Background and purposeIn the coming decades, the world will face an increasing burden of neurological disorders (ND) and an urgent need to promote brain health. These challenges contrast with an insufficient neurological workforce in most countries, as well as decreasing numbers of general neurologists and neurologists attracted to work in general neurology (GN). This white paper aims to review the current situation of GN and reflect on its future.MethodsThe European Academy of Neurology (EAN) task force (TF) met nine times between November 2021 and June 2023. During the 2023 EAN annual meeting, attendees were asked to answer five questions concerning the future of GN. The document was sent for suggestions and eventually approval to the board and the presidents of the 47 national societies of the EAN.ResultsThe TF first identified four relevant current and future challenges related to GN: (i) definition, (ii) practice, (iii) education, and (iv) research. The TF then identified seven initiatives to further develop GN at both the academic and community level. Finally, the TF formulated 16 recommendations to promote GN in the future.ConclusionsGN will remain essential in the coming decades to provide rapid, accessible, and comprehensive management of patients with ND that is affordable and cost‐effective. There is also a need for research, education, and other initiatives aiming to facilitate improved working conditions, recognition, and prestige for those pursuing a career in GN.

中文翻译：

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一般神经病学：当前的挑战和未来的影响

背景和目的未来几十年，世界将面临日益增加的神经系统疾病（ND）负担，并迫切需要促进大脑健康。这些挑战与大多数国家神经病学劳动力不足以及普通神经科医生和从事普通神经病学 (GN) 工作的神经科医生数量不断减少形成鲜明对比。本白皮书旨在回顾 GN 的现状并反思其未来。方法欧洲神经病学会 (EAN) 工作组 (TF) 在 2021 年 11 月至 2023 年 6 月期间召开了 9 次会议。在 2023 年 EAN 年会上，与会者被询问回答有关 GN 未来的五个问题。该文件被发送给 EAN 的董事会和 47 个国家学会的主席征求建议并最终获得批准。结果 TF 首先确定了与 GN 相关的当前和未来的四个相关挑战：(i) 定义，(ii) 实践，(iii) ) 教育，以及 (iv) 研究。随后，TF 确定了在学术和社区层面进一步发展 GN 的七项举措。最后，TF 制定了 16 条建议，以促进未来的 GN。结论 GN 在未来几十年中仍然至关重要，可以为 ND 患者提供快速、可及且全面的管理，且经济实惠且具有成本效益。还需要开展研究、教育和其他举措，旨在改善那些在 GN 从事职业的人的工作条件、认可度和声望。