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Bridging the Pediatric Neurology Gap: How Community Hospitals Can Keep Care Close to Home

By: | Tags: , , , , , | November 5th, 2025

Community hospitals face a critical gap in pediatric neurological care. Pediatric neurologists remain scarce nationwide, forcing difficult decisions between transferring children to distant facilities or providing care without subspecialty expertise. 

This challenge particularly impacts pediatric EEG services, where specialized interpretation proves essential for accurate diagnosis. 

The Pediatric Neurologist Shortage: National Impact

Pediatric neurology remains one of the most challenging specialties to staff, with national data confirming the supply of child neurologists down roughly 20% below current demand. The majority practice in academic medical centers, leaving rural and community hospitals without local access to this expertise. 

For pediatric EEG interpretation services specifically, studies require specialized knowledge. Normal brain activity patterns change dramatically across developmental stages, requiring specialized interpretation expertise.  

A tracing that’s benign in a newborn can be a red flag in a teenager or adult,” said Dr. William Dotson, board-certified neurologist and EEG Service Line Director at TeleSpecialists. “Without age-specific expertise, it’s easy to over- or under-call findings.” 

Clinical and Financial Impact of Pediatric Transfers

When pediatric EEG needs arise, hospitals without pediatric neurology expertise must immediately decide whether to transfer. These decisions create consequences far beyond logistics. Transfers separate families, disrupt continuity of care, and hinder the opportunity to serve children’s healthcare needs. 

Families remember which hospitals were able to help their children, and which were not. Beyond family impact, transfers affect your facility’s pediatric service line development. Communities expect their local hospital to care for children, and when that capability is absent, families seek care elsewhere for all pediatric needs, not just neurology. 

Digital Healthcare Improves Access to Specialty Care and EEG Expertise

Digital healthcare innovation has changed how community hospitals access specialized expertise. Remote EEG interpretation enables hospitals to deliver neurology capabilities previously available only at major academic centers. 

Board-certified neurologists with EEG expertise review studies remotely and document findings directly in your EMR. Your clinical team receives timely interpretation that enables confident care decisions. The patient stays in your facility, close to family, within your care team’s management.

Strengthening Your Pediatric Service Line

Reliable pediatric EEG interpretation supports growth across your entire pediatric service line. When your emergency department can confidently evaluate pediatric seizures and your hospitalists can manage neurological conditions with specialist support, your facility becomes the community’s trusted pediatric healthcare resource. 

This capability extends beyond emergency care. Routine pediatric EEG studies for developmental concerns, headache evaluation, and seizure monitoring transform into services your facility delivers. Each service retained strengthens your relationship with pediatric patients and their families.

Closing the Pediatric Neurology Gap

The pediatric neurologist shortage shows no sign of easing, but hospitals have access to decisive solutions to close the gap. 

TeleSpecialists’ TeleEEG Service delivers comprehensive EEG interpretation for all patient populations, including pediatric cases. Board-certified neurologists with pediatric expertise provide 24/7 reads across routine EEG interpretations, STAT EEG reading services, long-term monitoring, point-of-care studies, ambulatory EEG analysis, and pediatric EEG interpretation studies directly within your existing EMR and workflows. 

“Access to board-certified pediatric readers lets us treat kids at the point of care, not ship them hours away. Families stay together and care moves faster,” Dr. Dotson said. 

The strategic value extends beyond immediate clinical needs. Pediatric care represents long-term community relationships. Families who receive excellent pediatric services often continue choosing your facility for adult healthcare needs. Building pediatric neurology capabilities creates both immediate service value and lasting patient loyalty that strengthens your market position. 

Remote pediatric EEG interpretation provides community hospitals with immediate access to subspecialty expertise. Your facility gains reliable pediatric neurology interpretation without recruitment challenges, coverage gaps, or workflow disruption. This enables you to confidently serve the children in your community while building long-term family relationships and strengthen market position. 

Ready to expand pediatric neurology capabilities? Contact our team to schedule a service overview and discover how our TeleEEG solution delivers pediatric expertise without recruitment challenges. 

Frequently Asked Questions About Pediatric EEG Coverage

How does pediatric EEG interpretation differ from adult EEG interpretation? 

Pediatric EEG interpretation requires specialized expertise in developmental neurophysiology. Brain wave patterns change dramatically from infancy through adolescence, meaning what appears normal in a teenager may signal pathology in an infant. Board-certified pediatric neurologists understand these age-specific nuances, ensuring accurate interpretation that general neurologists without pediatric training may miss. 

Why do community hospitals struggle to recruit pediatric neurologists? 

The national supply of pediatric neurologists falls approximately 20% below current demand, with some regions experiencing shortages exceeding 30%. Most pediatric neurologists practice in academic medical centers or large metropolitan areas where they maintain subspecialty skills through high patient volumes. Community hospitals typically cannot offer the case diversity, compensation, or subspecialty support these specialists require. 

Can remote EEG interpretation provide the same quality as on-site pediatric neurologists? 

Board-certified pediatric neurologists provide the same level of expertise remotely as they would on-site. Digital healthcare technology enables specialists to access complete EEG study data, review raw data, and analyze patterns exactly as they would at bedside. Documentation occurs directly in your EMR, with immediate communication when findings require urgent attention. 

What types of pediatric conditions require EEG studies? 

Seizure disorders represent the most common indication, helping distinguish epilepsy from conditions that mimic seizures. EEG studies also evaluate developmental delays, encephalopathy, altered mental status, sleep disorders, headaches, and suspected brain injury. Each study requires pediatric expertise for accurate interpretation across developmental stages. 

