Viewpoint |

Upcoming Challenges for Neurologists in the United States

Bruce Sigsbee, MD, MS1; Orly Avitzur, MD, MBA2
[+] Author Affiliations
1Penobscot Bay Medical Center, Union, Maine
2New York Medical College, Valhalla, New York
JAMA Neurol. 2013;70(9):1097-1098. doi:10.1001/jamaneurol.2013.3299.
Text Size: A A A
Published online


The national debt crisis has and will continue to impact neurologists in fundamental ways, all of which threaten the viability of a specialty already projected to have serious workforce shortages. Neurology as a specialty is in crisis. Practice, training, and research funds have all experienced cutbacks, and yet the gross federal debt has risen to 100% of the gross domestic product.1 A highly divided Congress has been unable to agree on a solution to the debt, resulting in across-the-board cuts (sequestration). The pressure on spending will lead to further cuts on the federal level, ones that are often mirrored by the private sector. These financial pressures occur at a time when neurology is poised to modify the course of major diseases such as Alzheimer disease, Parkinson disease, and genetic neurologic disease. Assuring the continued development of these advances will require fundamental attention to basics as well as innovative solutions.

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
First page PDF preview





Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Topics