neurologist after neuroradiology fellowship

[Harish]

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Can anyone tell if a neurology resident follows this path to neuroradiology fellowship, does he/she gets the same jobs as a neurosurgeon or radiologist with neuroradiology fellowship.

Is he allowed to do diagnostic neuroradiology ?
Are they all same after doing neuroradiology felowship in regards to neuroradiology jobs?

Thanks for the reply

 

[Docxter]

Can anyone tell if a neurology resident follows this path to neuroradiology fellowship, does he/she gets the same jobs as a neurosurgeon or radiologist with neuroradiology fellowship.

Is he allowed to do diagnostic neuroradiology ?
Are they all same after doing neuroradiology felowship in regards to neuroradiology jobs?

Thanks for the reply

Here is the situation in the radiology private practice job market. There are almost no exclusive "neuroradiology" jobs in private practice. The vast majority of jobs are general radiology jobs, which you will do more of neuroradiology if you have a big "pseudo-specialized" group. If you end up doing 80% neuroradiology 20% general radiology, then that is almost as specialized a job that you'll find. You'll almost inevitably have to read abdominal CTs, pelvic ultrasounds, and chest/bone films for a good portion of your job. You will be hard pressed to find a group that would hire someone who can only do neuroradiology and nothing else, and won't be able to take call like everyone else.

"Neuroradiology" jobs are almost exclusively academic.

 

[eddieberetta]

Can anyone tell if a neurology resident follows this path to neuroradiology fellowship, does he/she gets the same jobs as a neurosurgeon or radiologist with neuroradiology fellowship.

Is he allowed to do diagnostic neuroradiology ?
Are they all same after doing neuroradiology felowship in regards to neuroradiology jobs?

Thanks for the reply

The simple answer is no. In north america, you cannot train in a diagnostic neuroradiology fellowship run by a radiology dept after any residency other than radiology. In some other countries where lines between specialties are more blurred (mainly s. america, but even there limited) there are opportunities to train and practice. In N. America, there are informal courses offered by vendors and a small group of neurologists but this will not credential you to practice diagnostic neuro in most heath care systems nor in my opinion does it provide enough training to do the job properly. In a practical sense, to work as a neuroradiologist you must be a radiologist.

As an aside, and a plug for radiology training, there are many reasons why general radiology is advantageous as a prelude to neuro. First, rads residency involves extensive training in neuroimaging, with case volumes far exceeding what is seen in a neurology or neurosurgical residency (how many film can you see for each clinical encounter?). Second, the head and neck (+/- spine) contain osseus, soft tissue, and extracranial structures with pathologies that do not fall under the purview of neurology/nsx. Third, I feel that identification of lesions is facilitated by training in abnormality detection in the rest of the body. Fourth, training in imaging physics is essential for anyone who plans to run an imaging facility and not provided in other programs. Fifth, jobs in private practice require coverage of more than just neuro during the day and esp. on call. To include training in radiologic physics, as well as general radiology to deal with the visualized lungs, bones, muscles, metabolic/systemic conditions that affect the H +N as well as a neurorads fellowship would approach the standard 4+1 years of rads residency/DNR fellowship.

interventional neuroradiology/angio is offered to neurologists and neurosurgeons but so far has not been very appealing to neurologists in my experience.

 

[Bonobo]

interventional neuroradiology/angio is offered to neurologists and neurosurgeons but so far has not been very appealing to neurologists in my experience.

Your experience is probably incorrect. At a recent conference on interventional neuroradiology, about 1/3 of the fellows were neurology trained. I think everyone is seeing neurology take the direction that cardiology did two decades ago. Already a critical mass of interventional *neurologists* is forming to create fellowship programs etc for this field to take birth.

I should note that neurosurgeons are also very interested in INR.

B

 

[f_w]

Given the exhaustive experience you have managed to accumulate during your first year of medical school, you are spewing pretty confident words here LoL.

(Your prior posts on the imaging/neurology theme demonstrate that you are devoid of any insight into the real world of neurology / neuroradiology / INR / endovascular neurosurgery.)

 

[Bonobo]

Given the exhaustive experience you have managed to accumulate during your first year of medical school, you are spewing pretty confident words here LoL.

(Your prior posts on the imaging/neurology theme demonstrate that you are devoid of any insight into the real world of neurology / neuroradiology / INR / endovascular neurosurgery.)

Thank you for your misinformation. I am *not* a first year medical student--not even close. Second, my information comes from people who sit on the board of the Neurovascular Coalition and include both neurologists and neuroradiologists as well as several interventional neuroradiologists (trained through neurosurgery, neurology and neuroradiology). If you don't know what the Neurovascular Coalition is, then please refrain from your smack until you do.

B

 

[f_w]

So, ok, you are a 4th year medstudent going through the emotional trials of a couples match at this time.

I can understand your enthusiasm for 'vascular neurology'. But from your posts here it becomes very clear that your knowledge about the subject matter is mainly derived from 'people I have talked to' rather than 'things I have done'.

 

[INR]

Your experience is probably incorrect. At a recent conference on interventional neuroradiology, about 1/3 of the fellows were neurology trained. I think everyone is seeing neurology take the direction that cardiology did two decades ago. Already a critical mass of interventional *neurologists* is forming to create fellowship programs etc for this field to take birth.

I should note that neurosurgeons are also very interested in INR.

B

That might have been a very selective audience.. about a third of the applicants to INR are coming from neurology, but at this time only a handful of neurologists are doing INR fellowships around the country. Their numbers might go up though..