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Nov 2012

The Evolution of Neurology

Author Affiliations

Author Affiliation: Department of Neurology, Stanford University, Palo Alto, California.

Arch Neurol. 2012;69(11):1527. doi:10.1001/archneurol.2012.1257

The special article titled “The evolution of academic neurology: new information will bring new meaning” that recently appeared in the Archives of Neurology describes a brave new world that will both “drive progress and create unique challenges.”1 Although the authors state that in this brave new world, “(w)e will practice neurology with empathy and compassion,” they do not give much attention to the impact of information overload, third-party payor intrusion, and the demands of research both on investigators (who must do more research to receive more funding) and on the subjects of their research (and ethical questions such as informed consent, patient autonomy, the principles of beneficence and nonmaleficence, justice, and the like) on that practice.