Obviously having a fellowship helps and opens more doors. Also it depends on what career path you chose. Outpatient general neuro, mixed neurophys is hands down most bang for your buck, with neuromuscular is close second. For inpatient, epilepsy or EEG heavy neurophys. Stroke is also valuable if you work at busy stroke centers or if you want to become a stroke director at some community hospital (more $$$).
Otherwise it’s really based on what you really want. Some people do fellowship to escape having to see mundane general neuro consults and instead they would like to focus on their area of interest. Others do it because you most likely going to need one if you gonna do academia.
Regardless, plenty of jobs to go around. You don’t need a fellowship to find a job if you’re not too fixated on a specific location.
With that said, I’m a fresh grad and I’m very familiar with the current market. Just this week I was approached by two recruiters for outpatient gen neuro jobs in SoCal. I don’t have a fellowship. I don’t do EMG. They didn’t care.