the last year or two.
Please chime in with your experiences as well to help future applicants.
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East coast
NYU – seemed very solid, great location. good advanced imaging exposure. Manhattan is expensive. Lot of grads seemed to stay in NYC.
Penn – very strong training, might be a bit malignant, high volume not much teaching, great name. They seemed kind of mediocre in terms of procedures or functional imaging if you like that. CHOP is top tier peds but busy. LOT of night call in this program.
Yale – strong program, underrated due to location but seemed solid in all major areas. Yale has thrown lot of $$ at their neuroscience research and program seems to be on the upswing. Big class good for call coverage, fellows seemed happy. Good fmri exposure for a 1 year program.
Brigham/MGH – very busy, good peds and head/neck experience with BCH and MEEI. MGH is 2 years, not worth it unless you want academics. Boston is fun but expensive.
Hopkins – very busy, strong training and name. need to do 2nd year to get more advanced exposure. Baltimore is meh but COL is manageable.
Duke – seemed very strong, they have some informatics stuff going on. Faculty is pretty stable. Durham is okay but research triangle area is not too bad overall.
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West
Barrow – great moonlighting, PP style, very high volume but 1 academic day/week. Basically no head/neck training though
UCSF – Busy, great name/training, you will get worked. SF is absurdly expensive
Stanford -2 year, very research heavy. Some night call? Lot of opportunities outside of reading. Bay area is sooo expensive, especially for 2 years.
Washington – good training, cover a lot of hospitals but see lot of pathology. Not as angio heavy anymore (?) but fellows seemed prepared for all diagnostics.
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Midwest
Northwestern – Very busy, will work you hard, lot of angio/NIR. Overall robust in all sections though. Good fmri exposure and dedicated peds training.
Mayo – Amazing facilities, great training, but in the middle of nowhere. Probably would be more competitive if it wasn’t in Rochester. Fellows seemed happy
Wisconsin – Similar to Mayo, very solid training but Madison isn’t for everyone. Better than Rochester though-
Thank you, TTL!
Do you mind sharing how you made your rank list and where you ended up?
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I think important stuff to consider includes:
1) location – where do you want to practice/live
2) specific training like head/neck, peds, advanced imaging, spine intervention
3) research opportunities – all major places will have them but the workload may make it hard. fellows are for work, not for research output
4) moonlighting, but less important as you are one year away from big bucks. If you have a family to support or other circumstances it is worth a consideration
5) prestige/big name and opportunities outside of radiology or medicine
6) workload. most programs are busy but some are very busy in terms of nights and call. can be good for training but is a miserable year.
The weighting on each depends on you as a person and your goals. I applied broadly and matched in my top 3 at one of the programs above.
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Quote from TTL
Hoping to inspire some discussion for future fellows before rank lists. I think as residents we are better when we can compare/contrast different programs. This was something I posted during my cycle and I hope it will be helpful for others. There impressions are a combo of my experiences and those of my friends who interviewed in the last year or two.
Please chime in with your experiences as well to help future applicants.
—
East coast
NYU – seemed very solid, great location. good advanced imaging exposure. Manhattan is expensive. Lot of grads seemed to stay in NYC.
Penn – very strong training, might be a bit malignant, high volume not much teaching, great name. They seemed kind of mediocre in terms of procedures or functional imaging if you like that. CHOP is top tier peds but busy. LOT of night call in this program.
Yale – strong program, underrated due to location but seemed solid in all major areas. Yale has thrown lot of $$ at their neuroscience research and program seems to be on the upswing. Big class good for call coverage, fellows seemed happy. Good fmri exposure for a 1 year program.
Brigham/MGH – very busy, good peds and head/neck experience with BCH and MEEI. MGH is 2 years, not worth it unless you want academics. Boston is fun but expensive.
Hopkins – very busy, strong training and name. need to do 2nd year to get more advanced exposure. Baltimore is meh but COL is manageable.
Duke – seemed very strong, they have some informatics stuff going on. Faculty is pretty stable. Durham is okay but research triangle area is not too bad overall.
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West
Barrow – great moonlighting, PP style, very high volume but 1 academic day/week. Basically no head/neck training though
UCSF – Busy, great name/training, you will get worked. SF is absurdly expensive
Stanford -2 year, very research heavy. Some night call? Lot of opportunities outside of reading. Bay area is sooo expensive, especially for 2 years.
