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Child neurology: past, present, and future

M A Fishman1

  • 1Section of Child Neurology, Baylor College of Medicine, Houston, TX, USA.

Journal of Child Neurology
|July 1, 1996
PubMed
Summary

Child neurology has grown significantly since its recognition in 1959, with over 1000 certified specialists by 1995. However, evolving healthcare demands and proposed resident reductions challenge its future growth.

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Area of Science:

  • Child neurology as an independent medical subspecialty.
  • Neuroscience and its impact on pediatric neurological disorders.
  • Medical education and training program accreditation.

Background:

  • The discipline emerged from pediatrics, focusing on child development and illness.
  • Technological advancements and therapeutic agents significantly improved patient care.
  • Formal recognition by the American Board of Psychiatry and Neurology occurred in 1959.

Observation:

  • By 1995, 1007 certificates had been issued; 75 accredited training programs existed with over 200 positions.
  • Board examination pass rates for child neurologists are comparable to adult neurologists.
  • Alternative training pathways introduced in 1991-1992 were infrequently chosen.

Findings:

  • Child neurology certification rates are high, with 81% of a 1990 cohort certified by 1995.
  • Performance on board examinations is similar to adult neurology, with slight differences.
  • Despite advancements, the subspecialty faces challenges due to healthcare delivery changes.

Implications:

  • Healthcare shifts emphasize primary care, potentially impacting resident training numbers.
  • Child neurology must adapt its workforce and training strategies.
  • The subspecialty needs to re-evaluate its role in primary care physician training amidst information growth.

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