Neurology involves the management of patients with disorders of the central and peripheral nervous system. Additionally, Neurology training can be combined with Neurophysiology.
The Royal Society of Medicine offers a range of events for different medical specialties, including Neurology – see a full list on our Events page>>
Entry Route for Neurology Specialists
Applicants who have completed the two-year Foundation Programme are eligible to apply for training in Neurology. Trainees must complete core training after completion of the Foundation Programme and there is a choice of two pathways:
Trainees must complete between four to six placements in medical specialties and undertake acute on-call work.
Job Progression during Neurologist Training
In order to apply for higher speciality training at ST3 applicants should have the full membership of the Royal College of Physicians. Higher speciality training takes at least four years, but the Speciality Advisory Committee advises that trainees should complete five years to achieve the competencies set out in the curriculum. Trainees need to pass the Speciality Certificate Examination during their registrar training, and many trainees complete an MD or PhD between CMT and their registrar training.
Trainees can elect to complete subspeciality neurologist training in stroke medicine, which takes one year. Entry is by competitive interview and trainees should express their interest in applying for the stroke training scheme before their final year, allowing the scheme to be integrated into their main speciality training. To reach the level required of consultants, trainees will then need to compete a second year of training in advanced stroke medicine.
It is possible to undertake dual training in Neurology and Neurophysiology. Trainees are advised to apply for a dual training programme before they enrol in higher speciality training at ST3 level.
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 Neurology Roles
Neurology specialists interested in an academic career can apply for an academic clinical fellowship. Alternatively, trainees can continue the ST clinical training programme after ST4 level.
Competition for Neurologist Training Posts
In 2017, the competition ratio at ST3 was 2.6 in the first round, with 115 applications for 42 NTN posts, with 65% of applicants applying for Neurology only. In the second round, the competition ratio was 2.1, with 39 applications for 16 NTN posts and 3 LAT posts.
In December 2017, there were
- 764 consultants,
- 9 associate specialists,
- 33 speciality doctors,
- 3 staff grades,
- 350 speciality registrars,
- 141 core trainees,
- 40 F2 trainees, and
- 22 F1 trainees.
Salaries in Neurology
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 Neurologist
Most Neurology specialists work in acute neurology – reviewing inpatients admitted following general medical takes, and ward referrals from other specialists. They also work with outpatients in regional centres or district general hospitals, with moderate on-call commitment.