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Commentary| Volume 112, P22-24, November 2020

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Diversifying Child Neurology: Developing a Workforce That Reflects the Patients and Families for Whom We Care

  • Nina F. Schor
    Correspondence
    Communications should be addressed to: Dr. Schor; National Institute of Neurological Disorders and Stroke; National Institutes of Health; 31 Center Drive, Bethesda, MD 20892.
    Affiliations
    National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, Maryland
    Search for articles by this author
      The prevalence and rate of increase in prevalence of physicians from groups under-represented in medicine are lower in neurology, including child neurology, than in many other fields of medicine.
      • Lett L.A.
      • Orji W.U.
      • Sebro R.
      Declining racial and ethnic representation in clinical academic medicine: a longitudinal study of 16 US medical specialties.
      ,
      • Rimsza M.E.
      • Ruch-Ross H.S.
      • Clemens C.J.
      • Moskowitz W.B.
      • Mulvey H.J.
      Workforce trends and analysis of selected pediatric subspecialties in the United States.
      Early exposure to basic and clinical neuroscience enhances the likelihood of pursuit of a career in neurology.
      • Gutmann L.
      • Cahill C.
      • Jordan J.T.
      • et al.
      Characteristics of graduating US allopathic medical students pursuing a career in neurology.
      ,
      • Adair J.C.
      • Rudnicki S.A.
      • Boudreau E.
      • Weiner W.J.
      • Coyle P.K.
      • Corboy J.R.
      Survey of training programs’ means for promoting neurology and attracting trainees.
      For example, in the United States, 3.5% medical students obtained their undergraduate degree in the field of neuroscience. Of these students, 21.5% chose neurology as their likely specialty at matriculation. Although this fraction decreased somewhat by the time they graduated from medical school, students who majored in neuroscience remained more likely than their peers to become neurologists.
      • Rimsza M.E.
      • Ruch-Ross H.S.
      • Clemens C.J.
      • Moskowitz W.B.
      • Mulvey H.J.
      Workforce trends and analysis of selected pediatric subspecialties in the United States.
      During medical school, faculty mentors, exposure to a field during the first year of medical school, and outpatient experiences all play a role in attracting students to a specialty.
      • Gutmann L.
      • Cahill C.
      • Jordan J.T.
      • et al.
      Characteristics of graduating US allopathic medical students pursuing a career in neurology.
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        Declining racial and ethnic representation in clinical academic medicine: a longitudinal study of 16 US medical specialties.
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        Workforce trends and analysis of selected pediatric subspecialties in the United States.
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        Characteristics of graduating US allopathic medical students pursuing a career in neurology.
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