There is an inherent conflict between interpreting ultrasound imaging, which generates rich, highly textured complex representations of 3-dimensional space, and the rendering of these images into discrete measures for statistical analysis Reducing images to a small set of numbers, by necessity, ignores vast amounts of useful data, but the process is a prerequisite for generating objective information that can be shared by the clinical community. This article illustrates how ultrasound imaging is used in quantitative ways. The goal is not to supplant or diminish the importance of descriptive findings but to make the field amenable to statistical methods and standards for making diagnoses and designing therapeutic trials of new interventions. The discussion focuses first on muscle ultrasonography, a technique that was developed more than a decade earlier than nerve ultrasound, to illustrate key elements in determining how to best extract quantitative information from complex images. The discussion then applies some of these same principles to the study of 2 common nerve disorders.
Nerve cross-sectional area increases with age, which is important to note when using ultrasound to evaluate children and geriatric patients.
Clinicians aware of "Tips and Tricks" might be better equipped to recognize the symptoms of anorexia early in treatment. Knowledge of "Tips and Tricks" can also facilitate better education, making it difficult for clients to conceal their illness.
Objective: To survey US-trained graduating neurology residents who are American Academy of Neurology members, in an effort to trend perceived quality and completeness of graduate neurology education.Methods: An electronic survey was sent to all American Academy of Neurology members graduating from US neurology residency programs in the Spring of 2014.Results: Of 805 eligible respondents, 24% completed the survey. Ninety-three percent of adult neurology residents and 56% of child neurology residents reported plans to pursue fellowship training after residency. Respondents reported a desire for additional training in neurocritical care, neuro-oncology, neuromuscular diseases, botulinum toxin injection, and nerve blocks. There remains a clear deficit in business training of neurology residents, although there was notable improvement in knowledge of coding and office management compared to previous surveys.Discussion: Although there are still areas of perceived weakness in neurology training, graduating neurology residents feel generally well prepared for their chosen careers. However, most still pursue fellowship training for reasons that are little understood. In addition to certain subspecialties and procedures, practice management remains deficient in neurology training and is a point of future insecurity for most residents. Future curriculum changes should consider resident-reported gaps in knowledge, with careful consideration of improving business training. Neurology ® 2016;86:e112-e117 Graduate medical education is a constantly changing landscape built on the optimization of resident education, experience, and workload. In neurology, defining the best resident curriculum is challenged by a particularly rapid expansion of knowledge and shifting accreditation requirements. Among other tools for monitoring the state of neurology residency training in the United States, the American Academy of Neurology (AAN) surveys neurology residency program directors to evaluate national curriculum structure, effects of duty hour restrictions, and trends in recruitment and matching of residents. [1][2][3][4] To understand trainee perceptions of neurology education, the AAN routinely surveys US-trained, AAN-member adult and child neurology residents. 5,6 Previous resident surveys offered key insights into relative gaps in didactic curriculum, including basic neuroscience and business management, as well as resident perceptions of inadequate exposure to certain procedures and subspecialties.Herein, we present the third survey of graduating AAN-member adult and child neurology residents in the United States, performed in an effort to longitudinally measure the structure and quality of graduate neurology education. In addition, delving further into previously noted deficiencies, much focus is given to procedural skills, diagnostic test interpretation, subspecialty exposure, practice preparation, and precise aspects of business training.METHODS The survey instrument, presented in supplemental data on the Neurology ® We...
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