Neurology and Medicine: Specialization and Patient Advocacy in Medicine.

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“Neurology is closer to internal medicine than any other specialty. Justifiably, neurologists are reverting back to their role as internists of the nervous system”-Jose Biller.
In this episode of the Neurophilia Podcast, we discuss the relationship between neurology and medicine, how to improve communication between primary and secondary care, specialization in medicine, what makes a "good consult," and the importance of patient advocacy in all fields of medicine. We are joined by Neurophilia Co-host, Dr. Blake Buletko, and two very special guests, Dr. Deborah Plate and Dr. Austin Fredrickson.
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Dr. Blake Buletko is a vascular neurologist at the Cleveland Clinic. He completed his residency and fellowship training at the Cleveland Clinic and was the former medical director of their mobile stroke program. In addition to his clinical responsibilities, Dr. Buletko serves as an Assistant Professor at the Cleveland Clinic Lerner College of Medicine of Case Western Reserve University and is the current Program Director of the Adult Neurology Residency program for the Cleveland Clinic.
Dr. Deborah Plate is a board-certified Family Medicine Physician. She is currently the Chair and Clinical Associate Director at the Center for Family Medicine residency program at Cleveland Clinical Akron General. She has a private practice at CFM and loves caring for her patients, some of whom she has cared for 30 years.

Dr. Austin Fredrickson is an associate professor of internal medicine at NEOMED and a board-certified general internist practicing primary care in his hometown of Salem, Ohio. He serves in medical leadership positions at the state and national levels, and is currently his county's deputy coroner, although Dr. Fredrickson’s greatest claim to fame may be that he was a pupil of the infamous Dr. Deborah Plate.
References:
Aminoff, M. (n.d.). Neurology is not enough - aan.com. Neurology is Not Enough. Retrieved March 30, 2023, from https://www.aan.com/globals/axon/assets/4570.pdf Lanska DJ. The Interface of Neurology & Internal Medicine. JAMA. 2008;299(8):960–961. doi:10.1001/jama.299.8.960
Majersik JJ, Ahmed A, Chen IA, Shill H, Hanes GP, Pelak VS, Hopp JL, Omuro A, Kluger B, Leslie-Mazwi T. A Shortage of Neurologists We Must Act Now: A Report From the AAN 2019 Transforming Leaders Program. Neurology. 2021 Apr 30:10.1212/WNL.0000000000012111. doi: 10.1212/WNL.0000000000012111. Epub ahead of print. PMID: 33931527.
Morrish P. The changing relationship between neurology and general practice in the UK. Br J Gen Pract. 2009 Aug;59(565):599-604. doi: 10.3399/bjgp09X453837. PMID: 22751237; PMCID: PMC2714785.
Murray TJ. What should a family physician know about neurology? Can Fam Physician. 1990 Feb;36:297-9. PMID: 21234042; PMCID: PMC2280633.Sanky, C., Gentile, C., Ren, J., Bortnick, E., & Krieger, S. (2023). Education research: The inappropriate consult. Neurology: Education, 2(1). https://doi.org/10.1212/ne9.0000000000200044
Swarztrauber K, Vickrey BG. Do neurologists and primary care physicians agree on the extent of specialty involvement of patients referred to neurologists? J Gen Intern Med. 2004 Jun;19(6):654-61. doi: 10.1111/j.1525-1497.2004.30535.x. PMID: 15209604; PMCID: PMC1492387.

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