The specialty of Neurology is changing rapidly. Traditionally neurology had been thought of as an intellectual pursuit, concerned with diagnosis of rare conditions of the nervous system. The advent of accessible imaging, and the emergence of potential therapies, has led to neurologists concerned with the treatment and on-going care of disorders which are in fact very common such as stroke, epilepsy, multiple sclerosis and Parkinson's disease.
Presently specialty training in neurology consists of five years, one of which may be relevant research. Usually the training is based around regional neurosciences centres with rotation to other units. Exposure to DGH type neurology is mandatory. Aspects of training, education and assessment are jointly developed with the Training Educational Subcommittee of the Association of British Neurologists.
Many neurologists have sessions at regional neurosciences centres, where they have access to inpatient beds, specialist investigational services (neuroimaging, neurophysiology, pathology) and onward referral to neurosurgical services. Some will develop regional subspecialty services in stroke, epilepsy, neuromuscular disease, dementia, genetics and movement disorders.
Entry into neurology training is possible following successful completion of both a foundation programme and a core training programme. There are two core training programmes for neurology training:
- Core Medical Training (CMT)
- Acute Care Common Stem - Acute Medicine (ACCS-AM)
Pilot DOPS: Thrombolysis (Neurology & Stroke Medicine) August 2015
A DOPS form has been developed to allow assessment of a single encounter of a trainee’s ability to undertake intravenuous thrombolysis and will be piloted with trainees in stroke medicine and neurology from August 2015 for a period of 12 months. Please see the document below for further information and guidance (revised March 2016).
A Logbook for cerebral reperfusion including thrombolysis is available for trainees in the pilot and should be uploaded to the personal library in the ePortfolio.
The curriculum for each specialty defines the process of training and the competencies needed for the award of a certificate of completion of training (CCT). The curriculum includes the assessment system for measuring trainees’ progress comprising workplace based assessment and knowledge based assessment.
Information on the Specialty Certificate Examination (SCE) in Neurology can be found on the MRCP(UK) website.
Previous versions of the curriculum are no longer available online but copies can be requested from firstname.lastname@example.org.
The ARCP decision aid for each specialty defines the targets that have to be achieved for a satisfactory ARCP outcome at the end of each training year. ARCP decision aids were revised to reflect the changes to the assessment and review process from August 2014 and replace all previous versions.