Child neurology in the 21st century: More than the sum of our RVUs.

Humans Neurology / economics Pediatrics / economics Relative Value Scales

Journal

Neurology
ISSN: 1526-632X
Titre abrégé: Neurology
Pays: United States
ID NLM: 0401060

Informations de publication

Date de publication:
14 01 2020
Historique:
received: 20 03 2019
accepted: 29 10 2019
pubmed: 26 12 2019
medline: 20 3 2020
entrez: 26 12 2019
Statut: ppublish

Résumé

In September 2017, the Child Neurology Society (CNS) convened a special task force to review the practice of child neurology in the United States. This was deemed a necessity by our membership, as our colleagues expressed discouragement and burnout by the increase in workload without additional resources; reliance on work relative value units (wRVUs) as the sole basis of compensation; a push by administrators for providers to see more patients with less allotted time; and lack of administrative, educational, and research support. The CNS Task Force designed and distributed a survey to multiple academic divisions of various sizes, as well as to private practices. Our findings were strikingly similar across different practices, demonstrating high workloads, lack of resources, poor electronic medical record support, and high provider symptoms of fatigue and burnout. From the results, the CNS Task Force has concluded that wRVUs cannot be the sole basis of compensation for child neurology. We have also made several specific recommendations for alleviating the current situation, including innovative ways to fund child neurology as well as ways to enhance job satisfaction.

Identifiants

DOI: 10.1212/WNL.0000000000008784 PMID: 31874925
pubmed: 31874925
pii: WNL.0000000000008784
doi: 10.1212/WNL.0000000000008784
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

75-82

Commentaires et corrections

Type : CommentIn
Type : CommentIn
Type : CommentIn
Type : CommentIn
Type : CommentIn

Informations de copyright

© 2019 American Academy of Neurology.

Auteurs

Mary L Zupanc (ML)

From the Department of Pediatrics and Neurology (M.L.Z.), Division of Pediatric Neurology, Children's Hospital of Orange County, Orange, CA; Neurodevelopmental Science Center (B.H.C.), Akron Children's Hospital, OH; Department of Pediatrics, Neurology, and Molecular Genetics and Microbiology (P.B.K.), University of Florida, Gainesville; Department of Pediatrics and Neurology (D.E.M.), Alpert Medical School of Brown University, Providence, RI; Department of Neurology (J.M.), University of Rochester Medical Center (J.M.), NY; The Center for Neurological and Neurodevelopmental Health and the Clinical Research Center (M.M.), Voorhees Township, NJ; Department of Neurology and Pediatrics (A.T.), Louisiana State University, Baton Rouge; and Department of Pediatrics and Neurology (W.T.), Penn State University, Milton S. Hershey Medical Center. mzupanc@choc.org.

Bruce H Cohen (BH)

From the Department of Pediatrics and Neurology (M.L.Z.), Division of Pediatric Neurology, Children's Hospital of Orange County, Orange, CA; Neurodevelopmental Science Center (B.H.C.), Akron Children's Hospital, OH; Department of Pediatrics, Neurology, and Molecular Genetics and Microbiology (P.B.K.), University of Florida, Gainesville; Department of Pediatrics and Neurology (D.E.M.), Alpert Medical School of Brown University, Providence, RI; Department of Neurology (J.M.), University of Rochester Medical Center (J.M.), NY; The Center for Neurological and Neurodevelopmental Health and the Clinical Research Center (M.M.), Voorhees Township, NJ; Department of Neurology and Pediatrics (A.T.), Louisiana State University, Baton Rouge; and Department of Pediatrics and Neurology (W.T.), Penn State University, Milton S. Hershey Medical Center.

Peter B Kang (PB)

From the Department of Pediatrics and Neurology (M.L.Z.), Division of Pediatric Neurology, Children's Hospital of Orange County, Orange, CA; Neurodevelopmental Science Center (B.H.C.), Akron Children's Hospital, OH; Department of Pediatrics, Neurology, and Molecular Genetics and Microbiology (P.B.K.), University of Florida, Gainesville; Department of Pediatrics and Neurology (D.E.M.), Alpert Medical School of Brown University, Providence, RI; Department of Neurology (J.M.), University of Rochester Medical Center (J.M.), NY; The Center for Neurological and Neurodevelopmental Health and the Clinical Research Center (M.M.), Voorhees Township, NJ; Department of Neurology and Pediatrics (A.T.), Louisiana State University, Baton Rouge; and Department of Pediatrics and Neurology (W.T.), Penn State University, Milton S. Hershey Medical Center.

