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February 1989

The Scope of Neurologic Practice and Care in England, Canada, and the United States: Is There a Better Way?

Author Affiliations

From the Department of Neurology, Robert Wood Johnson Medical School, New Brunswick, NJ (Dr Menken); the Research Unit, Royal College of Physicians, London (Dr Hopkins); Dalhousie University, Halifax, Nova Scotia (Dr Murray); and the Section of Neurology, Department of Medicine, Medical Center of Delaware, Wilmington (Dr Vates).

Arch Neurol. 1989;46(2):210-213. doi:10.1001/archneur.1989.00520380116024

Years ago, it was de rigueur for neurologists in training to spend some time in different institutions, and rather often in different countries as well. Most often, this meant a period of training at the National Hospital, Queen Square, London, where Minerva Neurologica was thought to reside. Whatever the relative heuristic merits of this eclectic approach to postgraduate medical education, it did give young physicians preparing for a career in the field of neurology an opportunity to learn that there is more than one way of meeting the neurologic care requirements of patients, and of training neurologists.

Parochialism is now the order of the day, so much so that one finds most practicing neurologists having been trained in one academic medical center, often the same department that provided the physician's undergraduate education as well. Only those neurologists who pursue a fellowship in one of the subspecialties are likely to be