So Many Migraines, So Few Subspecialists: Analysis of the Geographic Location of <scp>U</scp>nited <scp>C</scp>ouncil for <scp>N</scp>eurologic <scp>S</scp>ubspecialties (<scp>UCNS</scp>) Certified Headache Subspecialists Compared to <scp>U</scp>nited <scp>S</scp>tates Headache Demographics

Mauser, Emily D.; Rosen, Noah

doi:10.1111/head.12406

Cited by 45 publications

(47 citation statements)

References 8 publications

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“…There is a shortage of headache medicine specialists in the United States as reflected in the disproportionately small number of United Council for Neurologic Subspecialties–certified subspecialists compared with the large migraine population as well as the need for specialists for less common headache types. The responses of respondents suggest this shortage may be increasing, where 21% plan to cut back on hours, 14% plan to cut back on patients seen in the next one to three years, and 13% plan to switch to a cash practice.…”

Section: Discussionmentioning

confidence: 99%

A Survey of Headache Medicine Specialists on Career Satisfaction and Burnout

Evans

Ghosh

2015

Headache

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Headache medicine specialists have one of the highest rates of burnout compared to other physician specialists, which is twice the rate of working adults. Physicians' age and practice environment and experience are related with their career satisfaction and professional burnout. Some attributes of career satisfaction can decrease burnout by reducing emotional exhaustion and depersonalization and by enhancing personal accomplishment. There is widespread dissatisfaction with the practice environment. These findings may portend decreasing access to headache medicine specialists in the future if specialists cut back on hours and patients seen, accelerate their retirement plans, and fewer neurologists are attracted to headache medicine.

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Section: Discussionmentioning

confidence: 99%

A Survey of Headache Medicine Specialists on Career Satisfaction and Burnout

Evans

Ghosh

2015

Headache

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“…In addition to the overall shortage of specialists, this study also depicted similar disparities in dispersion of specialists. As a solution, authors suggested the establishment of more training programs and other reductions in barriers to specialty certification …”

Section: Discussionmentioning

confidence: 99%

“…The supply of trained headache medicine specialists and specialty headache clinics has long been inadequate to meet demand . This problem is superimposed on a background of an overall shortage of physicians in clinical practice, as well as unequal geographic distribution of physicians overall .…”

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confidence: 99%

The Evolution and Geographic Distribution of Headache Medicine Fellowship Programs and Graduates: An Observational Study

et al. 2014

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The number of fellowship programs has increased dramatically since 2007, but their geographic distribution is uneven and so are the subsequent practice locations of fellow graduates. At present, the distribution of training programs and headache specialists is not well matched to the US population as a whole or to the location of important racial and ethnic minorities. Increasing the overall supply of headache specialists is important, but geographic inequalities in specialist distribution must also be addressed or disparities will increase.

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“…4 Many fellowship programs participate in the match process. The UCNS has developed curriculum requirements for the headache medicine fellowships, including training in the basic science, diagnosis, and management of primary and secondary headache disorders in adults, children, and special populations (elderly, cardiac patients, pregnancy, lactating).…”

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confidence: 99%