PO233 Clinical neurology teaching in uk medical schools: a foundation for primary care?

Autor: Andrew Mowat
Rok vydání: 2017
Předmět:
Zdroj: Journal of Neurology, Neurosurgery & Psychiatry. 88:A73.3-A74
ISSN: 1468-330X
0022-3050
DOI: 10.1136/jnnp-2017-abn.254
Popis: Background In the UK, the burden of an ageing population means that diseases of the nervous system are of increasing importance, and now account for 28% of all years of life lived with disability. In primary care neurological conditions are the third most common reason for consulting a GP. The importance of potential GPs receiving appropriate neurology teaching as medical students is critical. As, trainees are unlikely to take up neurology posts during foundation or VTS training. Aims To determine the perception of clinical neurology amongst British general practitiioners. To assess whether neurology teaching meets the needs of the modern general practitioner. Methods Literature review Results A survey of GPs found they perceive neurology to be the most difficult specialty, and the one they had least knowledge of. Reasons identified were a lack of teaching and the perceived complexity of the subject matter. A further questionnaire found that confidence in treating common neurological disorders such as epilepsy was low, with 34% of responders reporting that they felt they lacked adequate knowledge, and 65% feeling unfamiliar with novel medications. GP accounts of headache referral behaviour shows significant variation reflecting a lack of confidence in excluding significant pathology. Conclusions This research highlights problems with clinical neurological education. There is an urgent need to re-think direction with greater emphasis on clinical application, examination, and treatment of cases encountered within primary care.
Databáze: OpenAIRE