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On national needs for neurologists in the United States

Neurology Service, Veterans Administration Hospital, and the Department of Neurology, Georgetown University School of Medicine (Dr. Kurtzke), Washington, DC; the Department of Neurology, University of Nebraska College of Medicine, and Creighton University School of Medicine (Dr. Bennett), Omaha, NE; the Department of Pediatric Neurology, University of California Medical Center (Dr. Berg), San Francisco; the Department of Community Health, University of Kansas School of Medicine (Dr. Beringer), Kansas City, MO; the National Institute of Neurological and Communicative Diseases and Stroke (Dr. Goldstein), Bethesda, MD; and (Dr. Vates) Wilmington, DE. The authors constitute the membership of the Committee on National Needs for Neurologists (CN
³) of the American Academy of Neurology. However, the views expressed herein are those of the authors themselves and do not necessarily reflect the opinions of the Academy or of the authors' institutions.

Estimates of the number of neurologists needed in the United States have been widely divergent. For direct patient care needs alone in a US population of 243.5 million, the Joint Commission on Neurology (ANA-AAN) estimate was 14,000 neurologists, the Delphi Panel median (Battelle/GMENAC) 11,200, and the Advisory Panel (Battelle/GMENAC) 6,200; our review suggests a need for 12,600. Total needs for clinical neurologists including faculty were 8,400 (Advisory Panel), 14,500 (Delphi Panel), and 16,500 (ours) for respective rates of 3.44, 5.96, and 6.76 neurologists per 100,000 population.

Address correspondence and reprint requests to Dr. Kurtzke, Neurology Service 127, VA Medical Center, 50 Irving Street, NW, Washington, DC 20422.

Supported by the American Academy of Neurology, the Veterans Administration (Neuroepidemiology Research Program), and the University of Kansas (Department of Community Health).

Accepted for publication July 26, 1985.

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