Is the academic pediatric neurologist an endangered species?

Some argue that the physician-researcher is an endangered specie and that the 'bedside connection' is severely strained. Our survey of recent graduates of pediatric neurology training programs does not substantiate this. Almost one-half of graduating pediatric neurology residents are embarking on full-time, university-based careers. Laboratory experience seems to play a decisive role in career orientation, confirming the intention of those interested in an academic career, and dissuading those who ultimately decide on private practice. Finally, a large number of young pediatric neurology trainees have taken additional years of fellowship training, although primarily in clinical neurology. This survey indicates that even more people would be inclined toward fellowship training if stipends were somewhat higher. In summary, despite considerable uncertainties about grant support and low salaries, a substantial number of graduates of pediatric neurology training programs are planning careers as physician-researchers.