Program Director Survey: Attitudes Regarding Child Neurology Training and Testing
Program Director Survey: Attitudes Regarding Child Neurology Training and Testing
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DOI：
10.1016/j.pediatrneurol.2015.12.011
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发表时间：
2016-04-01
影响因子：
3.8
通讯作者：
Gilbert, Donald L.
中科院分区：
文献类型：
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作者：
Valencia, Ignacio;Feist, Terri B.;Gilbert, Donald L.
背景：由于临床和科学的重大进步以及临床实践的变化，成人神经学培训在儿童神经病学和神经发育障碍(NDD)认证中的作用一直存在争议。最近批准的儿童神经病学和神经发育障碍住院医师的董事会资格要求仍然包括12个月的成人神经病学轮换。这项研究的目的是评估美国儿童神经学和神经发育障碍住院医师项目主任对最佳住院医师培训的意见。方法：作者开发了一份包含18个项目的问卷，并使用调查猴子通过电子邮件联系了所有80名儿童神经学和神经发育障碍项目主任。结果：共有44名项目主任回复(55%)，代表培训78个分类职位和94个总常驻职位的项目，约占匹配人员总数的70%。受访者确定了儿童神经科住院医师需要更多培训的多个领域，包括遗传学和神经肌肉疾病。绝大多数(73%)认为儿童神经学和神经发育障碍住院医生需要不到12个成人神经学培训月；然而，大多数(75%)也认为成人医院服务和人力需求(55%)和资金(34%)会对减少成人神经学构成障碍。大多数(70%)认为减少成人神经学训练应该是灵活的计划。大多数人认为，初始认证笔试应该修改为更多的儿童神经学，更少的基础神经科学问题。几乎所有人(91%)都认为儿童神经学和神经发育障碍项目主任的观点在研究生医学教育住院审查委员会的认可委员会中代表性不足。结论：儿童神经病学和神经发育障碍认证需要12个成人神经病学月的要求与大多数项目主任的观点不一致，他们赞成在儿童神经病学的亚专业领域进行更多的培训。(C)2016 Elsevier Inc.保留所有权利。
BACKGROUND: As a result of major clinical and scientific advances and changes in clinical practice, the role of adult neurology training for Child Neurology and Neurodevelopmental Disability (NDD) certification has become controversial. The most recently approved requirements for board eligibility for child neurology and neurodevelopmental disability residents still include 12 months in adult neurology rotations. The objective of this study was to assess United States child neurology and neurodevelopmental disability residency program directors' opinions regarding optimal residency training. METHODS: The authors developed an 18-item questionnaire and contacted all 80 child neurology and neurodevelopmental disability program directors via e-mail, using Survey Monkey. RESULTS: A total of 44 program directors responded (55%), representing programs that train 78 categorical and 94 total resident positions, approximately 70% of those filled in the match. Respondents identified multiple areas where child neurology residents need more training, including genetics and neuromuscular disease. A substantial majority (73%) believed child neurology and neurodevelopmental disability residents need less than 12 adult neurology training months; however, most (75%) also believed adult hospital service and man-power needs (55%) and finances (34%) would pose barriers to reducing adult neurology. Most (70%) believed reductions in adult neurology training should be program flexible. A majority believed the written initial certification examination should be modified with more child neurology and fewer basic neuroscience questions. Nearly all (91%) felt the views of child neurology and neurodevelopmental disability program directors are under-represented within the Accreditation Council for Graduate Medical Education Residency Review Committee. CONCLUSIONS: The requirement for 12 adult neurology months for Child Neurology and Neurodevelopmental Disability certification is not consistent with the views of the majority of program directors, who favor more training in subspecialized fields of child neurology. (C) 2016 Elsevier Inc. All rights reserved.