
Contents
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Introduction Introduction
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Background Background
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The historical context of neurology The historical context of neurology
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Developments in neurology and the role of science Developments in neurology and the role of science
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Knowledge and science are not enough Knowledge and science are not enough
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Advocacy Advocacy
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The neurologist as an advocate The neurologist as an advocate
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Attributes of advocates Attributes of advocates
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Ability to orchestrate Ability to orchestrate
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Acting on behalf of patients Acting on behalf of patients
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Authenticity Authenticity
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Autonomy Autonomy
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Collaboration Collaboration
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Communication Communication
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Creativity Creativity
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Empathy, passion, sympathy Empathy, passion, sympathy
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Humility Humility
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Management and professionalism Management and professionalism
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Navigating through the healthcare system Navigating through the healthcare system
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Passion Passion
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Perseverance Perseverance
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Resilience Resilience
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Scholarly practice Scholarly practice
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Whistle-blowing Whistle-blowing
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Factors and methods Factors and methods
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Methods Methods
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Evaluation of advocacy Evaluation of advocacy
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Immersion as a method for advocacy Immersion as a method for advocacy
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Relations and communication Relations and communication
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Can we attach a ‘flavour carrier’ to our message? Can we attach a ‘flavour carrier’ to our message?
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Involvement of patients in study design Involvement of patients in study design
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Open charts and patent access Open charts and patent access
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Training of advocates Training of advocates
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Summary and recommendations Summary and recommendations
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References References
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7 Knowledge and science are not enough
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Published:February 2019
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Abstract
Knowledge and science are the basis of neurology, while competence, skills, and possession of a virtue synthetically referred to as ‘phronesis’ are also expected in clinical practice. There is an increasing awareness of the importance of ‘soft facts’, which are well-formulated in the CanMEDs and belong to the neurologist’s spectrum of abilities. This spectrum embraces several aspects of the ability to work and communicate within a team and a community. Physician advocacy for patients is implicit in many of the agendas of a practising neurologist, but is often related to individual- and patient-based (micro) aspects. Meso and macro aspects are often neglected. This disregard can be due to a lack of awareness but also to a lack of attention. Management and communication skills, compassion, sympathy, empathy, and ‘passion’ are often mentioned, and are implicitly part of successful advocacy.
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