Abstract
The need for subspecialty-trained neurologists is growing in parallel with increasing disease burden. However, despite the immense burden of neurological diseases, like headache and neurodegenerative disorders, recruitment into these subspecialties remains insufficient in the United States. In this manuscript, a group of educators from the American Academy of Neurology’s A.B. Baker Section on Neurological Education sought to review and discuss the current landscape of neurology fellowships in the United States, the factors driving fellowship recruitment and the educational barriers. Moreover, suggestions to potentially improve recruitment for under-selected fellowships, which can contribute towards an alignment between neurological education and neurological needs, and future educational scenarios are discussed.
Highlights
A group of educators from the American Academy of Neurology (AAN) A.B
The Global Burden of Disease collaborators report that migraine, Alzheimer’s disease (AD) and other dementias, and Parkinson’s disease (PD) ranked second, third, and eleventh in terms of disease-adjusted life-years (DALYs, which is the sum of years of life lost and years lived with disability) by age and sex, among the fifteen neurological conditions causing high DALYs worldwide
Health Workforce in 2017 predicted that between 2013 and 2025 the supply of neurologists will likely grow by 11%, while demand will grow by 16%, resulting in an 820-physician full-time equivalent (FTE) shortfall [5, 6]
Summary
With the burden of neurological disorders sharply rising, there is a pressing need for subspecialty neurology training in the USA [1]. A recent workforce gap analysis demonstrates that, despite only around 500 certified headache specialists in the USA, 3700 specialists are needed to care for the most affected people [7]. There is a mismatch between the DALY’s of these conditions and numbers of trained subspecialty providers. This is influenced by the deficiency of the neurology workforce, and by the subsequent subspecialty choices of those training in neurology
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