Washington – good training, cover a lot of hospitals but see lot of pathology. Not as angio heavy anymore (?) but fellows seemed prepared for all diagnostics.
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Midwest
Northwestern – Very busy, will work you hard, lot of angio/NIR. Overall robust in all sections though. Good fmri exposure and dedicated peds training.
Mayo – Amazing facilities, great training, but in the middle of nowhere. Probably would be more competitive if it wasn’t in Rochester. Fellows seemed happy
Wisconsin – Similar to Mayo, very solid training but Madison isn’t for everyone. Better than Rochester though
MCW – Higher work load, mainly stroke and trauma, no read outs, occasional guilt trips depending on attending approving the case, daily work hours 8 am-5:30 pm, evening weeks of 1- 9:30 pm that alternates among fellows depending on their number (they hired only 2 out of 5 last year). Department is chronically understaffed and group keeps purchasing smaller imaging centers without radiologists to cover them. They send fellows monthly RVU report to “simulate” pressure in private practice. Milwaukee is colder and higher in crime rate compared to other cities.
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This is really nice, thank you. Any place where we can find out more information like this from fellows?
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Any opinions/reviews for nyu, brigham, barrow, mir, and northwestern.
Eventual goal is nir.
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Of those programs, I think NYU would be your best bet. I remember meeting fellows there that were moving on to NIR afterwards. I didn’t apply to NW or MIR, though.
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MIR- has an actual NIR fellowship with 2 openings(usually one spot for NSGY)
BWH- Has excellent IR, decent NIR
NYU-they did mention IR experience is little or as much as you want, none of the current fellows were going for NIR, maybe its changing who knows.
Barrows-only spine related exposure , NSGY runs the show and most of NIR stuff, you have opportunity to rotate with NSGY if want.
no idea about northwestern
MT Sinai does have 8 NIR on staff if u did apply and want great exposure-
Thanks a lot. Any opinions about NIR at MGH, Wake Forest or TJU?
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What is the work flow of must of the good programs? What places are fellows actually getting read out and educated vs just drafting reports for attendings who you rarely see?
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The big names like Penn, Brigham and Hopkins definitely seemed to emphasize volume >> readouts. Barrow had high volume but I think also read out every case. Michigan and Yale also read out I believe. Some people may prefer one or the other, but we shouldn’t value places that purely use you as labor at the expense of teaching.
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So Im in fellowship at one of the above places and I do agree that I tend to more than other fellowships likely. Part of that is not having readouts, and I think reading out an ED Head CT will be pretty pointless now. Theres pros and cons to both, probably having more readouts and teaching is nice, but so is having that time to read an extra 5-8 cases since Im not doing readouts. Its really whatever you prefer. And I dont feel like I not learning by seeing more cases and not having readouts.
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You have to really be cautious when you “waive” reading out time knowing that’s your last chance to ask questions. This time is actually money: some places make you waive that time to use you to draft more cases for them to make more RVUs and bonuses. You get nothing in return though, apart from a false feeling of independence. A large volume without feedback doesn’t add a lot of value especially in higher complexity cases. If someone is comfortable approving MRs and CTAs maybe they should go ahead and start practising without a fellowship. Checking changes on powerscribe, without knowing why those changes were made, is not ideal. Bonus tip: google the term “ghost reader in radiology”.
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Also maybe now would be an okay time to start sharing thoughts on programs?
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This is my issue with no readouts. I think it’s better to have readouts with the opportunity to say “I feel okay with this one, let’s move on”.
Personally I also prefer to get through more cases without long staffing sessions, I just don’t like how fellows are used for pure labor. If you’re going to do a year of fellowship as a board eligible rad, I think the fellowships should actually spend time teaching you. There are all sorts of little pearls or incidentals that can get glossed over when you’re just cranking through acute findings with the staff batch signing. In that case you’re better off going into practice and making 300k more and running the occasional complex case by your colleagues.
Just my opinion. -
So how do you know which programs spend time teaching and which want you to just crank out studies. Do they outright tell you? Ask fellows during interview?
