Training and distribution of neurologists worldwide.

Information about the global distribution, number, and training of neurologists and other neuro-specialists is vital for the planning of prevention, care, and treatment of disorders of the nervous system, which are a major cause of death and disability worldwide. Delegates of the World Federation of Neurology (WFN) were surveyed about the number, training, and location of neurologists in their countries. Sixty-three out of 84 responded (75%). Most neurologists receive full-time training in neurology, but pass an examination or board in neurology in only 41/63 (65%) of countries. Comprehensive training in neurology is available in only 35/59 (59%) of countries responding, with some training abroad for the rest. Very few neurologists are located in developing countries. Populations per neurologist range from 6240 to over 4 million. Continuing medical education is required for neurologists in only 34/63 (54%) of countries. In 45/64 (71%) of countries, only a small proportion (0-25%) of neurologists work full time in academic centers. A substantial majority (75-100%) of neurologists work in private practice in many countries (17/63 or 27%). In 31/63 (49%) of countries, most neurologists practice in large cities.