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J R Soc Med. 1986 November; 79(11): 655–657.
PMCID: PMC1290532

Pattern of neurological outpatient practice: implications for undergraduate and postgraduate training.


A case analysis has been performed on 4000 successive outpatient referrals to one consultant neurologist, representing 72% of all referrals to Charing Cross Hospital and 82% to Hillingdon Hospital. A specific diagnosis was not possible in 1013 patients (25.3%). Amongst the remainder certain diagnoses were predictably common: for example, migraine (241), tension headaches (296) and epilepsy (470). Based on data obtained for the incidence of various neurological disorders in the community, an attempt has been made to assess what proportion of patients with certain diagnoses are likely to be seen by a neurologist. The rarity with which certain classical conditions, for example syringomyelia, is encountered is stressed and the implications for teaching discussed.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Kurtzke JF. The current neurologic burden of illness and injury in the United States. Neurology. 1982 Nov;32(11):1207–1214. [PubMed]
  • Menken M, Sheps CG. Consequences of an oversupply of specialists. The case of neurology. JAMA. 1985 Apr 5;253(13):1926–1928. [PubMed]

Articles from Journal of the Royal Society of Medicine are provided here courtesy of Royal Society of Medicine Press