[Recent changes in the neurology residency program in the United States]

Residency in the United States has been known as one of the most organized systems for postgraduate medical education in the world. However, recent changes in the social, ethical and economic environment in the healthcare have brought new demands to the residency education. This review focuses on the new changes introduced by the Accreditation Council for Graduate Medical Education and Residency Review Committees, especially the changes directly relevant to neurology. These include changes in evaluation of residents and programs, work hours of residents and training curriculum. Additionally, residency program directors are facing new challenges of protecting healthcare private information, managed care, underrepresented minorities and visa acquisition by international medical graduates. Consequently, the workload of residency program directors has become more demanding.