Pediatric neurology’s midlife crisis
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To the Editor:
As current and past officers of the Child Neurology Society, we are interested in training and workforce issues in child neurology. The state of training in child neurology is well described in Laureta and Moshe’s1 article, but we have difficulty supporting Dr. Rothman’s suggestions.2
The overall tone of his editorial is that child neurologists comprise an elite specialty that is being asked to perform yeoman work that is beneath us. He notes that in the last 15 years there has been a greater representation of women and international medical graduates among child neurology trainees. He translates this to “the inescapable conclusion that pediatric neurology residencies have become relatively non selective.” We disagree. The performance of women and international medical graduates utilizing objective guidelines including performance on Part I and Part II Neurology Board Examinations is every bit as good as those of American medical graduates.
Information contained in the workforce study3 suggests there are other reasons why more international than American medical graduates are able …
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