How quickly can pediatric EEG results be available? 

TeleSpecialists provides 24/7 access to board-certified pediatric neurologists for EEG interpretation. STAT readings for urgent cases typically receive results within one to two hours, supporting critical decisions without transfer delays. Routine studies receive interpretation within 24 hours, with all findings documented directly in your EMR. 

Nattasha Acevedo, MD

Dr. Acevedo received her medical degree from the Ponce School of Medicine in Puerto Rico and did her neurology residency at Montefiore Medical Center in New York. She went on to do a clinical neurophysiology fellowship at Emory School of Medicine in Atla nta, Georgia and then joined private practice in Fort Myers, Florida. She currently resides in San Juan, Puerto Rico. She likes running, paddle boarding and spending time with family.
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Bernadette Borte, MD

Dr. Borte received her medical degree from St. Matthew’s University School of Medicine in Grand Cayman. She completed her neurology residency at the University of Iowa Hospitals and Clinics in Iowa City, Iowa. Her areas of interest include inpatient neurology and acute stroke. When not working, she enjoys spending time outdoors with her family. Dr. Borte joined the TeleSpecialist family in March of 2019.
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Mazen Almidani, MD

Dr. Almidani is board certified in pediatrics by the American Board of Pediatrics and board certified in epilepsy, as well as neurology with special  qualification in child neurology by the American Board of Psychiatry and Neurology.  Dr. Almidani is happily married with 4 children. His oldest son has autism and his daughter has complicated seizures; both were a drive for him to become a neurologist. Dr. Almidani enjoys soccer, running and spending time with his family. He is very involved with his sons’ therapy and helping with daily challenges. He is double board certified in Pediatric and Adult Neurology and Epilepsy. He sees children and adults. He also participates in charities for children in Syria who may be underprivileged and/or affected by the war. Dr. Almidani joined TeleSpecialists in August 2020.
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Amanda Cheshire, MD

Dr. Cheshire received her medical degree from the University of Louisville School of Medicine in Louisville, Kentucky. She completed her neurology residency at the University of Cincinnati Medical Center in Cincinnati, Ohio. She did a fellowship in neurophysiology at the University of Michigan Medical School in Ann Arbor, Michigan. Dr. Cheshire is double board certified in neurology and clinical neurophysiology. She enjoys traveling, reading and music. She currently resides in Viera, Florida.  Dr. Cheshire joined TeleSpecialists in June 2019.
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Jessica Floyd, MD

Dr. Floyd completed her neurology residency at Mayo Clinic in Jacksonville, Florida followed by fellowship training in clinical neurophysiology with focus in EEG and epilepsy at the Medical University of South Carolina in Charleston, South Carolina. She has particular interest in hospital neurology and patient education as well as the blossoming specialty of lifestyle medicine. She strives to take advantage of every encounter with patients and medical staff to empower them to do their own research into how daily thoughts, choices, and habits can add up to create greater and longer-lasting brain and neurologic health for ourselves and our loved ones. She lives in Florence, South Carolina with her awesome husband of 13 plus years and three beautiful children. She is an avid yogi, astrologer, and lover of food and all things neurology! Dr. Floyd joined the TeleSpecialist family in July 2017.
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Nancy Futrell, MD

Dr. Futrell received her medical degree from the University of Utah in Salt Lake City, Utah. She also did her neurology residency at the University of Utah as well as a research fellowship in cerebral vascular disease at Jackson Memorial Hospital in Miami, Florida. She currently resides in Salt Lake City, Utah. She has authored 2 books and 50 peer reviewed papers. 
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Rebecca Jimenez-Sanders, MD

Dr. Jimenez Sanders received her undergraduate degree from Emory University, and her medical degree from the San Juan Bautista School of Medicine in Puerto Rico. She completed her neurology residency at the University of South Florida in Tampa, Florida, where she also did a specialized headache medicine and facial pain fellowship. She currently resides in Tampa, Florida with her husband and her two daughters. She is also fluent in Spanish and Italian languages, and enjoys photography, baking, boating, and biking.
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Cory Lamar, MD

Dr. Lamar received his medical degree from Meharry Medical College in Nashville, Tennessee. He completed his internship and residency at Wake Forest Baptist Health in Winston Salem, North Carolina. Following residency, he completed a clinical fellowship in neurophysiology, with a concentration in epilepsy. He currently resides in Florida and enjoys outdoor activities.
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Clifford Meyers, MD

Dr. Meyers received his medical degree from Brown University in Providence, Rhode Island and his MBA from the Simon School of Business at the University of Rochester in Rochester, New York. He completed his neurology residency at the University of Rochester, where he also did a neurophysiology fellowship. Dr. Meyers resides in Webster, New York with his wife and daughter. When not doing teleneurology, he enjoys playing sports with his wife and daughter.
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Tao Tong, MD

Dr. Tong received her medical degree from the University of Miami School of Medicine in Miami, Florida. She completed her neurology residency at Jackson Memorial Hospital in Miami, Florida, where she also did a neuromuscular/EMG fellowship.  She currently resides in College Station, Texas. Dr. Tong is married with two boys. She enjoys spending time with her family, traveling and reading.
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Shubhangi Chumble, MD

Dr. Chumble attended BJ Medical School. She is a board certified neurologist with a subspeciality interest in sleep medicine. Dr. Chumble did her residency at Howard University in Washington DC and has practiced neurology since 2001 in private and corporate settings. She lives in Melbourne, Florida and loves the sunshine state. Her hobbies include yoga, meditation, cooking , traveling and meeting new people. She also loves to do stained glass, pottery and painting. She joined TeleSpecialists in June 2019.
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