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April 1994

Clone, Shrink, or Mutate: Residency Training for the Year 2000

Author Affiliations

Neurology Service (127) 3350 La Jolla Village Dr San Diego, CA 92161

Arch Neurol. 1994;51(4):331-332. doi:10.1001/archneur.1994.00540160021004

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


The purpose of this article is to encourage new thinking and lively debate concerning a subject we all know well: preparation for the practice of neurology. Many of us will find it difficult to divorce our ideas for the future from our own residency training. We modeled our careers after those of our teachers, hoping to emulate these fine practitioners despite the ever expanding information base of the neurosciences. This approach continued because the basic pattern of practice did not change. That is, we could obtain electromyograms and electroencephalograms, consult, and care for patients pretty much as our predecessors had done, albeit with better diagnostic and therapeutic tools at our command. The growth of information, the advances of neuroimaging, the move to largely outpatient-based activities, and the introduction of various insurance programs required adjustments but did not threaten our livelihood or use within the medical profession.

Now it is probable

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