The core medical curricula in most medical schools throughout the world dedicate little time to providing information on PD and the complexities of its treatment and management. Where available, residency training programmes in neurology provide their trainees with more thorough information and training in this regard. In some parts of the world there are PD and movement disorders post-residency fellowships that allow for the development of more comprehensive education in this neurology subspecialty. In their scientific programmes, most local, regional and international neurology meetings have topics related to PD.

Unfortunately the training of health-care professionals towards a more effective health-care delivery for PD patients in resource-poor countries is lacking and constitutes a major challenge. These countries are the ones having the greatest need for trained professionals. Efforts should be made to establish training programmes in these regions to provide for at least:

■ proper diagnostic skills for the primary care physician;

■ rational use of available pharmacological treatments;

■ training of nurses and carers in the complex management issues affecting the long-term complicated PD patient;

■ increasing the availability of trained professionals in the areas of physical rehabilitation, speech and deglutition therapy.

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