I’m applying this summer so I’m curious to know. -
Asking fellows is probably the only accurate barometer. Of course, also ask your interviewers how much they staff out vs backread the fellows. Sometimes on call it can make sense for more hands off reads but on daytime rotations with things like peds, head and neck cases I think they should be teaching more. That’s why you’re there.
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I also think graduating to less read-outs would be ideal. Have some hand-holding in the beginning to build knowledge and become more efficient, then in the latter half of your fellowship, focus more on implementing what you learned and seeing as many cases as possible, staffing out only the more difficult times that require nuanced teaching.
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Whats the general consensus of Barrows reputation? Obviously its well respected in NSGY circles but wondering how its perceived in the radiology world?
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Whats the general consensus of Barrows reputation? Obviously its elite in neurosurgery but wondering how its perceived in the radiology world.
Felt like it was a very strong program and checks off basically all boxes. I had heard head/neck was a weak point but seems to be on the rise with new ENTs and provides good exposure. Main concern is possible lack of name recognition versus some of the ivory towers.
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I mean for me Barrows the issue was having only 6 neuroradiologists (not counting peds) at main hospital on staff with 9 fellows. My favorite twitter attending who drew great pictorials left but they got a great spine doc. Most other places that also have great reputation with at least 10 attendings on staff (Ivory towers have at least 20+). Also not a fan that all the attendings did fellowship from Barrows(could be a plus).
Otherwise probably one of the way better programs out there if your goal is private practice. -
Thats fair, I think its 7 now with a recent addition but agreed that its definitely on the lower end. On the plus side, I think it makes it easier to build relationships with those attendings who can then vouch for you when job hunting versus working with 20+ attendings who may not know you as well.
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Barrow seemed very strong. Felt like it checked all the boxes and was the single best program in preparing for private practice. Culture also seemed great and moonlighting opportunities were insane (4 day workweeks?!). Not sure how its perceived outside of the Neuro world but certainly in radiology people know what its about.
Ultimately since Im not doing academics the fellowship choice seems to matter less. Hoping to go to the strongest program in the area I ultimately want to practice. Didnt feel like there were any bad programs.
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I have my top 1 or 2 picked out but having issues trying to decide between brigham, mayo rochester, and mallinckrodt… any insight or opinions.
No geographical preference. -
All great programs. Brigham struck me as particularly well-rounded. Head and neck at Mass Eye and Ear is arguably the best in the country. Strong procedural training. The name carries a lot of weight on both the west and east coast.
MIR and Mayo are also excellent and the COL in St. Louis and Rochester is significantly lower than Boston. I knew one fellow at MIR who was happy and landed his dream private practice job. The procedural training at MIR is exceptional, if I remember correctly.
That said, I would rank Brigham at the top.
Good luck!
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I interviewed a few years ago and really like the Brigham, but ultimately ranked it lower since the call schedule seemed brutal. I think the fellows seem to be overworked imo, but thats from an outsider perspective.
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Any thoughts on Michigan, Northwestern, Yale and UT Southwestern?
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My takeaway from UTSW was that it’s super procedure heavy. Wasn’t there something like 6 months of spine procedures?
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I had 3 months total for UTSW procedure rotations in my notes, perhaps I missed another 3…
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I’m applying next cycle and am looking for a place with more information regarding each program. Is there such a thing? or would you be willing to share notes based on what you’ve gotten from each program?
Maybe can ultimately turn into a shared spreadsheet similar to what is available when applying for residency? -
how does the daily volume vary from place to place? avg CTs/MRs a day?
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I think volumes vary a decent amount, between complexity, modality, teaching, various workday interruptions, and number of accessions. For example where I do fellowship a complete MR of the spine is 1 accession… meanwhile someone could crank through a bunch of ED head CTs
Right now I’m around high 30s/low 40s. Not sure if there are other neuroradiology fellows on here and what they are at. -
Im struggling deciding rank between Yale, Northwestern and Michigan. Any thoughts?
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Quote from Mass_Effect
Im struggling deciding rank between Yale, Northwestern and Michigan. Any thoughts?
