‘No man is an island entire of itself…’.1 We can be certain that John Donne was not thinking about the inter-relationships between medical specialties when he wrote those lines in 1642 but such is the resonance of the ideas that we can easily see their relevance to our practice. A recurring issue in neurological training is the extent and depth of neurology’s links with other general medical specialties. In the USA and much of Europe, trainees progress much more directly into neurological training, with clearer water between neurology and general medicine. In the UK, Australia and New Zealand, however, there is more of a bridge, with neurologists expected to have had considerable general medical training before specialising. Changes in training already underway in the UK will further increase neurologists’ general medical training; the bridge is becoming a causeway. No matter how neurologists are trained, general medical …

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本期要点

“没有人是一个完整的岛屿……”。我们可以肯定的是，约翰·多恩（John Donne）在1642年撰写这些专栏时并没有考虑过医学专业之间的相互关系，但这正是我们可以轻松实现的思想的共鸣。看看他们与我们的做法有关。神经科训练中经常出现的问题是神经科与其他一般医学专业的联系的程度和深度。在美国和欧洲大部分地区，受训者可以更直接地进行神经系统训练，神经病学和普通医学之间的交流更加清晰。但是，在英国，澳大利亚和新西兰，架起了更多的桥梁，神经科医师有望在专业化之前接受大量的常规医学培训。英国已经在改变培训方式，这将进一步增加神经科医生的一般医学培训；这座桥正变成一条堤道。无论神经科医生如何接受培训，普通医学……