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March 1989

A Neurological Wandẽrjahr

Author Affiliations

From the Department of Neurology, University of Cincinnati College of Medicine, and the Mayfield Neurological Institute, Cincinnati.

Arch Neurol. 1989;46(3):326-329. doi:10.1001/archneur.1989.00520390092024

To understand what is happening today or will happen in the future, I look back.

Oliver Wendell Holmes

As all roads once led to Rome, so a goodly proportion of the 20th century cadre of young, English-speaking students and physicians interested in neurology were oriented toward London and the National Hospital, Queen Square. Beginning in the 1920s, and for several decades thereafter, aspiring neurologists made or were desirous of making the pilgrimage.

Among the then great neurologists of the National Hospital was Gordon Holmes, a then-ranking master of what may be regarded as the inductive clinical method. A clerkship with him was a prized opportunity, a unique experience that a generation of neurologists and even psychiatrists recognized later as a high point in their training.

I had completed my neurological residency at the Neurological Unit of the Boston City Hospital and was occupied in a fellowship in neurophysiology with John

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