I think you can’t go wrong with those 3. NW seemed the busiest of the 3, but in the best city. Good reputation for private practice apparently. Michigan seemed like a strong overall program, good name, Ann Arbor is nice but a little out of the way. But I was more impressed with Yale than I expected, didn’t love New Haven but seemed like an underrated program with the Ivy League name and not too far from NYC and Boston. Big fellow class probably good for call coverage and network. -
Take this with a large grain of salt, but I’ve never been particularly impressed with the UTSW program.
Besides having interviewed there for fellowship and being totally put off by the amount of procedures, I and several friends have worked with several UTSW neuro grads. Our assessments of UTSW fellows ranges from “solid to very meh”.
It’s got the variety of clinical material and volume on the level of any good program, but I never got the sense that there’s an emphasis on teaching. It’s more get-the-work-done/experiential learning. -
Fortunate to have interviewed at some phenomenal programs and torn between Brigham (one year), Duke (one year), and UCSF (two years). Interested in academics, but may consider PP. No strong geographic preference.
Any thoughts on these three programs?
Thanks!
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That’s a great list of programs. Congrats.
I’ve heard Brigham is a very strong all-around program with great experiences in H&N at Mass Eye and Ear and Peds at Boston Children’s. My residency classmate went there and really enjoyed it. He said Liangge was incredibly supportive. Anecdotally though I’ve heard it’s a busy program. Overall, it’s probably one of the top 3-5 programs in the country.
UCSF is widely considered one of the top if not the top neuro program in the country. Great pathology, great faculty. Living in SF for 1-2 years might be awesome or terrible depending on your interests.
I’m a relatively recent Duke fellow. I loved my year there and would do it again, but I recognize there are some drawbacks that put it probably a tier or two down from Brigham/UCSF.
It’s a lot more bread and butter than super high-end. There’s tons of brain tumor and spine and that’ll feel like second nature after a year. It’s weak in H&N and peds. Most of the H&N in the triangle goes to UNC. Their H&N got better when Chapman came on board but still don’t get that volume of cases that UNC does. Duke also doesn’t have a free-standing childrens hospital.
If you have an interest in non-vascular spine procedures, it’s one of the best in the country. Duke’s one of the three big intracranial hypotension groups (Duke, Cedars Sinai and to a lesser degree Mayo). You can get a ton of exposure to CT-guided pain injections and CT-guided blood patching. I felt comfortable doing these cases in the year or two after fellowship and stopped cuz I wasn’t doing more then 2-3 per year later on.
One of my co-fellows enjoyed the year but had a lot of complaints. Besides the H&N and peds stuff, they don’t do a ton of advanced imaging beyond fMRI. They did not routinely do tumor perfusion for clinical purposes (though they did alot of perfusion research that the fellows were not involved in). Even for fMRI they have a physicist who does the post-processing so you don’t get good training in that portion of fMRI, just interpretation.
There’s an interesting academic-community rad tie-in. Duke main (aka big Duke) reads cases from Duke Raleigh, a community hospital that big Duke bought. So community level path got enfolded into the regular academic case mix. While it was nice mixing in some easier cases, retrospectively it was of doubtful educational value. Interestingly, the neurorads from the community side come over and staff the academic section a few times a week.
I thought the people were overall great. The faculty are super nice, friendly and side-staff the overwhelming majority of your studies. That last point was something I specifically wanted in a program. Mike Malinzak is the new PD and he’s an awesome guy.
One of the notable/sub-optimal things is that most of the Duke faculty are former Duke trainees. There’s a definite lack of ‘diversity of thought’. They, for the most part, all approach a case the same way. It’s great for consistency, but some varying opinions/approach would have been nice.
Random tidbits:
-Duke doesn’t let external fellows moonlight. Keep that in mind if you want to make some extra cash on the side or keep your general skills.
-fellows don’t cover tumor boards, which is a massively lost learning opportunity.
Re: Raleigh/Durham: I enjoyed the area. Very outdoorsy, beautiful place. Durham doesn’t have a ton going. College bars and stuff but for bigger city stuff you need to go 40min down the road to Raleigh.
Final thoughts about Duke: I think a lot depends on the job you take afterwards. I took a hybrid job out of training and felt well prepared. My buddy who took a high level academic job had to really work on his H&N skills in practice and was definitely unprepared for academic level peds neuro. I later switched into a more general job (mostly strokes/bleeds/degen spine with minimal tumor) and i have no problems with this level of community neuro.
