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June 1983

Training for Metatechnical Neurology

Author Affiliations

Washington, DC

Arch Neurol. 1983;40(6):327-328. doi:10.1001/archneur.1983.04050060027002

A series of recent articles1-6 has focused on the emerging issue of neurologic manpower. Although many opinions are expressed and impassioned arguments are sometimes made, none of those arguments are compelling. Recommendations are often based on projections from subsample data, usually subjectively generated by neurologists, and interpretation depends on knowing the perspective of the author. Moreover, the roles of community and institutionally based neurologists vary considerably with local population densities of both consumers and vendors of alternative professional services.

One recent article on neurologic manpower suggested closing neurologic residencies as a way to reduce competition with primary care physicians and control health care costs.3 In this issue of the Archives (p 329), Menken recommends a formula for change in neurology training programs, to better meet community requirements for neurologic services. Based on somewhat old data7 and more recent projections,8 Menken outlines a plan hinging on the

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