This article requires a subscription to view the full text. If you have a subscription you may use the login form below to view the article. Access to this article can also be purchased.
Neurology training is changing because of the explosion of information and new treatment modalities that became available during the 1990s, the Decade of the Brain. The Residency Review Committee (RRC) mandated curriculum changes in 1998. During the same decade, the number of American medical graduates (AMG) who entered neurology declined. This occurred as the total number of positions was at an all-time high. An increasing number of positions in the mid-1990s were either filled by international medical graduates (IMG) or remained unfilled (Doug Perry, personal communication, 2001). Funding for residency positions has been threatened and lost because of changes in Medicare funding and reallocation of specialty residency slots to generalist slots within the Veterans Affairs (VA) system.1 In addition, the clinical income used by many academic departments to support teaching and administrative activities has been substantially reduced by managed care. Academic physicians now have less time to teach.2 Similar stresses in other specialties have led to high turnover rates among residency directors.3
In 1999, the Graduate Education Subcommittee (GES) of the American Academy of Neurology (AAN) conducted a survey of adult neurology program directors (ANPD) to ascertain the state of neurology training programs. The goal was to characterize current program content and performance, applicants and the neurology residency matching program (NEMP, “the match”), characteristics of training program directors, and type and amount of administrative support for residents. We wished to identify current trends in neurology resident education and how programs are dealing with major challenges.
Methods.
The GES designed a 45-question survey to assess the issues described above. Survey questions were determined over the course of several meetings by members of the GES, the majority of whom were ANPD or had been in the past. The responses were anonymous, although members of the AAN GES staff were able …
AAN Members
We have changed the login procedure to improve access between AAN.com and the Neurology journals. If you are experiencing issues, please log out of AAN.com and clear history and cookies. (For instructions by browser, please click the instruction pages below). After clearing, choose preferred Journal and select login for AAN Members. You will be redirected to a login page where you can log in with your AAN ID number and password. When you are returned to the Journal, your name should appear at the top right of the page.
AAN Non-Member Subscribers
Purchase access
Letters: Rapid online correspondence
REQUIREMENTS
You must ensure that your Disclosures have been updated within the previous six months. Please go to our Submission Site to add or update your Disclosure information.
Your co-authors must send a completed Publishing Agreement Form to Neurology Staff (not necessary for the lead/corresponding author as the form below will suffice) before you upload your comment.
If you are responding to a comment that was written about an article you originally authored:
You (and co-authors) do not need to fill out forms or check disclosures as author forms are still valid
and apply to letter.
Submission specifications:
- Submissions must be < 200 words with < 5 references. Reference 1 must be the article on which you are commenting.
- Submissions should not have more than 5 authors. (Exception: original author replies can include all original authors of the article)
- Submit only on articles published within 6 months of issue date.
- Do not be redundant. Read any comments already posted on the article prior to submission.
- Submitted comments are subject to editing and editor review prior to posting.
