The two sub-Is I ended up being accepted for are both in the same city, one academic, the other less so, both top 30 dox on the east coast; I applied to several on the west coast and either was rejected or didn't hear back yet. Will this bite me in the butt? I might be able to rotate a much lower tier west coast program, but am unsure how to best proceed.

1. Has USC released subIs for July/August yet? I have yet to hear anything.

2. What is the subI like in terms of hours, letters, etc. Obviously this might be a bit premature as I haven't heard back yet.

What is the verdict on whether doing 4 sub I rotations?

Hello. I did very poorly my first two years (some Cs, rest Bs) and a low 22x step 1. Since then I've done my PhD,  with 7 first author basic research papers (no cell/nature) Inc one in science translational and 4 in neuro journals, multiple other co authorship, and 7 other papers from other experiences from.my gap and first year. All are research articles except for 3 review papers.

I'm in 3rd year now and have been networking like crazy and trying to bump up my publications with NSG faculty. Assuming I do well on Step 2 and clerkships do I have a chance especially for academic and research oriented programs? I'm trying to decide if it's even worth putting myself through the SubIs and competitive match if I have no chance. I'm considering dual applying if I go for it but I'm concerned it will look bad if I do a non surgical specialty as a back up.

I'm an MD/PhD considering a career in functional neurosurgery. My interest primarily stems from the recent advances in functional neurosurgery especially for things like DBS, focused ultrasound, and gene therapy.  Functional really seems to be at the forefront of therapeutic advancement in these fields.I'm particularly inspired by some of the gene therapy programs at places like Ohio State (Dr. Bankiewicz, Dr. Lonser), Arizona (Dr. Paul Larson), UCSF, and Cornell (Dr. Kaplitt), which are all propelled forward by neurosurgeons. I totally realize gene therapy is in its infancy but I think it will be much further along 1- years from now and ripe for further advancement and implementation by the time I am done. 

 My background is in biomedical engineering and I ultimately envision a career where I treat neurodegenerative and genetic diseases. I initially thought about pursuing this route as a neurologist but it seems it's really the neurosurgeons who are driving innovations in treatment delivery. It's not the only reason I would consider NSG over neuro (I also really liked the OR including procedures "tangential" to my core interests like tumor removal and neurotrauma, working with my hands, etc). I want to be in a role where I am implementing the treatments rather than only doing the pre-op/post-op evaluations (which I assume is the responsibility of the collaborative neurologist in these procedures).

- What are your thoughts on the future stake of functional neurosurgeons in these procedures, especially as there is an emphasis on minimal or non-invasive procedures. Do you think it will be possible for neurologists to get more involved and perhaps even drive focused ultrasound procedures and gene therapy programs in the next 10-20 years or will it likely remain the domain of neurosurgeons. I was at one point considering neurointerventional IR through the neurology route and am wondering whether a similar turf war may brew as neurologists get involved in some of the more "minimally" invasive procedures.

- I keep hearing mixed reviews about enveloped fellowships. As an MD/PhD, my route is already pretty long and while I think I am fine with a 7 year residency that includes an enveloped fellowship, the thought of doing another 1-2 years afterwards does honestly deter me from pursuing this path. I read a few posts saying that enveloped fellowships are on the way out but I've primarily seen this stated for spine, skull base, and endovasc. Is there a similar outlook for functional?

- While there is a strong stigma against successful surgeon-scientists, it does seem like functional neurosurgery is the one space where neurosurgeons appear to have consistent success. In addition to the examples I mentioned above, it seems like there are more who run basic science labs, particularly in neurocircuitry and mechanisms of epilepsy.

Hello. Current MS1 here. How are Master degrees looked at in terms of applications? Regardless, I would like to take the masters because I want to go into academics, but just want to know how it’ll be perceived. I am thinking about doing the Masters of Clinical Research, but I may also do another science oriented one.

Which programs would you say are trending upwards and are positioned to have a good future

does it matter if you're in 3 versus 10? feels like I didn't do much compared to other applicants from my school. application is otherwise strong and I do have hobbies I can speak about.

Hello, 

We are starting a pre-residency fellowship at Jamaica and Flushing Hospitals in NYC. I know these are traditionally associated with predatory practices and malignancy, but we are a new program and do not promise anything we do not actually offer prospective applicants. Brief highlights of the program: 

[color=rgba(0, 0, 0, 0.9)]- 13 full time neuro-critical care, neurosurgery, neurology, and neuro-endovascular faculty with sub-specialty training in tumor, spine, vascular, endovascular, trauma, stroke, critical care, epilepsy/neurophysiology, and neuromuscular; several part-time faculty across all neurological specialties; full time neurocritical care, neurosurgery, neuro-intervention, and neurology coverage; full complement of APPs; resident participation from Weill-Cornell Medical Center[/color]

[color=rgba(0, 0, 0, 0.9)]- 408-bed hospital founded in 1891[/color]

