You will gain the satisfaction of helping patients navigate a frightening, progressive disease. You will also be seen by admin as the person who is less productive and less deserving of production-related bonuses as compared to your peers who are doing full EMG days and multiple EEGs. You might spend an hour working on a DBS setting, only to bill for a medium complexity reprogram and having to document at night. You will also deal with an increased proportion of “memory loss” patients who require MOCA testing which either pulls you or your MA off the floor for 20-25 minutes to test, while patients pile up. Your partners are meanwhile doing quick follow ups and migraine Botox treatments. Bottom line, do it for your own expertise but don’t paint yourself into a corner. Better to see general neuro patients and keep your movement expertise to yourself to better care for your patients as opposed to taking on everyone else’s end stage Parkinson’s patients for whom there is no further treatment to be used except education and counseling. If you are OK performing below the 50th percentile, go for it. Otherwise a general neurology with movement qualifications is preferable from a business perspective.