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Abstract Details

The Past, Present, and Future of the Clinical Neurophysiology Fellowship: A Survey of Program Directors
Research Methodology, 好色先生, and History
P2 - Poster Session 2 (5:30 PM-6:30 PM)
4-026

Examine the perceived effects of Epilepsy, Neuromuscular Medicine (NMM), and Sleep Medicine (SM) fellowships on the Clinical Neurophysiology (CNP) fellowships in terms of their structure, number of applicants, and future directions.

Clinical Neurophysiology is the first and largest ABPN-approved neurology subspecialty. CNP continues to encompass electromyography (EMG), electroencephalography, and sleep studies, among others, despite the advent of NMM (2008), SM (2009), and Epilepsy (2010) subspecialties. Since 2014, however, there has been a steady decline in the number of CNP fellows, while there has been a rise in the number of fellows in Epilepsy, especially. Given this, questions have been raised about the future of CNP fellowships.

Surveys were sent to program directors (PDs) of all ACGME-accredited CNP fellowships, both with and without other co-existing fellowships, to inquire about changes seen in CNP fellowships as a result of these newer fellowships.
Eighty-nine PDs were surveyed and 20 (22.5%) responded. Epilepsy was identified as the main new fellowship responsible for contributing to a decline in the number of CNP applications, both in Epilepsy+CNP programs (54.5%) and in CNP-only programs (57.1%). Among Epilepsy+CNP programs, 63.6% of PDs have changed structure by increasing elective exposure, decreasing epilepsy exposure, and decreasing CNP positions. In CNP+NMM programs, 50% of PDs believed the NMM program led to a decline in CNP applications, 100% changed their CNP fellowship structure to decrease EMG exposure, and 100% decreased the size of their CNP fellowship. Despite concerns, 100% of PDs plan to continue their CNP fellowship.
Despite CNP continuing to be the most populous neurology fellowship, Epilepsy and NMM fellowships may be contributing to a decline in CNP applications and structural changes, although no programs are planning to discontinue their CNP fellowships as a result.
Authors/Disclosures
Kalea L. Colletta, DO (Edward Hines Jr. VA Hospital)
PRESENTER 		Dr. Colletta has nothing to disclose.
Dorthea Juul, PhD (American Board of Psychiatry and Neurology) Dr. Juul has received personal compensation for serving as an employee of American Board of Psychiatry and Neurology.
Larry R. Faulkner, MD (American Board of Psychiatry and Neurology) Dr. Faulkner has received personal compensation for serving as an employee of ABPN.