SCHALLER W F
Calif Med. 1950 Mar;72(3):164-6.
The reorganization of the medical department of the Veterans Administration has given considerable impetus to neurology, a part of the division of psychiatry and neurology. The neurologic service of the V. A. is the largest in the world today, and is constantly increasing. This service is made available to veterans through hospitals and regional offices within the designated area, which are branch administrative offices under the central office.A residency training program for specialization is under the direction of a deans' committee in every large medical center. This committee, which is formed from the faculties of medical schools, also approves the visiting medical staffs of hospitals. The neurologic program consists of a number of special activities, which include residency training for certification, neurologic diagnosis, rehabilitation of patients with chronic illness, electroencephalography, epilepsy, aphasia and research. The paraplegia program is now a separate service, but is also participated in by the neurologist. Both the neurologist and the psychiatrist are interested in the patient with organic psychosis, and the neurologist also works in close relationship with the neurosurgeon. There is need for neurologists in the V. A., which offers attractive opportunities in clinical practice and in research, as well as inducements of advancement and adequate financial returns.
退伍军人管理局医疗部门的重组极大地推动了神经病学的发展,神经病学是精神病学与神经病学部门的一部分。如今,退伍军人管理局的神经科服务规模位居世界之首,且仍在不断扩大。通过指定区域内的医院和地区办事处,退伍军人可享受到这项服务,这些办事处是中央办公室下属的分支行政机构。在每个大型医疗中心,一个由院长组成的委员会负责指导专科住院医师培训项目。该委员会由医学院的教员组成,同时也负责审批医院的客座医务人员。神经科项目包含多项特殊活动,其中包括认证住院医师培训、神经诊断、慢性病患者康复、脑电图检查、癫痫、失语症及研究。截瘫治疗项目目前是一项独立服务,但神经科医生也参与其中。神经科医生和精神科医生都关注患有器质性精神病的患者,并且神经科医生还与神经外科医生密切合作。退伍军人管理局需要神经科医生,它在临床实践和研究方面提供了诱人的机会,还有晋升机会和丰厚的经济回报。