Teaching neurology: Guided walk in the park or solo free-climb?

In this issue of Neurology®, Safdieh et al.¹ present an update of the original Neurology Clerkship Core Curriculum previously prepared by a consortium of neurology educators and originally published in this journal in 2002.² Safdieh et al. do a comprehensive job by including core concepts fundamental for a required clinical neurology experience. In many ways, this updated iteration of the "essence of a neurology clinical experience" feels like the result of a Darwinian process. Several changes in the structure of clinical neurology experiences, as well as national requirements, have occurred since the original 2002 article, requiring curricula goal and objective updates. For example, in 2014, the Association of American Medical College's annual Graduation Questionnaire began including questions about direct observation of history-taking and physical examination skills in the neurology clerkship, essentially requiring directors to include such components as part of the standard curriculum. This was identified as an opportunity for improvement based on the 2017 Clerkship Director Survey, as only 69% of neurology clerkships have these elements currently.³

from Neurology recent issues https://ift.tt/2utsO9G