Advice for the Junior Academic Clinician

This chapter addresses the complex challenges confronting new movement disorder neurologists in U.S. academic medical centers, exploring the structural and financial challenges facing the newly minted academic clinician. It highlights the tension between patient care, medical business models, and scholarly activities in the todays’ metric-focused academic environment that threatens the patient-doctor relationship. New neurologists often teeter between adhering to care metrics and ensuring genuine patient interactions, particularly in the nuanced field of movement disorders. Offering guidance and practical advice, this chapter provides strategies and maxims to navigate these challenges, aiming to guide junior neurologists towards a successful career while maintaining a focus on alleviating patient suffering amidst the complexities of institutional pressures.