Universidade de São Paulo, Hospital das Clínicas, Faculdade de Medicina, Departamento de Neurologia, São Paulo SP, Brazil.
Arq Neuropsiquiatr. 2022 May;80(5 Suppl 1):1-6. doi: 10.1590/0004-282X-ANP-2022-S104.
Training of neurologists for the near future is a challenge due to the likely advances in neuroscientific methods, which will change much of our knowledge on diagnosis and treatment of neurological diseases.
to comment on what may be more likely to be a constant in the very near future and to recommend how to prepare the neurologist for the 21st century.
through a critical review of recent articles on the teaching of Neurology, to present a personal view on the subject.
Diagnostic methods and therapeutic resources in Neurology will be greatly improved, but the central core of teaching young neurologists will continue to be the clinical/anatomical correlation. The neurologist must be prepared to be the primary physician in the care of patients with neurological disorders, although the roles of consultant and clinical neuroscientist must also be considered. In addition to technical knowledge, the neurologist must be prepared to discuss not only distressing issues related to the specialty, such as the risks of genetic diseases for family members of their patients, the inexorable progression of some diseases and the need for palliative care, but also problems not directly related to Neurology that cause anxiety and depression in the patient or that are the main reason for the initial consultation.
neurology will be an even more important area of medicine and the neurologist must be well prepared to be the primary doctor to diagnose, treat and follow the patient with neurological disorders. In addition to technical knowledge, training in doctor-patient relations should be highlighted.
由于神经科学方法的可能进步，未来的神经科医师培训将是一个挑战，这将改变我们对神经疾病诊断和治疗的许多认识。
评论在不久的将来可能更有可能成为常态的问题，并就如何为 21 世纪的神经科医师做准备提出建议。
通过对近期神经病学教学文章的批判性回顾，就该主题提出个人观点。
神经病学的诊断方法和治疗资源将得到极大改善，但年轻神经科医师教学的核心内容仍将是临床/解剖相关性。神经科医师必须为神经障碍患者的主要治疗医师做好准备，尽管还必须考虑顾问和临床神经科学家的角色。除了技术知识外，神经科医师还必须准备好讨论不仅与该专业相关的令人痛苦的问题，例如患者家属的遗传疾病风险、某些疾病的不可避免进展和姑息治疗的必要性，还要讨论与神经病学无关但会引起焦虑和抑郁的问题患者或导致初始咨询的主要原因。
神经病学将成为医学中更重要的领域，神经科医师必须为诊断、治疗和随访神经障碍患者做好充分准备。除了技术知识外，还应强调医患关系的培训。
