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Impact of Subspecialization

  • Trent S. Hodgson, Medical Student, University of Chicago Pritzker School of Medicinethodgson@uchicago.edu
  • Trent S. Hodgson, Chicago, IL; Rimas V. Lukas, Chicago, IL
Submitted August 14, 2013

Dall et al. noted that the future supply of neurologists will be affected by the increasing subspecialization of younger neurologists. The decision to subspecialize is a highly personal decision that may not be driven by patient demand. [2] This, in addition to the geographic distribution of neurologists demonstrated by Dall et al., could lead to an oversupply in a few subspecialties and a shortfall in others. All of this will be in the context of upcoming economic challenges described in the recent report by the AAN Workforce Task Force. [3] Given the potentially large impact of increasing subspecialization, it is important to monitor the effects of new accreditations that are being created for neurology fellowship programs by the American Board of Psychiatry and Neurology and United Council for Neurologic Subspecialties. [4]

1. Dall TM, Storm MC, Chakrabarti R, et al. Supply and demand analysis of the current and future US neurology workforce. Neurology 2013;81:470-478.

2. American Academy of Neurology. 2011 AAN Resident ?Survey Final Report. St. Paul: American Academy of Neu- rology; 2011. Available at http://www.aan.com/globals/ axon/assets/9124.pdf. Accessed June 15, 2012.

3. Freeman WD, Vatz KA, Griggs RC, Pedley T. The Workforce Task Force Report: Clinical implications for neurology. Neurology;2013: 81:479- 486

4. Hodgson TS, Brorson JR, Ardelt AA, Lukas RV. Accrediting neurology fellowships accelerates subspecialization. Front Neurol 2013;4:94. Available at http://www.frontiersin.org/Neurology_Education/10.3389/fneur.2013.00094/full

For disclosures, please contact the editorial office at journal@neurology.org.

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