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Fellowship and Early Attending Career: Part One
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The leap from neurology residency to attending brings a critical decision - fellowship training or direct practice? In this compelling episode, Harvard neurologists Dr. Galina Gheihman and Dr. Denis Balaban share their contrasting post-residency paths, offering a roadmap for trainees wrestling with their next career steps.
Dr. Gheihman opted to bypass traditional fellowship, instead pursuing a "primary care neurology" role while simultaneously earning a master's in medical education. Her candid perspective on readiness resonates deeply: "You aren't confident, but you are competent - and there's a difference." For those intimidated by independent practice, she provides practical strategies for managing the transition and emphasizes that general neurology remains a fulfilling, academically rich career path.
Meanwhile, Dr. Balaban shares his journey through multiple fellowships, including a rare industry-sponsored position that offered unprecedented insights into pharmaceutical medicine. His behind-the-scenes look at clinical trials, drug development timelines, and the physician's role in industry pulls back the curtain on career possibilities rarely discussed during training.
Both neurologists tackle the challenging question of whether three years of residency adequately prepares physicians for the growing complexity of neurological care. They explore innovative educational models, from specialty tracks to competency-based approaches, while emphasizing the critical importance of strong mentorship in visualizing diverse career paths.
This conversation offers honest, practical guidance for navigating the post-residency landscape. Whether you're considering fellowship, direct practice, academic medicine, or industry roles, you'll gain valuable perspective on aligning your next steps with your true professional passions.
Don't miss part two of this illuminating discussion, coming soon to the Neurophilia podcast. Subscribe now to continue exploring the transition to attending life with our experienced guests.
Hosts:
Dr. Nupur Goel is a second-year neurology resident at Mass General Brigham in Boston, MA. Follow Dr. Nupur Goel on Twitter @mdgoels
Dr. Blake Buletko is a vascular neurologist and program director of the Adult Neurology Residency Program at the Cleveland Clinic in Cleveland, OH. Follow Dr. Blake Buletko on Twitter @blakebuletko
Follow the Neurophilia Podcast on Twitter and Instagram @NeurophiliaPod
Chapters
1. Fellowship and Early Attending Career: Part One (00:00:00)
2. Meet Our Harvard Neurologist Guests (00:00:12)
3. Reflections from the AAN Conference (00:04:20)
4. What Drew Our Guests to Neurology (00:06:47)
5. Choosing General Neurology vs Fellowship (00:17:11)
6. Inside the World of Industry and Clinical Trials (00:27:36)
7. Career Advice for Neurology Residents (00:39:50)
8. Episode Closing and Part 2 Preview (00:42:36)
30 episodes
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