The practice of neurology, 2000–2010

Adornato, Bruce T.; Drogan, Oksana; Thoresen, Paul; Coleman, Mary; Henderson, Victor W.; Henry, Kaysha; Liu, L.; Mortimer, John; Schneck, Michael; Borenstein, Amy R.

doi:10.1212/wnl.0b013e318238ee13

Cited by 60 publications

(29 citation statements)

References 10 publications

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“…Half of neurologists practiced within a major city, and one-third practiced in a suburban or moderate-sized city. The study population has similar demographic characteristics to the population of neurologists who are members of the American Academy of Neurology (AAN), which has a mean age of 53 years, 76% males, 80% who identify as white, 28% in a neurology group, 24% in solo practice, and 36% in multispecialty/university settings [28]. Neurologists in the study population indicated the highest satisfaction with their relationship with patients (mean = 4.20 out of a 5-point Likert-scale) and lowest satisfaction with their pay (mean = 2.97 out of a 5-point Likert-scale; Table 2).…”

Section: Resultsmentioning

confidence: 99%

Factors influencing professional life satisfaction among neurologists

Teixeira-Poit

Halpern

Kane

et al. 2017

BMC Health Serv Res

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BackgroundPredicted shortages in the supply of neurologists may limit patients’ access to and quality of care for neurological disorders. Retaining neurologists already in practice provides one opportunity to support the overall supply of practicing neurologists. Understanding factors associated with professional life satisfaction (and dissatisfaction) and implementing policies to enhance satisfaction may encourage neurologists to remain in clinical practice. In this paper, we present results from the first study examining factors associated with professional life satisfaction among a large sample of U.S, neurologists.MethodsWe collaborated with the AAN to survey a sample of U.S. neurologists about their professional life satisfaction. Analyses examined the association of physician and practice characteristics with aspects of professional life satisfaction, including satisfaction with their career in medicine, medical specialty, current position, relationship with colleagues, relationship with patients, work/life balance, and pay.ResultsThe study population consisted of 625 neurologists. In multivariate regression analyses, no single group or population stratum indicated high (or low) responses to all aspects of satisfaction. Older neurologists reported higher satisfaction with career, specialty, and relationship with patients than younger neurologists. Female neurologists had significantly lower satisfaction with pay than male neurologists. Neurologists who spent more time in research and teaching had greater satisfaction with specialty, relationship with colleagues, and relationship with patients than those spending no time in research. Neurologists who practiced in small cities/rural areas reported lower satisfaction across multiple dimensions than those practicing in large urban areas. Neurologists in solo practice had greater satisfaction with the relationship with their patients, but lower satisfaction with pay.ConclusionsSatisfaction is a multidimensional construct that is associated with physician and practice characteristics. Enhancing professional life satisfaction among neurologists requires multiple strategies, such as promoting comparable wages for men and women, providing collaboration and research opportunities, and providing resources for small and rural practices.Electronic supplementary materialThe online version of this article (doi:10.1186/s12913-017-2343-8) contains supplementary material, which is available to authorized users.

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Section: Resultsmentioning

confidence: 99%

Factors influencing professional life satisfaction among neurologists

Teixeira-Poit

Halpern

Kane

et al. 2017

BMC Health Serv Res

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“…Since 2012, only 10 new ACGME-Recognized Vascular Neurology fellowships have been inaugurated, which totals 82 at the time of this manuscript. The heterogeneous distribution of neurovascular specialists complicates matters, with underserved areas exhibiting the lowest density of vascular neurologists [65-67]. Several strategies have been suggested to meet this need, including increasing the number of vascular neurology training positions, decreasing accumulated tuition bur dens, and improving reimbursement for this specialty [2].…”

Section: Overview Of Strategies and Tools (Fig 3)mentioning

confidence: 99%

Mandatory Neuroendovascular Evolution: Meeting the New Demands

et al. 2018

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Background: Traditionally, patients undergoing acute ischemic strokes were candidates for mechanical thrombectomy if they were within the 6-h window from onset of symptoms. This timeframe would exclude many patient populations, such as wake-up strokes. However, the most recent clinical trials, DAWN and DEFUSE3, have expanded the window of endovascular treatment for acute ischemic stroke patients to within 24 h from symptom onset. This expanded window increases the number of potential candidates for endovascular intervention for emergent large vessel occlusions and raises the question of how to efficiently screen and triage this increase of patients. Summary: Abbreviated pre-hospital stroke scales can be used to guide EMS personnel in quickly deciding if a patient is undergoing a stroke. Telestroke networks connect remote hospitals to stroke specialists to improve the transportation time of the patient to a comprehensive stroke center for the appropriate level of care. Mobile stroke units, mobile interventional units, and helistroke reverse the traditional hub-and-spoke model by bringing imaging, tPA, and expertise to the patient. Smartphone applications and social media aid in educating patients and the public regarding acute and long-term stroke care. Key Messages: The DAWN and DEFUSE3 trials have expanded the treatment window for certain acute ischemic stroke patients with mechanical thrombectomy and subsequently have increased the number of potential candidates for endovascular intervention. This expansion brings patient screening and triaging to greater importance, as reducing the time from symptom onset to decision-to-treat and groin puncture can better stroke patient outcomes. Several strategies have been employed to address this issue by reducing the time of symptom onset to decision-to-treat time.

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“…There are pros and cons to increasing subspecialization within neurology (8–11). Increased subspecialization can facilitate clinical and translational research as well as improved patient care.…”

Section: Future Of Subspecializationmentioning

confidence: 99%