Frequently Asked Questions by MS1s and MS2s

Neurology is a fascinating cerebral specialty dealing with complex differentials utilizing a variety of diagnostic modalities and current therapeutics. A strong performance on Step 1 of the United States Medical Licensing Examination, as well as strong performances on both your Neurology and Internal Medicine clerkships will set you up for success. Programs are most interested in students who have demonstrated a strong interest and commitment to the field through clinical exposure and research. Review the websites of professional Neurology organizations. Work with and develop a relationship with local Neurologists.

While research experience is not required it would certainly strengthen your application. Most importantly, do a research project that you find highly interesting and are eager to engage with. Your preclinical years are a great time to get started with a research project. It is generally preferable to have completed one or two comprehensive projects where you had significant involvement rather than multiple projects where you were only minimally involved.

Talk to your mentors and Dr. McEchron as he can help guide you to find a good “fit” depending on your interests. Work with your peers, Residents and Fellows as well as Neurology faculty and express your interest in getting involved.

A strong academic foundation and strong performance on Step 1 is your most important priority. If you can successfully add volunteer work or other extracurricular activities and maintain a healthy balance with your academics then it is highly recommended. Volunteering will make you more well-rounded and better informed to make a career decision while gaining valuable experience and serving the local community.

The National Resident Matching Program (NRMP) tracks statistical trends for matched students in each specialty. Learn more about Neurology match trends here

Frequently Asked Questions by MS3s and MS4s

Most students start thinking about letters toward the end of 3rd year and beginning of 4th year. We recommend doing your Medicine Sub-I and away rotations early in Blocks 1-5 of your 4th year to facilitate developing professional relationships and obtaining letters of recommendation along the way. Your Career Advisor and Specialty Advisor can provide you a more specific recommendation of the number and type of letters based upon your individual circumstances and competitiveness.

You should have your CV updated and your personal statement available for reference. If you are asking for a LOR during your Sub-I or away rotation, consider asking for it about three weeks into the rotation from a faculty member who you have worked very well with. Even better if you have developed that relationship with the Department Chair or Program Director. When asking for a LOR it is ideal to do it in person. It is appropriate to ask specifically if they would be willing to write you a “strong letter of recommendation”. Please thank you letter writers for their effort.

You are allowed to submit up to four letters in the Electronic Residency Application Service (ERAS). We recommend including letters from faculty that know you well from your Medicine Sub-I and Neurology away rotations and from faculty that support other aspects of your application. This could include your Scholarly Project mentor, MPH or Certificate of Distinction programs you are a part of and from a research mentor you have worked closely with.

Yes, depending on specialty, all LORs do not have to be from the field to which you are applying for residency. It is recommended that most of your letters come from Neurology attendings with whom you worked with during your rotations. A good combination of letters might be: Department Chair, two attendings, and one research mentor (if you worked closely together and have a good working relationship). That said, only ask people who are willing to write you a strong recommendation!

A Department Chair Letter is required if you chose to apply to a Preliminary Year prior to an Advanced Neurology Residency. Please check the individual program websites for more specific expectations.

In addition to your 4th year Medicine Sub-I rotation, away rotations in Neurology are strongly recommended. Some of the benefits of doing an away rotation include networking, increasing the number of interview invitations you’re likely to receive, and figuring out what you’re looking for in a residency program and having an endorsement from faculty from your away rotations can make a very positive impact on your application. We recommend working closely with your Career Advisor and Specialty Advisor to help with this decision.

Information specific for Neurology

The field of Neurology is exciting cerebral specialty as the field of neurological therapeutics has grown significantly.  Adult Neurology is 4 years long including a Preliminary or Transitional Year in Internal Medicine followed by 3 years of Neurology training.  There are a number of categorical opportunities available as well.  Preparation for a strong application to Neurology includes demonstrating a commitment to the field such as participation in Student Interest groups, health fairs, volunteer work in free clinics and affiliation with the American Academy of Neurology (AAN).  Solid performances on your 3rd year IM clerkship and Neurology rotations is paramount. 

Additional Resources

Click here to visit the American Academy of Neurology website