Clinical neurophysiology specialists are involved in diagnosing and managing patients with disorders of the nervous system.
The Royal Society of Medicine offers a range of events for different medical specialties, including Clinical Neurophysiology – see a full list on our Events page>>
Entry Route into Clinical Neurophysiology
Trainees must have completed the two-year Foundation Programme to be eligible to apply for a training programme in clinical neurophysiology. They can then apply for core training which comprises one of three pathways:
If applicants are applying for an ST3 level post they should have the full membership of the Royal College of Physicians or Royal College of Paediatrics and Child Health.
Job Progression as a Clinical Neurophysiologist
The higher speciality training programme takes at least four years to complete (ST3-6), but if applicants want to have a Certificate of Completion of Training (CCT) in Neurology as well as Clinical Neurophysiology they should complete a dual training programme. Furthermore, they may only apply for a post in the second speciality if they have completed training in the first. In any event, the Specialist Advisory Committee will advise on how much training from the first speciality can count towards the second. If trainees have completed a Neurology training programme they will generally need a further two years of training in Clinical Neurophysiology to obtain a dual-CCTC
Trainees can apply for consultant positions six months before obtaining their CCT, and there are opportunities to work in management as a clinical lead, or a clinical or medical director. There are also formal opportunities to become involved in the education and training of junior doctors by working as
- a director of medical education overseeing postgraduate medical training,
- a training programme director responsible for the education of trainee doctors in the local region, or
- an associate dean responsible for managing the training programme.
Academic Clinical Neurophysiology Roles
Trainees can continue the ST clinical training programme after ST4 level, whilst those interested in an academic career can apply for an academic clinical fellowship.
Competition for Clinical Neurophysiology Posts
In 2017, the competition ratio at ST3 was 1.7, with 17 applications for 10 NTN posts, and with 29% of applicants applying for Clinical Neurophysiology only.
In December 2017, there were
- 105 consultants,
- 2 speciality doctors, and
- 23 speciality registrars.
Salaries in Clinical Neurophysiology
The starting salary for junior doctors in England ranges from £26,614 to £46,208, and from £37,923 to £87,521 for speciality doctors. Consultants can expect to earn between £76,761 and £103,490. There are additional supplements for on-call work, antisocial hours, and other commitments and situations. For additional information, please check our page on pay scales.
A Day in the Life of a Clinical Neurophysiologist
Daily work includes running electromyography clinics to diagnose patients with neuromuscular conditions, and sessions for reporting electroencephalograms. Clinical neurophysiologists supervise and support technical staff in the department, wards, and theatre, and also trainees who are performing procedures. Some departments may provide an on-call service although most work takes place during standard working hours.