Is fellowship training necessary for neurohospitalists?

Neurohospitalists are an emerging subspecialty group in neurology.(1) A recent survey of neurohospitalists found 75% of respondents had completed general neurology residency plus additional fellowship training (54% vascular neurology, 13% neurocritical care, and 33% other).(2) A limited number of neurohospitalist fellowship positions(3,4) are offered in the United States, however, a standardized curriculum or subspecialty certification examination does not currently exist. Given the recent dialogue surrounding the utility of neurohospitalist fellowship training, the purpose of this article is to provide 2 contrasting perspectives on the perceived need for neurohospitalist fellowship training.