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NEUROLOGY 1991;41:1
© 1991 American Academy of Neurology

On the production of neurologists in the United States

An update

John F. Kurtzke, MD, Frances M. Murphy, MD and Melinda A. Smith, BSW, MLA

Neuroepidemiology Research Program and Neurology Service, Veterans Affairs Medical Center, and the Department of Neurology, Georgetown University School of Medicine, Washington, DC.

Based primarily on a survey of all neurology residency training programs in the United States conducted in 1985–1986, the average annual production (incidence) of general neurologists for 1980–1986 was 363.6 and of child neurologists for 1982–1986,53.8. About 1/4 of these general neurologists and 1/3 of child neurologists are women; about 1/4 of either are foreign medical graduates, predominantly foreign-born. Data routinely published by the AMA well match the questionnaire information. First postgraduate year of training was in internal medicine for 2/3 of general neurologists. Board certifications have recently averaged 290.9 (general) and 37.1 (child) per annum. From life-table calculations, prevalence of general neurologists in 1990 is estimated at 7,500 fully-trained and 5,500 board-certified, and of child neurologists near 1,100 trained and over 600 certified. The number of neurologists is predicted to plateau near the year 2020 at some 13,700 trained, including 1,700 child neurologists, and 9,800 certified (1,100 child). The maximal prevalence rate for all neurologists will be 4.75 per 100,000 population in 2010, declining then to 4.42 by 2050; those rates provide shortfalls of 30% and 35%, respectively, compared with previously calculated needs for neurologists.

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

Presented by Dr. Mark Dyken for the authors at the meeting of the Association of University Professors of Neurology, Miami, FL, May 1,1990.

Received May 22, 1990. Accepted for publication in final form May 24,1990.