[color=rgba(0, 0, 0, 0.9)]- ~550 open and endovascular neurosurgery cases per year[/color]

[color=rgba(0, 0, 0, 0.9)]- Paid full-time salary[/color]

[color=rgba(0, 0, 0, 0.9)]- One of the busiest level 1 trauma centers in New York City, ACS certified[/color]

[color=rgba(0, 0, 0, 0.9)]- Comprehensive Stroke Center Certification[/color]

[color=rgba(0, 0, 0, 0.9)]- Access to the US and New York City neurosurgery community[/color]

[color=rgba(0, 0, 0, 0.9)]- Ample learning and teaching opportunities in and out of the operating room, first-assist in neurosurgery cases up to 7 days per week[/color]

[color=rgba(0, 0, 0, 0.9)]- Opportunities for clinical, trauma related, and QA research[/color]

[color=rgba(0, 0, 0, 0.9)]- Ample public health and DEI research opportunities[/color]

[color=rgba(0, 0, 0, 0.9)]- Academic affiliations with Weill-Cornell Medical Center, Memorial Sloan Kettering Hospital, New York University, and Northshore University Hospital/Northwell Health[/color]

[color=rgba(0, 0, 0, 0.9)]- Located in a busy and vibrant neighborhood in New York City; access to among the best cultural and leisure experiences in the world[/color]

[color=rgba(0, 0, 0, 0.9)]- Assistance with finding housing opportunities[/color]

[color=rgba(0, 0, 0, 0.9)]***Must have passed USMLE Steps 1-3***[/color]

[color=rgba(0, 0, 0, 0.9)]*Job Description*[/color]

[color=rgba(0, 0, 0, 0.9)]1. Patient Care: The primary responsibility of a pre-residency fellow is to provide patient care under the supervision of the neurosurgery attendings. This includes diagnosing conditions, creating treatment plans, monitoring progress, and performing procedures.[/color]
[color=rgba(0, 0, 0, 0.9)]2. Communication: must effectively communicate with patients, their families, and other healthcare providers; explain diagnoses, treatment options, and possible outcomes clearly and compassionately.[/color]
[color=rgba(0, 0, 0, 0.9)]3. Medical Procedures: perform procedures under the supervision of attendings, including placement of external ventricular drains, ICP monitors, lumbar punctures, lumbar drains, and arterial lines.[/color]
[color=rgba(0, 0, 0, 0.9)]4. Rounds: participate in daily rounds, check on the status of patients, discuss the plan for the day, and monitor progress.[/color]
[color=rgba(0, 0, 0, 0.9)]5. Documentation: accurately document findings, diagnoses, treatments, and patient interactions in the medical record.[/color]
[color=rgba(0, 0, 0, 0.9)]6. Medical Research: participation in medical research is required. This could include conducting literature reviews, participating in ongoing research, or even developing their own research project, which can be basic, translational, or clinical.[/color]
[color=rgba(0, 0, 0, 0.9)]7. On-Call Duties: On-call shifts will be required and determined by attendings. During this time, they must be available to handle any emergencies or issues that arise with their patients with supervision by attending.[/color]
[color=rgba(0, 0, 0, 0.9)]8. Continuing Education: continue learning and staying up-to-date on the latest medical research, procedures, and practices. This will be done with lectures, seminars, and conferences. Participation and giving lectures will be required.[/color]
[color=rgba(0, 0, 0, 0.9)]9. Teamwork: must work collaboratively with nurses, other doctors, and healthcare professionals.[/color]
[color=rgba(0, 0, 0, 0.9)]10. Ethics: must adhere to the principles of medical ethics, including maintaining patient confidentiality and treating each patient with respect and dignity. [/color]
[color=rgba(0, 0, 0, 0.9)]Expectation of Tasks (including but not limited to):[/color]
[color=rgba(0, 0, 0, 0.9)]1) Evaluate Neurosurgical patients and obtain appropriate history[/color]
[color=rgba(0, 0, 0, 0.9)]2) Perform focused neurological exam[/color]
[color=rgba(0, 0, 0, 0.9)]3) Independently read imaging and identify neuroradiographic pathology[/color]
[color=rgba(0, 0, 0, 0.9)]4) Formulate preliminary consult plan and potential surgical plan independently[/color]
[color=rgba(0, 0, 0, 0.9)]5) Identify patients needing emergent neurosurgical intervention[/color]
[color=rgba(0, 0, 0, 0.9)]6) Perform bedside procedures such as placement of EVD and ICP monitors[/color]
[color=rgba(0, 0, 0, 0.9)]7) Set up operative cases and assist in operative cases[/color]

[color=rgba(0, 0, 0, 0.9)]Please email your CV and brief Cover Letter or Statement of Purpose to: [/color]


jhmcprf@gmail.com


[color=rgba(0, 0, 0, 0.9)]Thank you![/color]

how does NYU subI compare to Cornell subI?