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(Stroke. 1973;4:497.)
© 1973 American Heart Association, Inc.

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VIII. Training, Education, Manpower, and Research for Stroke Care

TRAINING, EDUCATION, MANPOWER, AND RESEARCH STUDY GROUP; RAY W. GIFFORD JR. M.D.¹; RODERIC M. BELL F.A.C.H.A.²; JOHN GILROY M.D., F.R.C.P.³; JOHN W. GOLDSCHMIDT B.S., M.D.⁴; ARNOLD H. GREENHOUSE M.D.⁵; LUCILE P. LEONE ⁶; LAWRENCE C. MCHENRY JR. M.D.⁷; JAMES L. O'LEARY M.D.⁸; LELAND E. POWERS M.D., M.S.P.H.⁹; IRWIN J. SCHATZ M.D.¹⁰; HENRY G. SCHWARTZ M.D.¹¹; NORMAN S. STEARNS M.D.¹²

¹ Department of Hypertension and Nephrology, Cleveland Clinic Foundation, Cleveland, Ohio, 44106
² Presbyterian Hospital of Dallas, 8200 Walnut Hill Lane, Dallas, Texas, 75231
³ Department of Neurology, Wayne State University School of Medicine, Detroit, Michigan, 48201
⁴ College of Allied Health Sciences, Thomas Jefferson University, 11th and Walnut Streets, Philadelphia, Pennsylvania, 19107
⁵ Department of Neurology, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, Ohio, 44106
⁶ College of Nursing, Texas Woman's University, 125 Cambon Drive, San Francisco, California, 94132
⁷ The Bowman Gray School of Medicine of Wake Forest University, Winston-Salem, North Carolina, 27103
⁸ Washington University School of Medicine, Associate Neurologist Emeritus, Barnes Hospital; St. Luke's Hospital, 660 South Euclid Avenue, St. Louis, Missouri, 63110
⁹ Division of Allied Health Programs, The Bowman Gray School of Medicine of Wake Forest University, Winston-Salem, North Carolina, 27103
¹⁰ Division of Cardiology (Heart Station), University of Michigan Medical Center, Ann Arbor, Michigan, 48104
¹¹ Washington University School of Medicine, and Neurosurgeon-in-Chief, Barnes Hospital, St. Louis, Missouri, 63110
¹² Tufts Medical School, First and Third Medical Services, Boston City Hospital, 818 Harrison Avenue, Boston, Massachusetts, 02118

Joint Committee for Stroke Facilities, Suite 1010, 1776 K Street, N.W., Washington, D.C. 20006

The manpower required for diagnosis and management of the 500,000 patients who experience stroke in the United States annually encompasses numerous disciplines, beginning with the family physician. The medical specialists and allied health personnel chiefly involved in addition are the neurologist, internist/cardiologist, nurse, physiatrist, physical therapist, occupational therapist, and speech therapist. Besides these, services of the radiologist, neurosurgeon, vascular surgeon, psychiatrist, orthopaedist, urologist, ophthalmologist, and pathologist frequently are needed. Important support is given by the dietitian, social worker, psychologist, and vocational rehabilitation counselor. Statistics are included for manpower available at present in a number of these disciplines.

Training and education extend throughout all levels, from the undergraduate through the postgraduate, and including continuing education. The knowledge and skills which each of these special groups should possess for competence in the area of stroke are described. The results of a survey are summarized, indicating the current status of stroke care in the curricula of United States medical schools and schools of osteopathy.

The concept of a stroke team is presented, describing the advantages of interdisciplinary action and effective utilization of available personnel and resources for patient care and for educational and training functions. An example is cited to demonstrate its feasibility and to illustrate the methods of establishing a local stroke program.

The list of research needs in the area of stroke is extensive--over 100 pertinent topics are cited. Recommendations of the study group are summarized.