Postgraduate Training in Neurology

Among recent graduates of neurology training programs, a majority pursue careers in community practice. Because the scope of community neurologic practice differs from that of referral centers, I suggest five changes in postgraduate neurologic training: (1) instruction in an epidemiologic approach to patient care, (2) greater emphasis on training for ambulatory care, (3) development of departmental links with community hospitals, (4) clarification of the role of neurotechnology outside teaching centers, and (5) recognition of the need to regionalize some neurologic and neurosurgical care.