David E Mandelbaum (DE)

From the Department of Pediatrics and Neurology (M.L.Z.), Division of Pediatric Neurology, Children's Hospital of Orange County, Orange, CA; Neurodevelopmental Science Center (B.H.C.), Akron Children's Hospital, OH; Department of Pediatrics, Neurology, and Molecular Genetics and Microbiology (P.B.K.), University of Florida, Gainesville; Department of Pediatrics and Neurology (D.E.M.), Alpert Medical School of Brown University, Providence, RI; Department of Neurology (J.M.), University of Rochester Medical Center (J.M.), NY; The Center for Neurological and Neurodevelopmental Health and the Clinical Research Center (M.M.), Voorhees Township, NJ; Department of Neurology and Pediatrics (A.T.), Louisiana State University, Baton Rouge; and Department of Pediatrics and Neurology (W.T.), Penn State University, Milton S. Hershey Medical Center.

Jonathan Mink (J)

From the Department of Pediatrics and Neurology (M.L.Z.), Division of Pediatric Neurology, Children's Hospital of Orange County, Orange, CA; Neurodevelopmental Science Center (B.H.C.), Akron Children's Hospital, OH; Department of Pediatrics, Neurology, and Molecular Genetics and Microbiology (P.B.K.), University of Florida, Gainesville; Department of Pediatrics and Neurology (D.E.M.), Alpert Medical School of Brown University, Providence, RI; Department of Neurology (J.M.), University of Rochester Medical Center (J.M.), NY; The Center for Neurological and Neurodevelopmental Health and the Clinical Research Center (M.M.), Voorhees Township, NJ; Department of Neurology and Pediatrics (A.T.), Louisiana State University, Baton Rouge; and Department of Pediatrics and Neurology (W.T.), Penn State University, Milton S. Hershey Medical Center.

Mark Mintz (M)

From the Department of Pediatrics and Neurology (M.L.Z.), Division of Pediatric Neurology, Children's Hospital of Orange County, Orange, CA; Neurodevelopmental Science Center (B.H.C.), Akron Children's Hospital, OH; Department of Pediatrics, Neurology, and Molecular Genetics and Microbiology (P.B.K.), University of Florida, Gainesville; Department of Pediatrics and Neurology (D.E.M.), Alpert Medical School of Brown University, Providence, RI; Department of Neurology (J.M.), University of Rochester Medical Center (J.M.), NY; The Center for Neurological and Neurodevelopmental Health and the Clinical Research Center (M.M.), Voorhees Township, NJ; Department of Neurology and Pediatrics (A.T.), Louisiana State University, Baton Rouge; and Department of Pediatrics and Neurology (W.T.), Penn State University, Milton S. Hershey Medical Center.

Ann Tilton (A)

From the Department of Pediatrics and Neurology (M.L.Z.), Division of Pediatric Neurology, Children's Hospital of Orange County, Orange, CA; Neurodevelopmental Science Center (B.H.C.), Akron Children's Hospital, OH; Department of Pediatrics, Neurology, and Molecular Genetics and Microbiology (P.B.K.), University of Florida, Gainesville; Department of Pediatrics and Neurology (D.E.M.), Alpert Medical School of Brown University, Providence, RI; Department of Neurology (J.M.), University of Rochester Medical Center (J.M.), NY; The Center for Neurological and Neurodevelopmental Health and the Clinical Research Center (M.M.), Voorhees Township, NJ; Department of Neurology and Pediatrics (A.T.), Louisiana State University, Baton Rouge; and Department of Pediatrics and Neurology (W.T.), Penn State University, Milton S. Hershey Medical Center.

William Trescher (W)

From the Department of Pediatrics and Neurology (M.L.Z.), Division of Pediatric Neurology, Children's Hospital of Orange County, Orange, CA; Neurodevelopmental Science Center (B.H.C.), Akron Children's Hospital, OH; Department of Pediatrics, Neurology, and Molecular Genetics and Microbiology (P.B.K.), University of Florida, Gainesville; Department of Pediatrics and Neurology (D.E.M.), Alpert Medical School of Brown University, Providence, RI; Department of Neurology (J.M.), University of Rochester Medical Center (J.M.), NY; The Center for Neurological and Neurodevelopmental Health and the Clinical Research Center (M.M.), Voorhees Township, NJ; Department of Neurology and Pediatrics (A.T.), Louisiana State University, Baton Rouge; and Department of Pediatrics and Neurology (W.T.), Penn State University, Milton S. Hershey Medical Center.

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Classifications MeSH

questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Child neurology in the 21st century: More than...
questionsmedicales.fr › Professions de santé › Médecine › Neurologie › Child neurology in the 21st century: More than...
questionsmedicales.fr › Professions de santé › Médecine › Pédiatrie › Child neurology in the 21st century: More than...
questionsmedicales.fr › Administration des services de santé › Organisation et administration › Barème d'honoraires › Échelles de valeur relative › Child neurology in the 21st century: More than...