I am interested in applying for the neuromuscular match as a PMR resident. Will I be as competitive as a neurology resident? Is there anything specific I should highlight to better show my qualifications?
Is there a way to communicate with a program to share my level of interest more clearly (e.g., submitting a specific personal statement for the program I am most interested in similar to how we could be residency applications)?
This weekend, I had the opportunity to participate in AANEM’s Young Leadership Emerging Leaders Forum, where we discussed important topics related to physician contracting. One of the issues that came up was noncompete agreements — an increasingly important topic for early-career physicians.
The Current Landscape:
At the federal level, the Federal Trade Commission (FTC) voted to ban most noncompete agreements in April 2024. However, the rule is currently on hold due to ongoing legal challenges. A federal judge in Texas issued an injunction, questioning whether the FTC has the authority to enforce the ban. The issue is now under appeal, and it remains uncertain when — or if — the rule will take effect nationwide.
At the state level, laws vary dramatically:
Banned or heavily restricted: States like California, Minnesota, North Dakota, and Oklahoma prohibit most noncompetes.
Conditional enforcement: Other states allow noncompetes based on criteria like salary thresholds, job duties, or geographic limits.
In flux: Many legislatures are actively introducing reforms to limit or eliminate noncompetes, especially in healthcare.
Why This Matters for New Physicians:
Noncompete clauses can limit your ability to work within a certain geographic area after leaving a job — sometimes for 1–2 years or more. This is especially burdensome if you want to stay near family, are repaying student loans, or are part of a dual-physician couple.
Key risks for young doctors:
Geographic restrictions that force relocation after job changes.
Delayed career mobility if you’re unhappy with your first job.
Hidden legal language that’s not always obvious in the contract.
What You Can Do:
-Know your state laws. Even within the same region, rules can vary significantly.
-Negotiate early. Noncompetes are easier to modify before you sign — not after you’re on payroll. -Get legal advice. A lawyer familiar with physician contracts can help you understand what's enforceable and help you negotiate fairer terms. -Ask the right questions during interviews:
Is there a noncompete?
What is the geographic scope and duration?
Are there any carve-outs for specific locations or roles?
Bottom Line:
Noncompetes aren’t just legal boilerplate — they can reshape your life and career trajectory. While the federal situation remains unsettled, it’s up to you to stay informed and protect your options. Don’t sign anything without understanding the long-term implications.
There will be a session on contracting at the AANEM Annual Meeting in San Francisco so be sure to attend!
I wanted to post that I found great "peripheral neuroanatomy" videos on the TPP recently added, if you're interested in learning more neuroanatomy. They have foundational, intermediate, and advanced videos for all training levels. Check them out if you get a chance!
Join us for another ‘Lessons from the Lab – LIVE!” Zoom webinar as Drs. Devon Rubin and Christopher Lamb present and discuss a unique case of a young rock climber with arm weakness. This episode is certain to make you think, scratch your head, scrutinize waveforms, and wonder whether you should ever rock climb again. This will be presented as a live webinar, allowing you to chime in, share your thoughts, ask your questions, or even offer your disagreements! Hope to see you there.
I conducted a nerve conduction study on a 45-year-old man for whom the referring provider expressed concerns regarding peripheral neuropathy. The results revealed the absence of sural sensory and superficial fibular sensory responses on the left side. However, other nerve conduction studies, including fibular motor to EDB and TA, tibial motor, ulnar motor, and superficial radial sensory on the same side, were normal, along with needle EMG. What steps should I take next, and what conclusions can be drawn from this study?
