Birbeck Gretchen L
Department of Neurology, African Studies Center Faculty, Michigan State University, East Lansing, Michigan 48824-1313, USA.
Lancet Neurol. 2002 May;1(1):58-61. doi: 10.1016/s1474-4422(02)00007-8.
Those uninitiated to medicine in the tropics may consider neurology and neurologists superfluous in this environment. In actual fact, the high burden of neurologic disorders combined with a dearth of physician-level care providers brings such expertise into high demand. Clinical work in sub-Saharan Africa offers the neurologist an opportunity to care for a wide range of conditions, including disorders Westerners may only be familiar with via historical accounts. Physicians starved of academic exchange and paramedical-care providers who frequently function without physician-level support are equally enthusiastic for additional training in the diagnosis and treatment of the nervous system disorders which are encountered daily.
那些对热带地区医学缺乏了解的人可能认为,在这种环境下神经学及神经科医生是多余的。事实上,神经系统疾病的高负担加上医生级护理提供者的匮乏,使得这种专业知识的需求大增。撒哈拉以南非洲的临床工作为神经科医生提供了一个机会,去诊治各种各样的病症,包括一些西方人可能仅通过历史记载才熟悉的疾病。缺乏学术交流的医生以及经常在没有医生级支持的情况下工作的辅助医疗人员,同样热切希望能接受更多关于日常遇到的神经系统疾病诊断和治疗方面的培训。