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32f gé;;$ﬁxf

June 11, 1990
Layton McCurdy, M.D.
American Board of Neurology

&amp;

Psychiatry

Institute of the Pennsylvania Hospital
Street

111 N. 49

Philadelphia,

PA

19139

Dear Dr. McCurdy,
Like many of

my

peers,

I am

writing with regard to the proposed

Qualification in Neurophysiology" which is considered for
physicians qualified in Neurology. By excluding those qualified in
Psychiatry, I believe that the Board is inadvertently excluding a large
number of very qualified practitioners whose skills and interest in
"Added

electrophysiology complement those of their neurologic peers.

referring to those psychiatrists with interests in
quantitative EEG in assessing the effects of psychoactive drugs; those
specializing in the analysis of sleep EEG recordings; and those
interested in multi—lead EEG recordings in assessing patients with
affective illness who may be candidates for anticonvulsant therapies.
I am

certified both in neurology

psychiatry, my work in
pharmaco-electroencephalography is clearly of little interest to my
neurologic colleagues, but is central to a whole discipline in
psychopharmacology and psychiatry. Similarly, the work of my associate,
Wallace Mendelssohn in sleep studies, which is an important asset in our
While I

am

and

psychiatric assessments.

Clinical psychiatry has undergone at least three major
revolutions in my professional lifetime-— from the psychodynamic era in
which I was trained at the William Alanson White Institute; to the era
of psychopharmacology; then the excitement about neuroscience; and now
the return to our interest in neuropsychiatry.
By limiting the Iadded qualification’ to that small group of
practitioners who meet the criteria for Neurology would be a disservice
both to clinical practice and to research opportunities which are now

unfolding.

hope that the Board will see the wisdom of either not
added qualification in neurophysiology to neurologists, or
doing away with the added qualification in its entirety.
I

limiting the

Thank you for your consideration.

Sincerely yours,
Max

Fink,

M.D.

Professor of Psychiatry

ABPN

(P54) (N52)

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              <text>Special Collections and University Archives, University Libraries. Stony Brook University Libraries (State University of New York).</text>
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