Martín R
Secretaria de la Sociedad Valenciana de Neurologia, Valencia.
Rev Neurol. 1995 Sep-Oct;23(123):1100-5.
We carried out a postal opinion poll among members of the Valencian Neurological Society with the aim of defining the profile of the Neurologist in our region. We received 35 replies (30% answer rate). We can characterize the Neurologist in our region as having been an in-house resident doctor (MIR) in 68.6% of cases, working in the public health service in 80% of cases and in a hospital also in 80% of cases. In all cases (100%) general practitioners (GPs) referred patients to neurologists as opposed to being referred by other possible routes-emergencies, other specialties, the patient him or herself-most neurologists considering patients should come with adequate clinical history (94.3%), medical examination (82.9%) and suspected diagnosis (68.6%). 97.1% expressed the opinion that it is the neurologist who must decide the follow-up for neurological patients. 85.7% think direct access on the part of the neurologist to Doppler techniques is essential and 80% think the same concerning access to neuropathological studies, which contrasts with the meager development of these techniques in our region. About 70% believe Doppler techniques should be performed by the neurologist. 68.6% consider the neurologist should be involved in neurology management with decisive powers. 62.9% said subspecialties are interesting for research and backup, the most necessary of such subspecialties being cerebrovascular pathology, neuromuscular pathology, extrapyramidal pathology and epilepsy. Most neurologists were of the opinion that Neurology should have nothing to do with Psychiatry or Internal Medicine, although there is a need for important relations with Neurophysiology through the setting up of a common organization or of functional units. It was generally though the neurologist should be involved in teaching at all levels. 77.1% agree with the existence of a credit system for continuous assessment in the specialty, most (57.1% considering such a scheme should be optional and performed by the regional scientific societies (40%).
我们对瓦伦西亚神经学会的成员进行了一次邮寄式民意调查，目的是确定我们地区神经科医生的概况。我们收到了35份回复（回复率为30%）。我们可以将我们地区的神经科医生描述为：68.6%的人曾是住院医生（MIR），80%的人在公共卫生服务部门工作，80%的人也在医院工作。在所有情况下（100%），全科医生（GPs）会将患者转诊给神经科医生，而不是通过其他可能的途径——急诊、其他专科、患者本人转诊，大多数神经科医生认为患者前来时应具备充分的临床病史（94.3%）、医学检查（82.9%）和疑似诊断（68.6%）。97.1%的人表示，应由神经科医生决定神经科患者的后续治疗。85.7%的人认为神经科医生直接使用多普勒技术至关重要，80%的人对神经病理学研究的获取也持同样看法，这与我们地区这些技术的薄弱发展形成对比。约70%的人认为多普勒技术应由神经科医生操作。68.6%的人认为神经科医生应参与具有决定权的神经学管理。62.9%的人表示亚专科对研究和支持很有意义，其中最必要的亚专科是脑血管病理学、神经肌肉病理学、锥体外系病理学和癫痫。大多数神经科医生认为神经学与精神病学或内科无关，尽管通过建立共同组织或功能单位与神经生理学建立重要联系是有必要的。普遍认为神经科医生应参与各级教学。77.1%的人同意在该专业中存在持续评估的学分制度，大多数人（57.1%）认为这样的计划应该是可选的，并由地区科学协会执行（40%）。
