I was interested to read an account of the clinical experience gained by a typical neurology resident in the United States.1 This has prompted me to analyze my personal experience during the last year of my training prior to appointment as a consultant neurologist in the United Kingdom. The figures below detail 1 year's exposure to neurology cases in a busy London, England, teaching hospital. The numbers within parentheses indicate the mean weekly encounter rate based on a working year of 46 weeks.
The total number of patients encountered in 1 year, excluding grand rounds, was 3470, of whom 1676 were seen for the first time and therefore usually required a neurological diagnosis. By way of comparison, the neurology resident in the Boston University Residency Program in Boston, Mass, whose experience was described in the Archives, encountered during a 3-year period a total of 1332 new patients.1 The
Farmer SF. Profile of a Neurology Residency in the United Kingdom. Arch Neurol. 1996;53(8):714. doi:10.1001/archneur.1996.00550080020002
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