Program Director Survey: Attitudes Regarding Child Neurology Training and Testing - 19/03/16
, Terri B. Feist, BBA, C-TAGME b, Donald L. Gilbert, MD, MS bAbstract |
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 SurveyMonkey.
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.
Le texte complet de cet article est disponible en PDF.Keywords : training, neurodevelopmental disabilities, adult neurology, child neurology, Graduate Medical Education
Plan
| Funding and conflict of interests: Dr. Ignacio Valencia and Terri B. Feist have nothing to disclose. Dr. Donald L. Gilbert has received honoraria from the Hong Kong Society of Child Neurology and Developmental Paediatrics, the Tourette Syndrome Association/Centers for Disease Control and Prevention, and the American Academy of Pediatrics; has received book royalties from Elsevier. Dr. Donald L. Gilbert has received research support (for Tourette syndrome, ADHD) from the NIH (NIMH R01 MH092520, NIMH R01 MH081854, NIMH R01 104651, NINDS R01 NS085023), and from Ecopipam Pharmaceuticals (clinical trial, Tourette syndrome). |
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P. 17-21 - avril 2016 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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