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My opinion:
BWH > Duke >>>>>>> UCSF.
Don’t do 2 years unless you specifically want a job at UCSF. You’re cheap labor. -
Have trouble figuring out Mayo vs Emory. I feel like training at Mayo would be better and they give a lot of elective time for other specialties however have family in Atlanta and visited there and liked the city a good amount(but probably wont settle there).
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Atlanta >>>> Rochester unless you are from MN. Emory is also a very good program for neuro so you’re not missing out. Diversity of pathology is probably better too.
Don’t discount the value of having family nearby, even if it’s a year. -
Any thoughts on training at NYC programs like Mt. Sinai and Columbia relative to places like MIR, Emory, U Penn, Johns Hopkins and U. Michigan?
Intrigued by NYC location but not sure how they compare. -
Mt. Sinai is solid from all accounts. Heard very mixed things about Columbia and they would be a far last in that list.
MIR, Penn and Hopkins have more workhorse reputations, with Penn doing a ton of nights. Emory is top notch for head and neck and overall pretty good. Michigan is overall very strong as well. Out of all those, I would rank by location/feel. -
has anyone received post-interview communication from any of the programs…rank to match etc
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Even if you do, I would not recommend believing anything. Both programs and applicants lie all the time.
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Narrowing things down but having a tough time between Hopkins, Mallinckrodt & Emory. All three were clinical powerhouses with great vibes and down to earth faculty! The volumes, department support, and strength in neurology/neurosurgery/ENT checked all the boxes.
Hopkins has historically commanded a very strong reputation but like Barrow, seems to have had a lot of turnover lately (eg, I think their director of functional imaging for the past 15 yrs recently transferred to Mayo?). Granted, turnover has been ubiquitous and could continue to hit any program between now and start of fellowship. Also got the distinct impression that although they offer the 1-year clinical, focus is heavily weighted towards the 2-year experience to really flesh things out.
As others have already said, Emory features dedicated rotations in H&N, Peds, Trauma/Stroke. Could see this being a double edged sword a boon for specialized training but also difficult to learn effectively in the first half of the year while acclimating to all these sites (free-standing pediatric hospital, trauma hospital, H&N cancer center, etc.). At least, Ive heard this generality from newly minted attendings before (not in Neuro but who did residency/fellowship at different institutions). Any thoughts on the onboarding process for fellows to get up to speed?
Mallinckrodt strikes me as a more centralized system & integrated experience like Hopkins. Could see working with the same cohort of attendings on Adult & Peds being easier to get to know the division facilitates longitudinal relationships/learning but also less dedicated rotations per se. That said, they do have a specialized rotation in advanced imaging techniques that runs the gamut, & another one specifically focused on leading tumor boards that fellows claim was invaluable. Not to mention a pretty sweet moonlighting profile to keep up general skills. @Michelle1989, could you speak to the exceptional procedural training you mentioned above?
Really, they all provide exposure to high-end neuroimaging but varied structure in what that looks like training-wise. I think theres solid didactics/case conference & emphasis on fellows participating in MDCs across the board. Anything that Im missing or misinterpreting?
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Just how many nights are you doing at Penn?
Anyone have any details about Jefferson? -
Heard good things about Jefferson’s head & neck and tumor volume. They are a smaller program and you will work hard but the training is reportedly good. Their name outside of medicine/rads is not as robust but probably holds some weight on the east coast.
Penn makes you work a ton of nights. The name and case mix is very good but you should be prepared to work very hard for a year. -
Think a ton of nights are a deal breaker at Penn. Have no interest in working nights after fellowship.
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I tend to agree. Unless you have a burning desire to live/work in Philly and want a job at Penn, you could go to 20 other fellowships with probably equivalent training with less workhorse mentality.
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Quote from TTL
I tend to agree. Unless you have a burning desire to live/work in Philly and want a job at Penn, you could go to 20 other fellowships with probably equivalent training with less workhorse mentality.
I kinda do want to work in Philly though……… Jefferson next best option since no nights?
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Those are probably the only two options in Philly for the better academic-ish programs. Jefferson is busy too but I don’t think they do nights, although that’s only hearsay.
