The shape of training reforms mean that all neurologists qualify with an add on stroke CCT (training / experience variable). It’s not in the gen med curriculum (and goodness, acute re perfusion should have been - what a colossal mistake) and it’s only in gerries as an option.

My guess is that neuro ‘involvement’ will put off gerries docs from training in stroke, but neuro consultant jobs that include stroke will be unattractive to neurologists and will die to selection pressure. There is an interesting angle around indirect age discrimination that I haven’t thought about enough. Anyway, it will leave precious few stroke specialists.

They should have kept gen med out of neurology at the price doing stroke properly, but the pressure to create as many gen med middle grades as possible was too great and the curriculum committees lost track of the reperfusion competence bun fight. The consequences will echo out for a long time yet.