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NEUROLOGY 2005;64:942-948
© 2005 American Academy of Neurology
Contemporary Issues

Specialty care by child neurologists

A workforce analysis

D. Polsky, PhD, J. Weiner, MPH, J. F. Bale, Jr, MD, S. Ashwal, MD and M. J. Painter, MD

From the Division of General Internal Medicine and Leonard Davis Institute of Health Economics (Drs. Polsky and Weiner), University of Pennsylvania, Philadelphia, Department of Pediatrics (Dr. Bale), University of Utah, Salt Lake City, Division of Pediatric Neurology (Dr. Ashwal), Loma Linda University School of Medicine, CA, and Department of Neurology (Dr. Painter), University of Pittsburgh School of Medicine, PA.

Address correspondence and reprint requests to Dr. D. Polsky, Division of General Internal Medicine, University of Pennsylvania, Blockley Hall, Rm. 1212, Philadelphia, PA 19104; e-mail: polsky{at}mail.med.upenn.edu

Objective: To provide a current profile of the practice of child neurology, report the attitudes of child neurologists toward practice, and analyze the supply of child neurologists.

Methods: In March 2002, a questionnaire was sent to all active members of the Child Neurology Society (n = 1,051) and to nonmember physicians under age 70 who listed child neurology as a primary or secondary specialty on the American Medical Association Masterfile (n = 433). The response rate was 65%. Eligibility criteria were then applied to arrive at the sample of main specialty in child neurology working at least 20 hours per week in patient care. The final population was 604. Differences in practice characteristics were tested by practice type, and the number of full-time patient care child neurologists was projected by extrapolating to nonrespondents.

Results: There are 904 full-time patient care child neurologists in the United States and 1.27 per 100,000 children. Career satisfaction is 90%, yet no growth in the supply is projected over the next 20 years. Wait times for an appointment average 53 and 44 days for a new and return visit, with longer wait times in university settings. Average annual income is $151,000.

Conclusion: The practice characteristics of child neurologists suggest that the specialty will be challenged to meet patient demands.

Supported by a grant from the Child Neurology Society.

Received May 20, 2004. Accepted in final form November 8, 2004.




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