I'm wondering how neurology programs work at other institutions. At our hospital, patient's with straight-up neuro signs and symptoms are routinely rejected by neurology as "toxic/metabolic causes" and admitted to us (medicine). We routinely admit acute strokes, seizure disorders, etc. with no clear secondary etiology other than a "WBC of 11.5", which warrants admission to the hospitalist team for "further work-up". However, the neurology resident also recommends MRI Brain, CTA Head/Neck, etc., etc. Why does neurology suck so much at our institution?