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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 19851986, the average annual production (incidence) of general neurologists for 19801986 was 363.6 and of child neurologists for 19821986,53.8. About
of these general neurologists and
of child neurologists are women; about
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
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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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. [Abstract] [Full Text] [PDF] |
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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. [Abstract] [Full Text] [PDF] |
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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. [Abstract] [Full Text] [PDF] |
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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. [Abstract] [Full Text] [PDF] |
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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. [Abstract] [Full Text] [PDF] |
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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. [Abstract] [Full Text] [PDF] |
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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. [Abstract] [Full Text] [PDF] |
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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. [Abstract] [Full Text] [PDF] |
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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. [Abstract] [Full Text] [PDF] |
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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. [Abstract] [Full Text] [PDF] |
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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. [Abstract] [Full Text] [PDF] |
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Assessment of plasmapheresis Neurology, September 1, 1996; 47(3): 840 - 843. [Full Text] [PDF] |
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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. [Abstract] [Full Text] [PDF] |
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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. [Abstract] [Full Text] [PDF] |
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