Caring for Our Sickest Patients
The Expanding Role of the Pediatric Neurohospitalist
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Expansion of the neurohospitalist role has improved coverage and care in adult hospitals. Similarly, the field of inpatient pediatric neurology has emerged in recent years and is taking shape as a formal career option at some institutions. The inpatient child neurologist cares for children with the potential for rapid neurologic decompensation who may require hyperacute or acute medical care in the intensive care unit and children who require moderate acuity neurologic care. Neurohospitalists provide care for patients with increasingly complex problems, and it is not surprising that physician surveys in recent years have shown that they are at increased risk of burnout; in a study of over 7,000 physicians, neurologists ranked third for rates of burnout.1 Subsequent studies have confirmed this alarming trend among neurologists and child neurologists,2,3 and the coronavirus disease 2019 (COVID-19) pandemic has only heightened this problem. A recent survey of health care providers found more than 1 in 5 physicians plan to leave their practice in the next 2 years.4
Footnotes
Go to Neurology.org/N for full disclosures. Funding information and disclosures deemed relevant by the authors, if any, are provided at the end of the editorial.
See page 789
- Received July 7, 2022.
- Accepted in final form August 1, 2022.
- © 2022 American Academy of Neurology
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