TY - JOUR
T1 - Child neurology in the 21st century
T2 - More than the sum of our RVUs
AU - Zupanc, Mary L.
AU - Cohen, Bruce H.
AU - Kang, Peter B.
AU - Mandelbaum, David E.
AU - Mink, Jonathan
AU - Mintz, Mark
AU - Tilton, Ann
AU - Trescher, William
PY - 2020/1/14
Y1 - 2020/1/14
N2 - 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.
AB - 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.
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U2 - 10.1212/WNL.0000000000008784
DO - 10.1212/WNL.0000000000008784
M3 - Review article
C2 - 31874925
AN - SCOPUS:85077793212
VL - 94
SP - 75
EP - 82
JO - Neurology
JF - Neurology
SN - 0028-3878
IS - 2
ER -