Key result
A survey of 55 pediatric critical care neurologists in the US and Canada found that 54% are female, most are 31-50 years old, and they work >70 hours/week when on service.
Why the study?
The characteristics of pediatric intensive care neurologists and their clinical practice in the United States and Canada needed to be described.
Cross-Sectional (n=55)
Yes
This survey highlights the demographics, scope of practice, and key challenges faced by pediatric critical care neurologists in the US and Canada.
Provides baseline pediatric neurocritical care workforce data; leaves open questions on retention and sustainability.
OBJECTIVE: To describe the characteristics of pediatric intensive care neurologists and their practice in the United States and Canada. METHODS: We performed a survey-based study of child neurologists who self-identify as 'intensive care neurologists'. The survey included questions about demographics, training, pediatric neurocritical care service and job structure, teaching, academics, challenges, and views on the future of pediatric neurocritical care. RESULTS: We analyzed 55 surveys. Most respondents were 31-50 years of age with ≤10 years of practice experience. Fifty-four percent identified as female. Most completed subspecialty training after child neurology residency. The majority practice at highly resourced centers with >45 intensive care unit beds. Respondents cover a variety of inpatient (critical and noncritical care) services, at times simultaneously, for a median of 19.5 weeks/y and work >70 hours/wk when on service for pediatric neurocritical care. The top 3 challenges reported were competing demands for time, excess volume, and communication with critical care medicine. Top priorities for the "ideal pediatric neurocritical care service" were attendings with training in pediatric neurocritical care or a related field and joint rounding with critical care medicine. CONCLUSION: We report a survey-based analysis of the demographics and scope of practice of pediatric critical care neurologists. We highlight challenges faced and provide a framework for the further development of this rapidly growing field.
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Farias‐Moeller et al. (2022) conducted a cross-sectional in Pediatric critical care neurologists (n=55). Clinical practice experience was evaluated on Characteristics of pediatric intensive care neurologists and their practice. A survey of 55 pediatric critical care neurologists in the US and Canada found that 54% are female, most are 31-50 years old, and they work >70 hours/week when on service.
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