Outcomes and future directions for neuroimmunology/multiple sclerosis fellowship training: Survey of recent trainees.
Outcomes and future directions for neuroimmunology/multiple sclerosis fellowship training: Survey of recent trainees.
复制标题
DOI：
10.1016/j.msard.2020.102296
复制
发表时间：
2020-09
影响因子：
4
通讯作者：
Longbrake EE
中科院分区：
文献类型：
--
作者：
Hua LH;Obeidat AZ;Longbrake EE
神经免疫学/多发性硬化症是一个发展迅速但仍不明确的分支学科。研究金培训没有标准化，而且不同地点之间存在很大的差异。研究金培训的结果尚未得到研究。因此，我们调查了神经免疫学/硕士研究生项目毕业生的早期职业选择，并征求了当前和最近受训人员关于他们的团契经验以及改善神经免疫学教育的机会的观点。我们开发了一份问卷，收集关于团契培训经验和当前医疗实践的信息。我们根据美国培训项目和国家MS协会的记录确定了应届毕业生，并将调查问卷以电子方式发送给目前的实习生和最近5年内的应届毕业生。我们确定了179名当前/最近的受训人员，并通过调查分发成功地达到了157人。95人(60.5%)返回调查。大多数毕业生(68%)认为自己的学术实践主要或仅专注于MS和其他中枢神经免疫疾病(55%)，并在有≥5其他神经免疫学专家的地区执业(51%)。毕业生对MS和视神经脊髓炎谱系疾病的诊断做好了充分的准备，但他们对更罕见的中枢神经系统免疫疾病的适应程度差异很大。基础免疫学、神经风湿学、赠款撰写和神经康复被确定为跨学科教学培训的高影响领域。大多数最近的受训者(57%)赞成标准化核心神经免疫学课程，48%的人赞成制定子专业认证。这是第一次研究神经免疫学培训项目的实践结果和受训者的经历。我们预计，这些数据将帮助教育工作者定义子专业的核心课程，并确定补充技能集，以增强传统的以临床为基础的教学模式。
Neuroimmunology/multiple sclerosis is a rapidly evolving, but still poorly defined subspecialty. Fellowship training is not standardized, and there is substantial variability across sites. Outcomes of fellowship training have not yet been studied. We therefore examined early career choices of neuroimmunology/MS fellowship program graduates and solicited the perspective of current and recent trainees on their fellowship experience as well as opportunities to improve neuroimmunology education. We developed a questionnaire to collect information about fellowship training experiences and current medical practice. We identified recent graduates based on records from US training programs and the National MS Society and electronically sent the survey to current trainees and recent graduates (within the last 5 years). We identified 179 current/recent trainees and successfully reached 157 with survey distributions. Ninety-five individuals (60.5%) returned surveys. Most graduates assumed an academic practice (68%) focused mostly or exclusively on MS and other CNS neuroimmune diseases (55%), and practiced in regions where there were ≥5 other neuroimmunology specialists (51%). Graduates felt well-prepared to manage diagnoses of MS and neuromyelitis optica spectrum disorders but their comfort with rarer CNS neuroimmune diseases varied substantially. Basic immunology, neuro-rheumatology, grant writing and neuro-rehabilitation were identified as high impact areas for cross-disciplinary didactic training. The majority of recent trainees (57%) favored standardizing a core neuroimmunology curriculum, and 48% favored developing a subspecialty certification. This is the first study to examine practice outcomes and trainee experiences for neuroimmunology training programs. We anticipate that these data will help educators define a core curriculum for the subspecialty and identify complementary skill sets that enhance the traditional clinic-based model of teaching.
登录
查看更多内容
影响因子：
158.5
作者：
Pittock, S. J.;Berthele, A.;Wingerchuk, D. M.
通讯作者：
Wingerchuk, D. M.
影响因子：
2.4
作者：
Gallien, Philippe;Gich, Jordi;Feneberg, Wolfgang
通讯作者：
Feneberg, Wolfgang
影响因子：
168.9
作者：
Cree, Bruce A. C.;Bennett, Jeffrey L.;Felton, Warren, III
通讯作者：
Felton, Warren, III
影响因子：
168.9
作者：
Comi, Giancarlo;Radaelli, Marta;Sorensen, Per Soelberg
通讯作者：
Sorensen, Per Soelberg
影响因子：
158.5
作者：
Yamamura, Takashi;Kleiter, Ingo;De Seze, Jerome
通讯作者：
De Seze, Jerome