Article Text

Download PDFPDF
In defence of general neurology
  1. Neil E Anderson
  1. Neurology, Auckland City Hospital, Auckland, New Zealand
  1. Correspondence to Dr Neil E Anderson, Neurology, Auckland Hospital, Auckland, 1023, New Zealand; neila{at}

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

Until recently, most neurological physicians were general neurologists, but neurology is rapidly becoming subspecialised. The American Academy of Neurology website lists 27 subspecialties with available fellowships.1 Compston predicted that eventually there would be four types of neurologist: general neurologists working outside a main centre; subspecialists in a main centre who are competent in general neurology; super-specialists who seldom venture outside their area of expertise; and full-time researchers who seldom see a patient.2 Neurologists working in small hospitals or in solo practice unavoidably must be general neurologists, but even in large hospital departments, those with a subspecialty interest often act as general neurologists and see new patients. Many subspecialists are excellent general neurologists and—though often reluctant to admit it—they likely have more enjoyment from the intellectual challenge of general neurology than their chosen field of expertise.

The benefits and drawbacks of general neurology can be considered from the viewpoint of the neurologist and that of the patient.

The neurologists’ perspective

The greatest pleasure of general neurology is the variety of …

View Full Text


  • Contributors NEA wrote this article.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Commissioned; externally peer reviewed by Steven Lewis, Pennsylvania, USA.

Linked Articles

  • Highlights from this issue
    Phil E M Smith Geraint N Fuller

Other content recommended for you