Peter B Kang1, James F Bale2, Mark Mintz2, Sucheta M Joshi2, Donald L Gilbert2, Carrie Radabaugh2, Holly Ruch-Ross2. 1. From the Division of Pediatric Neurology (P.B.K.), Department of Pediatrics, University of Florida College of Medicine, Gainesville; Division of Pediatric Neurology (J.F.B.), University of Utah School of Medicine, Salt Lake City; The Center for Neurological and Neurodevelopmental Health and the Clinical Research Center of New Jersey (M.M.), Voorhees; Division of Pediatric Neurology (S.M.J.), Department of Pediatrics and Communicable Diseases, University of Michigan, Ann Arbor; Division of Pediatric Neurology (D.L.G.), Cincinnati Children's Hospital Medical Center, OH; and American Academy of Pediatrics Division of Workforce and Medical Education Policy (C.R., H.R.-R.), Elk Grove Village, IL. pbkang@ufl.edu. 2. From the Division of Pediatric Neurology (P.B.K.), Department of Pediatrics, University of Florida College of Medicine, Gainesville; Division of Pediatric Neurology (J.F.B.), University of Utah School of Medicine, Salt Lake City; The Center for Neurological and Neurodevelopmental Health and the Clinical Research Center of New Jersey (M.M.), Voorhees; Division of Pediatric Neurology (S.M.J.), Department of Pediatrics and Communicable Diseases, University of Michigan, Ann Arbor; Division of Pediatric Neurology (D.L.G.), Cincinnati Children's Hospital Medical Center, OH; and American Academy of Pediatrics Division of Workforce and Medical Education Policy (C.R., H.R.-R.), Elk Grove Village, IL.
Abstract
OBJECTIVES: More than a decade has passed since the last major workforce survey of child neurologists in the United States; thus, a reassessment of the child neurology workforce is needed, along with an inaugural assessment of a new related field, neurodevelopmental disabilities. METHODS: The American Academy of Pediatrics and the Child Neurology Society conducted an electronic survey in 2015 of child neurologists and neurodevelopmental disabilities specialists. RESULTS: The majority of respondents participate in maintenance of certification, practice in academic medical centers, and offer subspecialty care. EEG reading and epilepsy care are common subspecialty practice areas, although many child neurologists have not had formal training in this field. In keeping with broader trends, medical school debts are substantially higher than in the past and will often take many years to pay off. Although a broad majority would choose these fields again, there are widespread dissatisfactions with compensation and benefits given the length of training and the complexity of care provided, and frustrations with mounting regulatory and administrative stresses that interfere with clinical practice. CONCLUSIONS: Although not unique to child neurology and neurodevelopmental disabilities, such issues may present barriers for the recruitment of trainees into these fields. Creative approaches to enhance the recruitment of the next generation of child neurologists and neurodevelopmental disabilities specialists will benefit society, especially in light of all the exciting new treatments under development for an array of chronic childhood neurologic disorders.
OBJECTIVES: More than a decade has passed since the last major workforce survey of child neurologists in the United States; thus, a reassessment of the child neurology workforce is needed, along with an inaugural assessment of a new related field, neurodevelopmental disabilities. METHODS: The American Academy of Pediatrics and the Child Neurology Society conducted an electronic survey in 2015 of child neurologists and neurodevelopmental disabilities specialists. RESULTS: The majority of respondents participate in maintenance of certification, practice in academic medical centers, and offer subspecialty care. EEG reading and epilepsy care are common subspecialty practice areas, although many child neurologists have not had formal training in this field. In keeping with broader trends, medical school debts are substantially higher than in the past and will often take many years to pay off. Although a broad majority would choose these fields again, there are widespread dissatisfactions with compensation and benefits given the length of training and the complexity of care provided, and frustrations with mounting regulatory and administrative stresses that interfere with clinical practice. CONCLUSIONS: Although not unique to child neurology and neurodevelopmental disabilities, such issues may present barriers for the recruitment of trainees into these fields. Creative approaches to enhance the recruitment of the next generation of child neurologists and neurodevelopmental disabilities specialists will benefit society, especially in light of all the exciting new treatments under development for an array of chronic childhood neurologic disorders.
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