Neurocritical care education during neurology residency AAN survey of US program directors
Neurocritical care education during neurology residency AAN survey of US program directors
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DOI：
10.1212/wnl.0b013e3182583034
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发表时间：
2012-05-01
期刊：
影响因子：
9.9
通讯作者：
Ziai, W.
中科院分区：
文献类型：
--
作者：
Sheth, K. N.;Drogan, O.;Ziai, W.
目的：关于神经科住院医师的神经重症监护教育现状的信息有限。我们调查的目的是评估神经内科住院医师的神经重症护理培训的需求和现状。方法：在美国神经病学学会的支持下，开发了一项调查工具，并于 2011 年分发给美国 132 个经认可的神经病学项目的住院医师项目主任。结果：实现了 74% 的响应率（132 个中的 98 个）。 64% 的人拥有专门的神经科学重症监护病房 (neuro-ICU)。 56% 的住院医师计划提供神经重症监护病房的专门轮换，平均持续 4 周。在可行的情况下，绝大多数 (91%) 的项目都需要神经重症监护室轮换。神经内科住院医师通过多种机制接触神经重症监护的基本原理。 37% 的项目主管表示，住院医师有兴趣在神经重症监护病房进行轮换。从 2005 年到 2010 年，将至少一名住院医师送入神经 ICU 专科的项目数量从 14% 增加到 35%。结论：尽管神经重症监护范围不断扩大，但很大一部分美国神经内科住院医师接触神经 ICU 和神经重症监护医生的机会有限。神经重症监护原则的正式培训可能差异很大。这项调查的结果表明，需要解决住院医师教育的差异性问题，并为神经内科住院医师制定神经重症监护标准化课程。神经病学（R）2012；78：1793-1796
Objective: Limited information is available regarding the current state of neurocritical care education for neurology residents. The goal of our survey was to assess the need and current state of neurocritical care training for neurology residents.Methods: A survey instrument was developed and, with the support of the American Academy of Neurology, distributed to residency program directors of 132 accredited neurology programs in the United States in 2011.Results: A response rate of 74% (98 of 132) was achieved. A dedicated neuroscience intensive care unit (neuro-ICU) existed in 64%. Fifty-six percent of residency programs offer a dedicated rotation in the neuro-ICU, lasting 4 weeks on average. Where available, the neuro-ICU rotation was required in the vast majority (91%) of programs. Neurology residents' exposure to the fundamental principles of neurocritical care was obtained through a variety of mechanisms. Of program directors, 37% indicated that residents would be interested in performing away rotations in a neuro-ICU. From 2005 to 2010, the number of programs sending at least one resident into a neuro-ICU fellowship increased from 14% to 35%.Conclusions: Despite the expansion of neurocritical care, large proportions of US neurology residents have limited exposure to a neuro-ICU and neurointensivists. Formal training in the principles of neurocritical care may be highly variable. The results of this survey suggest a charge to address the variability of resident education and to develop standardized curricula in neurocritical care for neurology residents. Neurology (R) 2012;78:1793-1796