MIR I’ve heard that from several staff and friends. I can’t specifically confirm. It does seem to be pretty good training though. -
Any thoughts on the value of tumor boards as a major component of fellowship? A few programs emphasize participation in weekly or biweekly tumor boards whereas tumor boards are entirely attending-run at other programs.
Thanks!
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Mayo vs NW vs Barrow?
I feel really different vibes from these, but most solid overall?
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It’s probably good experience if you are going to do them in your practice, but slippery slope to being scutted out to prep 25 cases. Current fellows can give you a better idea. Some places gave academic time to prepare.
Personally, I would say NW>Mayo=Barrow. NW is a good mix of name, training and location. Barrow seemed good and colleagial but quite weak on head/neck, but the moonlighting is a huge perk. Rochester is not for everyone but the Mayo name is strong and you will probably see great stuff. -
Hopkins probably still has the best name, plus outside of neuro and rads overall it will carry the most cache. People may leave, but everyone still knows Hopkins. Emory is maybe a tiny step down but still is a neurorad powerhouse. MIR is very good but not in the same tier in terms of pure reputation.
Training at all 3 is probably fine, personally I would like the Emory setup the best. As a fellow I think being able to have some time to really get down the details of each would be helpful, plus on call you will probably see a mix of usual neuro. But this may depend on your learning style.
The 3 cities are quite different and if you are interested in PP I would go more based on location. -
Thanks for the input!
Emory is definitely seeing some impressive growth with the expansion of their new H&N cancer tower and childrens hospital.
Do you have any idea why MIR is considered a workhorse program on par with Hopkins?
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Thanks for the input!
Emory is definitely seeing some impressive growth with the expansion of their new H&N cancer tower and childrens hospital.
Do you have any idea why MIR is considered a workhorse program on par with Hopkins?
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Got a buddy who worked at Emory and he spoke very highly of it. Strong across the board: brain/spine/H&N/peds. Grady sees a ton of trauma and stroke work.
I interviewed there for fellowship years back and i liked it fine but it seems like the fellowship is much stronger than I thought.
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You can ask indirect questions. For example, how many of the faculty is interested in teaching? How often do you have interesting cases conferences? Do faculty make you participate in multidisciplinary conferences and do they go through cases with you before the conference? Do faculty read-out each case with you? Do they talk with you about RVU and productivity?
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following up volumes. any other fellows or residents care to chime in on typical # studies per day. worried my chosen program is on the lower side , probably like 20-30ish studies / day
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Average for me is around mid 30s-low 40s, at a program in the northeast that I think many would consider prestigious. Probly a good mix of ED, outpt, inpt, CTs and MRs.
Also number of studies read is tough to quantify sometimes a stroke CT includes CT Head, CT perfusion, and CTA head and neck for us counts as 1 accession, while an CT head and CT C spine from the ED counts as 2 studies. Sometimes number of studies doesnt always paint the accurate picture.
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That’s about what the volume was in my program. But we got almost everything side-staffed and I thought that was invaluable.
I think fellowship is as much about learning the experts’ approach to a case as seeing cases or being right about whatever case you read. -
Does anyone know anything about University of Washington (Seattle) neurorads fellowship? I am a Canadian resident specifically interested in the location due to family
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Has a pretty good reputation overall, big program with 8-9 fellows, they do less angio than before. They’re the main academic center for like the entire pacific northwest so the case volume and mix is very good. I do think they cover several hospitals which is a pain but otherwise seemed like a great place to train. One of the best on the west coast for sure.
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thoughts on
Boston:Brigham vs Beth Israel?
Cali programs: UCLA, USC, Irvine, San Diego?
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I am a rad resident looking to apply to neuro fellowship next year. I grew up in the midwest (northern IL) and want to know about the fellowships there. I went to med school and residency on the west coast (WA and CA). I’ve heard some horror stories and would like to separate fact from fiction! Thanks!
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Northwestern is your best bet, busy fellowship but well rounded with all major areas covered. UW Madison and University of Michigan are also very strong. Mayo also from what I hear but the location is the worst of the 4.
After that there is a dropoff in the midwest at least in terms of the usual big names. However, most of the decent state level programs will give you decent volume and complexity.
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