Neurohospitalist Practice,Perspectives,Compensation,and Career Satisfaction – Report of the 2024 Neurohospitalist Society Survey

Abstract

Background and Purpose

A national survey was conducted among members of the Neurohospitalist Society (NHS) to characterize updated practice patterns, perspectives, compensation, and career satisfaction of neurohospitalists in the U.S.

Methods

Between March and May 2024, a 96-question online survey was distributed. Findings were compared to those from a similar NHS survey conducted in 2016.

Results

143 neurohospitalists completed the survey (response rate 19%). 80% had some fellowship training, with vascular neurology (35%) and neurohospitalist (17%) being most common. 60% were ≤10 years out of completion of training, and 68% had ≤10 years of practice experience. 76% worked in academic medical centers and 24% in community hospitals. Cerebrovascular disease, seizure, and delirium/encephalopathy were the 3 most common neurological diagnoses seen in the inpatient setting. The most frequent work schedule (≥44%) was 7 days on/7 days off. The most common compensation model was base salary plus incentives (≥58%). For neurohospitalists working for academic medical centers, median total annual compensation was $299 250 (IQR $100 000). For neurohospitalists with non-academic employers, median total compensation was $367 000 (IQR $98 000). 70% of academic neurohospitalists and 53% of community neurohospitalists reported working with non-physician practitioners (NPPs). Although 64% of neurohospitalists reported having experienced burnout, 91% agreed that they find their clinical work personally rewarding.

Conclusions

This survey, the largest to date among neurohospitalists, confirms that neurohospitalists remain a diverse, relatively young workforce with national presence. When compared to the 2016 survey, neurohospitalist compensation has increased.