According to the Dyslexia Research Institute, up to 15 percent of Americans are affected by this neurological difference, resulting in language, perceptual and processing difficulties. The percentage of dyslexic doctors is difficult to measure, as many fear that disclosure could thwart professional development and compromise the trust of patients. For a recent paper in the Postgraduate Medical Journal, Jean Robson at Dumfries & Galloway Royal Infirmary in Dumfries, UK, and colleagues interviewed seven dyslexic first-year physicians in the Scottish National Health Service. Most said they had not disclosed their dyslexia and had experienced difficulty with communication, time-management and anxiety.