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1. Role of the neurologist. Neurologists are essential for the accurate diagnosis and treatment of neurologic diseases. They train future neurologists and teach neurology to medical students, primary care physicians, and other non-neurologist physicians, as well as nonphysician health care workers in managed care organizations and medical group practices. About 20% of all neurologists are in full-time academic positions where they teach and conduct research.
2. National number of neurologists. There is no consensus about the specific number of neurologists currently needed in the United States. The Council on Graduate Medical Education (COGME) has concluded that there is an oversupply of most medical specialists, including neurologists. However, many academic positions in neurology are not filled, and many jobs for practicing neurologists are advertised in professional journals.
Any agreement by professional societies of neurologists to restrict the number of neurologists would violate antitrust laws. However, it is appropriate to establish standards of quality for neurologists or for those in training.
The health care system is changing rapidly and a workforce estimate may be based inappropriately on health maintenance organizations or managed care models. …
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