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Accurate information about the procedural skills of neurology residents is limited. In this issue, Cucchiara and Kasner report the results of a resident and neurology training program survey that addresses an important new area of training in neurology: the use of tissue plasminogen activator (tPA) in the treatment of strokes.1 As in most surveys, the response to this survey was incomplete. Nevertheless, the response was sufficient to provide some preliminary conclusions. One of the most notable conclusions from this report is that 16% of residents do not feel comfortable administering tPA. This is regrettable because neurologists play a critical role in the care of strokes and timely and effective treatment is essential for optimum outcome. The authors also note that residents in training programs with stroke teams were more likely to feel comfortable administering tPA. The authors rightly suggest that neurology training programs need …
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