Two main actions are important for this purpose — avoiding teaching excessive techniques of neurological examination in a short period of time and changing the old idea that neurology is great for diagnosis, but not for treatment. Neurologists can do much for their patients and will do much more in the near future. Most Latin American medical schools do not have neurology departments. The information I received from seven Latin American countries showed that there were only 42 such departments in medical schools, and the teaching of clinical neurology has been delivered by both neurologists and other medical doctors in the large majority of these schools.
Most European countries require a four-year minimum of postgraduate training in neurology. In the U.
To obtain more successful training, we need to have longer residency programs at least three years dedicated to clinical neurology to incorporate the expanding field of neurological practice. We may also stimulate residents to undertake short-term elective training in other Latin American centers and abroad.
It is essential to improve research on the prevention, diagnosis and treatment of neurological diseases in Latin America, particularly those more prevalent in Latin American countries. Neurologists should be trained during graduate and residency programs on basic aspects of medical research to be able to interpret results and conclusions of papers, and should learn how to submit and publish manuscripts in indexed journals.
The Neurology Atlas WHO showed that the median number of neurologists per , in population varies widely across regions, from 0.
In the Americas, this figure was 0. In Brazil, for instance, the number of neurologists ranges from less than five in five of the 26 states to more than in four states. We need more neurologists, but, as is frequent in several regions of the world, there are more applicants than positions for residency training in neurology. We need to attract the best medical students to become clinical neurologists, to extend the residency program time, to teach basic aspects of research on clinical neurology during residency programs, and to increase the positions for residency programs in neurology in order to increase the number of well-trained neurologists.
To reach this objective, we should develop combined actions of local neurological societies and public health authorities, and also to increase cooperation between Latin American countries and with developed countries. I am grateful for information provided by Drs.
March Download PDF. Neurological Board Certification in Europe. From The Editors.
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