Abstract Details

Title Trends in Demographics of Neurology House Staff in the United States

Topic ��ɫ��, Research, and Methodology

Presentation(s) P6 - Poster Session 6 (5:30 PM-6:30 PM)

Poster/Presentation
Number 15-005

Objective To examine the demographic characteristics of neurology residents and fellows.

Background The lack of an adequate number of neurologists is a worldwide problem. In addition to the growing demand, inadequate diversity in the neurology healthcare workforce still exists.

Design/Methods This cross-sectional study used data from the ACGME, AAMC, and the United States Census Bureau. Trends (from 2007 to 2018) in demographic characteristics were assessed using the slope and the associated p-value of a simple linear regression model, with the year as the independent variable.

Results From 2007 through 2018, the percentage of US medical school graduates in neurology residency decreased from 58% to 55% (slope = -0.25; p = 0.0004), while the percentage of international medical graduates (IMGs) decreased from 36% to 32% (slope = -0.29; p = 0.0141) and doctor of osteopathy (DO) graduates increased from 6% to 13% (slope = 0.58; p < 0.0001). Although the percentage of female neurology residents increased from 39.5% in 2007 to 43.1% in 2018 (slope = 0.03; p = 0.8659), female physicians were underrepresented in vascular neurology fellowship (34% in 2018). Collectively, the percentage of underrepresented minorities in neurology residencies was low and increased only slightly over time (from 8% in 2011 to 9% in 2018; slope = 0.17; p = 0.0788). In 2018, the proportion of underrepresented minorities was smaller in neurology fellowships (5.5% neurophysiology, 12.5% epilepsy, 10.4% neuromuscular, and 12.4% vascular) compared to the population as a whole (31.3%).

Conclusions IMGs still play an important role in filling a significant portion of the neurology residencies and fellowships. DO graduates have slowly increased in neurology residencies and fellowships. Members of several racial/ethnic minority groups and women are underrepresented in neurology house staff and efforts need to be taken to increase diversity.

Authors/Disclosures
Thirumalaivasan Dhasakeerthi, MBBS (UAMS) PRESENTER	Dr. Dhasakeerthi has nothing to disclose.
Carolina Gil Tommee, MD	Dr. Gil Tommee has nothing to disclose.
Abhilash Thatikala, MD, MBBS, DM (UAMS)	Dr. Thatikala has nothing to disclose.
Krishna Nalleballe, MD, FAAN	Dr. Nalleballe has nothing to disclose.
Sanjeeva R. Onteddu, MD, FAAN (UMass Medical School)	Dr. Onteddu has nothing to disclose.

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