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  Arkansas
Posted by: neurosurg1234 - 03-18-2023, 09:02 AM - Forum: General interest - No Replies

What do you know about UAMS? Is it a good program? I've searched a lot but haven't seen much reviews

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  Pre-residency Fellowship
Posted by: Guest - 03-16-2023, 04:09 PM - Forum: On the trail - Replies (87)

Hello, 

Hope everyone is doing well.

Does anyone have a list of all the places that offer pre-residency fellowship positions in neurosurgery?


Thanks

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  Virtual summer research?
Posted by: Guest - 03-13-2023, 05:56 PM - Forum: General interest - Replies (16)

Hello, so a PI I emailed said I can work on some research with him virtually. it would be a review paper. 

I was just wondering, is this good? I was hoping for an in-person research experience, as that would be better for getting a letter as well as learning. 

Should I decline and go elsewhere?

Thank you so much!

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  AHN Sub I Prep Course
Posted by: Guest - 03-11-2023, 05:25 PM - Forum: Sub-internships - Replies (5)

Hey everyone! 

Allegheny Health Network is holding a Neurosurgery Sub-I Prep Course, open to all medical students but targeted for third years preparing to enter the intense sub-I rotations. We got a lot of positive feedback from the almost 100 attendees we had last year. We made some changes that we think will make this year even better. 

The course will be two days long (Saturday and Sunday), from 8-noon both days, all through Zoom. This is about learning the actual things that will help you succeed in your sub-I's, the things no one really tells you. We're filling this with high yield information, tips on matching/ranking, and cheat sheets for various surgeries to help you orient yourself. Follow the link below for registration information. Looking forward to seeing you all there! 

https://docs.google.com/forms/d/e/1FAIpQLSdFrgNNolnEqAiWBXtja1WdP3QZdLPis6Chgq_Fgf61wb7Rhg/viewform

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  scared of being incompetent resident
Posted by: medstudent4362 - 03-11-2023, 03:39 PM - Forum: General interest - Replies (6)

current med student with interest and pretty strong CV. haven't done subI's yet but assuming I do well, I think I'll have a good shot at matching. 

is there a lot of variation with regard to anatomy and visualization of structures in neurosurgery? I've been told technical skills and manual dexterity can be learned, however, i'm afraid my spatial intelligence may be below average and may hold me back in training. I'm less afraid of the hours in residency and more afraid of getting fired despite my best efforts to improve. 

I did fine in my classes but always struggled a bit with visualizing in pre-clin (radiology, histo, some gross anatomy). have always been bad at drawing, art, etc.

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  2023 Match List
Posted by: socrates - 03-11-2023, 02:52 PM - Forum: On the trail - Replies (8)

Do you guys still appreciate these?  I know we posted here previously, and then someone else had had a sharable excel/google spreadsheet.  I also think the SNS and/or AANS post something.  In any case, congrats to all who match, and good luck in the scramble/SOAP to those who don't.

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  Worth doing a sub-I at Barrow?
Posted by: Guest - 03-10-2023, 03:29 PM - Forum: Sub-internships - Replies (6)

I'm currently submitting applications for sub-Is. Presuming I get a sub-I at spot at Barrow, is it worth doing a sub-I there? I heard that they give little to no preference to sub-Is when it comes to interviews. Therefore, I'm not sure if it would be more wise to pick a program that favors sub-Is? I'm heavily interested in their program, hence the dilemma.

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  re-applicant chances
Posted by: Guest - 03-07-2023, 02:43 PM - Forum: On the trail - Replies (24)

I got 15+ interviews last year, this year only 4. ( idk if signaling has anything to do with it in addition to being a reapplicant). Doing a pre-lim year right now ( no neurosurgery program). dont think i will match again. what should I do? just pursue gen surg? IR? i really want to be a neurosurgeon. any reapplicants want to share their success stories?

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  Chances
Posted by: substanianigrabam - 03-04-2023, 12:35 AM - Forum: General Discussion - Replies (4)

MS3 with 40 pubs, P USMLE, one high pass but the rest honors on rotations. Honestly I feel like I need to take a year off and work on my CV it’s so killer out there nowadays. If anyone has advice please let me know. Also top 50 med school for reference.

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  BME working on skull base neurosurgery sim proposal with questions for surgeons
Posted by: MichelODU - 03-02-2023, 07:29 PM - Forum: General Discussion - Replies (5)

Dear members of the Neurosurgery Hub community, 

I am a biomedical engineer, working on a NIH R01 proposal and with a long-standing interest in neurosurgery simulation, emphasizing the skull base. I have a clinical collaborator, but I would like to complement his input with that of other neurosurgeons, to make the proposal, and the simulator if funded, as clinically useful as possible. 

I have a background in medical image analysis (including meshing), haptics, neurosurgery navigation, and various other areas of computer-assisted medicine (also collaborating on geriatric fall injury mitigation and breast surgery applications). I did my PhD in neurosurgical brain shift estimation at Montreal Neurological Institute and also had some early patents in neuronavigation. My group has published papers on minimally supervised identification of cranial nerves in T2-weighted MRI  
https://pubmed.ncbi.nlm.nih.gov/28422682 https://pubmed.ncbi.nlm.nih.gov/31236805
and I'm also interested in doing the same with DTI data. I have papers in other related areas: haptics, meshing, etc.. 

We are emphasizing skull base tumor resection because I believe that this is where there is the most important need, in terms of simulation-assisted improvement of surgical skill, while minimizing risks to patients. I am collaborating with Kitware, which has developed the open-source Interactive Medical Simulation Toolkit (imstk.org). Also working with a haptics company that will customize for surgery low-cost, high-fidelity haptic device with 6/7 degrees-of-freedom. We plan on emphasizing 1 or 2 specific approaches; I'm thinking transsphenoidal/transnasal and pterional, but open to suggestions. Knowing the approach ahead of time means knowing the surgical corridor, and modeling in detail only the anatomy along this corridor, leaving the rest as sparse as possible for an interactive computational response.

So, with those details out of the way, here are some questions... 
1) What's hard about neurosurgery where simulation can provide an improvement in surgical performance and in patient outcomes, by ramping up these skills with no risk to the patient? 
2) Is there a glaring omission in terms of the approaches that we should start with, vs transphenoidal and pterional?
3) Conversely to 1, what improves over time for a neurosurgeon, which could be accelerated with simulation-based training? (e.g. better force control on instruments, better understanding of neuroanatomy, better identification of intraop pitfalls, better damage control in on-going complications?)
4) What are the complications in skull base surgery that occur where (well-designed) simulation-based training can have an impact? (e.g.: CSF leak, hypophyseal or hypothalamic injuries, blindness/double vision, palsies of CN III, IV, VI, cerebral infarct, carotid artery injuries, meningitis...)
5) Any clinical papers to recommend, especially review papers, that could suggest which complications to key on? 
6) Is there something that I should know, to complete the picture, where a neurosurgeon reviewer might say: "What about...?" ?  

Thanks for your kind consideration and support. Best wishes,

MichelODU
Michel Audette, Ph.D.
Old Dominion University

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