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Neurology, February 1, 1997; 48(2): 437 - 444.
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S. Sriram and M. Rodriguez
Indictment of the microglia as the villain in multiple sclerosis
Neurology, February 1, 1997; 48(2): 464 - 470.
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M. Chehrenama, M. T. Zagardo, and C. L. Koski
Subarachnoid hemorrhage in a patient with lyme disease
Neurology, February 1, 1997; 48(2): 520 - 523.
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L. H. Harrison, B. Vaz, D. M. Taveira, T. C. Quinn, C. J. Gibbs, S. H. de Souza, J. C. McArthur, and M. Schechter
Myelopathy Among Brazilians Coinfected with Human T-cell Lymphotropic Virus Type I and HIV
Neurology, January 1, 1997; 48(1): 13 - 18.
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L. Fratiglioni, M. Viitanen, E. von Strauss, V. Tontodonati, A. Herlitz, and B. Winblad
Very Old Women at Highest Risk of Dementia and Alzheimer's Disease: Incidence Data from the Kungsholmen Project, Stockholm
Neurology, January 1, 1997; 48(1): 132 - 138.
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O. A. Selnes, N. Galai, J. C. McArthur, S. Cohn, W. Royal III, D. Esposito, and D. Vlahov
HIV Infection and Cognition in Intravenous Drug Users: Long-term Follow-up
Neurology, January 1, 1997; 48(1): 223 - 230.
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A. M. Connolly, A. Pestronk, S. Mehta, W. C. Yee, B. J. Green, C. Fellin, R. K. Olney, R. G. Miller, and W. N. Devor
Serum IgM Monoclonal Autoantibody Binding to the 301 to 314 Amino Acid Epitope of Beta-tubulin: Clinical Association with Slowly Progressive Demyelinating Polyneuropathy
Neurology, January 1, 1997; 48(1): 243 - 248.
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C. T. Bever Jr., P. A. Anderson, J. Leslie, H. S. Panitch, S. Dhib-Jalbut, O. A. Khan, R. Milo, J. R. Hebel, K. L. Conway, E. Katz, et al.
Treatment with oral 3,4 diaminopyridine improves leg strength in multiple sclerosis patients: Results of a randomized, double-blind, placebo-controlled, crossover trial
Neurology, December 1, 1996; 47(6): 1457 - 1462.
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J. K. Krauss, R. Trankle, and K.-H. Kopp
Post-traumatic movement disorders in survivors of severe head injury
Neurology, December 1, 1996; 47(6): 1488 - 1492.
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J. Pujol, J. Kulisevsky, A. Moreno, J. Deus, J. Alonso, J. Balanzo, J. L. Marti-Vilalta, and A. Capdevila
Expedited Publication: Neurospectroscopic alterations and globus pallidus hyperintensity as related magnetic resonance markers of reversible hepatic encephalopathy
Neurology, December 1, 1996; 47(6): 1526 - 1530.
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W. H. Poewe and G. K. Wenning
The natural history of Parkinson's disease
Neurology, December 1, 1996; 47(6_Suppl_3): 146S - 152S.
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I.G. McKeith, D. Galasko, K. Kosaka, E.K. Perry, D.W. Dickson, L.A. Hansen, D.P. Salmon, J. Lowe, S.S. Mirra, E.J. Byrne, et al.
Consensus guidelines for the clinical and pathologic diagnosis of dementia with Lewy bodies (DLB): Report of the consortium on DLB international workshop
Neurology, November 1, 1996; 47(5): 1113 - 1124.
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C. Bassetti, M. S. Aldrich, R. D. Chervin, and D. Quint
Sleep apnea in patients with transient ischemic attack and stroke: A prospective study of 59 patients
Neurology, November 1, 1996; 47(5): 1167 - 1173.
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I. Litvan, M. S. Mega, J. L. Cummings, and L. Fairbanks
Neuropsychiatric aspects of progressive supranuclear palsy
Neurology, November 1, 1996; 47(5): 1184 - 1189.
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M. F. Mendez, M. Cherrier, K. M. Perryman, N. Pachana, B. L. Miller, and J. L. Cummings
Frontotemporal dementia versus Alzheimer's disease: Differential cognitive features
Neurology, November 1, 1996; 47(5): 1189 - 1194.
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Clinical confirmation of the American Academy of Neurology algorithm for HIV-1-associated cognitive/motor disorder
Neurology, November 1, 1996; 47(5): 1247 - 1253.
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K. Sivakumar and M. C. Dalakas
The spectrum of familial inclusion body myopathies in 13 families and a description of a quadriceps-sparing phenotype in non-Iranian Jews
Neurology, October 1, 1996; 47(4): 977 - 984.
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W. Hellenbrand, A. Seidler, H. Boeing, B.-P. Robra, P. Vieregge, P. Nischan, J. Joerg, W. H. Oertel, E. Schneider, and G. Ulm
Diet and Parkinson's disease I: A possible role for the past intake of specific foods and food groups: Results from a self-administered food-frequency questionnaire in a case-control study
Neurology, September 1, 1996; 47(3): 636 - 643.
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W. Hellenbrand, H. Boeing, B.-P. Robra, A. Seidler, P. Vieregge, P. Nischan, J. Joerg, W. H. Oertel, E. Schneider, and G. Ulm
Diet and Parkinson's disease II: A possible role for the past intake of specific nutrients: Results from a self-administered food-frequency questionnaire in a case-control study
Neurology, September 1, 1996; 47(3): 644 - 650.
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L. J. Thal, A. Carta, W. R. Clarke, S. H. Ferris, R. P. Friedland, R. C. Petersen, J. W. Pettegrew, E. Pfeiffer, M. A. Raskind, M. Sano, et al.
A 1-year multicenter placebo-controlled study of acetyl-L-carnitine in patients with Alzheimer's disease
Neurology, September 1, 1996; 47(3): 705 - 711.
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K. Wong, Y. Qiu, W. Hyun, R. Nixon, J. VanCleff, J. Sanchez-Salazar, S. B. Prusiner, and S. J. DeArmond
Decreased receptor-mediated calcium response in prion-infected cells correlates with decreased membrane fluidity and IP sub 3 release
Neurology, September 1, 1996; 47(3): 741 - 750.
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D. A. Greenberg, M. Durner, S. Shinnar, S. Resor, D. Rosenbaum, I. Klotz, E. Dicker, M. Keddache, G. Zhou, X. Yang, et al.
Association of HLA class II alleles in patients with juvenile myoclonic epilepsy compared with patients with other forms of adolescent-onset generalized epilepsy
Neurology, September 1, 1996; 47(3): 750 - 755.
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Assessment of plasmapheresis
Neurology, September 1, 1996; 47(3): 840 - 843.
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W. B. Dobyns, E. Andermann, F. Andermann, D. Czapansky-Beilman, F. Dubeau, O. Dulac, R. Guerrini, B. Hirsch, D. H. Ledbetter, N. S. Lee, et al.
X-linked malformations of neuronal migration
Neurology, August 1, 1996; 47(2): 331 - 339.
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T. P. Melo, A. N. Pinto, and J. M. Ferro
Headache in intracerebral hematomas
Neurology, August 1, 1996; 47(2): 494 - 500.
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