Neurológia! adieau? 2. Rész

Translated title of the contribution: Neurology! adieau? (Part 2)

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Teaching of neurologists is indisposed worldwide. University tutors are engaged in teaching, research and patient-care. This triple challenge is very demanding, and results in permanent insecurity of University employees. To compensate for the insufficient clinical training, some institutes in the USA employ academic staff members exclusively for teaching. The formation of new subspecialties hinders the education and training of general neurologists. At the present four generations of medical doctors are working together in the hospitals. The two older generations educate the younger neurologists who have been brought up in the world of limitless network of sterile information. Therefore their manual skills at the bedside and knowledge regarding emergency treatment are deficient. Demographics of medical doctors changed drastically. Twice as many women are working in neurology and psychiatry than men. Integrity of neurology is threatened by: 1. Separation of the cerebrovascular diseases from general neurology. Development of "stroke units" was facilitated by the better reimbursement for treatment and the interest of the pharmaceutical companies. The healthcare politics assisted to split the neurology into two parts. The independent status of "stroke departments" will reduce the rest or clinical neurology to outpatient service. 2. The main argumentation to segregate the rare neurological diseases was that their research will provide benefit for the diseases with high prevalence. This argumentation can rather be considered territorial imperative. The separation of rare diseases interferes with the teaching of differential diagnostics during neurological training. The traditional pragmatic neurology can not be retrieved. The faculty of neurology could retain its integrity because of the improvement of diagnostic methods and the more and more effective drugs. Nevertheless, even the progression of neurological sciences induces dissociation of clinical neurology. Neurology shall suffer fragmentation if the professional authorities fail to control the separation of subspecialties, if teaching of future neurologists, including practical knowledge and skills of diagnostic decision making, is not supported.

Original languageHungarian
Pages (from-to)156-163
Number of pages8
JournalIdeggyógyászati szemle
Volume63
Issue number5-6
Publication statusPublished - May 30 2010

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Neurology
Teaching
Rare Diseases
Stroke
Working Women
Cerebrovascular Disorders
Emergency Treatment
Information Services
Politics
Ambulatory Care
Research
Pharmaceutical Preparations
Psychiatry
Decision Making
Patient Care
Demography
Delivery of Health Care
Education
Neurologists

ASJC Scopus subject areas

  • Clinical Neurology
  • Neurology

Cite this

Neurológia! adieau? 2. Rész. / Szirmai, I.

In: Ideggyógyászati szemle, Vol. 63, No. 5-6, 30.05.2010, p. 156-163.

Research output: Contribution to journalArticle

Szirmai, I 2010, 'Neurológia! adieau? 2. Rész', Ideggyógyászati szemle, vol. 63, no. 5-6, pp. 156-163.
Szirmai, I. / Neurológia! adieau? 2. Rész. In: Ideggyógyászati szemle. 2010 ; Vol. 63, No. 5-6. pp. 156-163.
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