Likosky David, Shulman Scott, Restrepo Lucas, Freeman William D
Evergreen Hospital Medical Center Kirkland, WA, USA.
Front Neurol. 2010 Jun 14;1:9. doi: 10.3389/fneur.2010.00009. eCollection 2010.
Neurohospitalists represent an emerging neurological subspecialty focusing on inpatient neurological disease. Little data exists regarding neurohospitalist practice information and clinical activity. A survey among neurohospitalists was performed to help define the subspecialty, yield demographic information, practice characteristics, and understand clinical and non-clinical activities. During the formation the Neurohospitalist Section of the American Academy of Neurology September 2008, an online survey (29 questions mixed categorical, numerical, and free text) of 93 neurohospitalists was performed. The survey closed on October 13, 2008. The survey achieved a 54% response rate. Eighty-two percent of respondents were male, mean age 42 (range, 34-68), median practice duration 6 years, with broad distribution of practices across the US. Seventy-five percent of respondents reported having general neurology residency plus additional fellowship training (54% vascular neurology fellowship, 13% neurocritical care, and 33% other no response). Fifty-one percent of neurohospitalists were hired by non-academic (private) institutions, whereas academic institutions hired 49%. There was a wide array of responses for call frequency, duration, number of practice partners, and annual income. A uniform definition of the neurohospitalist subspecialty emerged as one who cares for inpatients, focusing primarily on in-hospital responsibilities. Neurohospitalists defined themselves as inpatient neurological subspecialists. Neurohospitalists have a broad US geographic distribution (and possibly international), in both academic and private practice (or hybrid) forms, and typically provide inpatient and Emergency Department (ED) call coverage for hospitals or outpatient neurologic practices. Most neurohospitalists were involved in administrative aspects of stroke or inpatient quality initiatives.
神经科住院医师代表了一个新兴的专注于住院神经系统疾病的神经专科领域。关于神经科住院医师的实践信息和临床活动的数据很少。对神经科住院医师进行了一项调查，以帮助界定该专科领域，获取人口统计学信息、实践特征，并了解临床和非临床活动。在2008年9月美国神经病学学会神经科住院医师分会成立期间，对93名神经科住院医师进行了一项在线调查（29个问题，包括分类、数字和自由文本）。调查于2008年10月13日结束。调查的回复率为54%。82%的受访者为男性，平均年龄42岁（范围为34 - 68岁），中位执业年限为6年，在美国各地的执业分布广泛。75%的受访者报告接受过普通神经科住院医师培训并接受了额外的专科培训（54%为血管神经科专科培训，13%为神经重症监护，33%为其他，无回复）。51%的神经科住院医师受雇于非学术（私立）机构，而学术机构雇佣了49%。对于值班频率、时长、执业伙伴数量和年收入有各种各样的回复。神经科住院医师专科领域的统一界定是照顾住院患者，主要专注于医院内的职责。神经科住院医师将自己定义为住院神经系统专科医生。神经科住院医师在美国地域分布广泛（可能也包括国际范围），以学术和私立执业（或混合形式）存在，通常为医院或门诊神经科实践提供住院和急诊科值班服务。大多数神经科住院医师参与了卒中的管理方面或住院质量改进项目。
