Building a neuroinfectious disease consensus curriculum

Venkatesan, Arun; Chow, Felicia C.; Aksamit, Allen J.; Bartt, Russell; Bleck, Thomas P.; Jay, Cheryl A.; Pastula, Daniel M.; Roos, Karen L.; Rumbaugh, Jeffrey A.; Saylor, Deanna; Cho, Tracey A.

doi:10.1212/wnl.0000000000007872

Cited by 5 publications

(5 citation statements)

References 18 publications

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“…Committees who use Delphi methods may adopt different approaches to conduct systematic literature reviews. For example, some applications of the method will first establish the expert panel and then task the same committee to source the literature that they and their peers will evaluate during the consensus process ( Venkatesan et al, 2019 ). Here, we elected to streamline this process by having the facilitator identify references at the same time as the Misophonia Consensus Committee was assembling.…”

Section: Methodsmentioning

confidence: 99%

“…Initially developed by researchers at the RAND Corporation ( Dalkey, 1969 ), the Delphi method has been used in a variety of fields since the 1960’s to reach consensus. Variants of the original technique have been reliably used in medical science, healthcare, and mental health research for the purpose of defining foundational concepts, designing domains or criteria, and determining consensus definitions ( Jorm, 2015 ; San et al, 2015 ; Eubank et al, 2016 ; Stern et al, 2018 ; Venkatesan et al, 2019 ).…”

Section: Introductionmentioning

confidence: 99%

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Consensus Definition of Misophonia: A Delphi Study

et al. 2022

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Misophonia is a disorder of decreased tolerance to specific sounds or their associated stimuli that has been characterized using different language and methodologies. The absence of a common understanding or foundational definition of misophonia hinders progress in research to understand the disorder and develop effective treatments for individuals suffering from misophonia. From June 2020 through January 2021, the authors conducted a study to determine whether a committee of experts with diverse expertise related to misophonia could develop a consensus definition of misophonia. An expert committee used a modified Delphi method to evaluate candidate definitional statements that were identified through a systematic review of the published literature. Over four rounds of iterative voting, revision, and exclusion, the committee made decisions to include, exclude, or revise these statements in the definition based on the currently available scientific and clinical evidence. A definitional statement was included in the final definition only after reaching consensus at 80% or more of the committee agreeing with its premise and phrasing. The results of this rigorous consensus-building process were compiled into a final definition of misophonia that is presented here. This definition will serve as an important step to bring cohesion to the growing field of researchers and clinicians who seek to better understand and support individuals experiencing misophonia.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Consensus Definition of Misophonia: A Delphi Study

et al. 2022

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“…by reviewing the literature for both neurology-based competencies and general global health competencies. 9,21,22,[23][24][25][26][27][28][29] All domains and competencies identified in the literature review were compiled in a comprehensive list which constituted the initial survey sent to participants. Of note, individual competencies identified by literature review were modified to be specific to neurology.…”

Section: Methodsmentioning

confidence: 99%

Consensus Competencies for Postgraduate Fellowship Training in Global Neurology

et al. 2023

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Objective:Use a modified Delphi approach to develop competencies for neurologists completing>1 year of advanced global neurology training.Methods:An expert panel of 19 US-based neurologists involved in global health was recruited from the American Academy of Neurology Global Health Section and the American Neurological Association International Outreach Committee. An extensive list of global health competencies was generated from review of global health curricula and adapted for global neurology training. Using a modified Delphi method, US-based neurologists participated in three rounds of voting on a survey with potential competencies rated on a 4-point Likert scale. A final group discussion was held to reach consensus. Proposed competencies were then subjected to a formal review from a group of seven neurologists from low- and middle-income countries (LMICs) with experience working with neurology trainees from high-income countries (HICs) who commented on potential gaps, feasibility, and local implementation challenges of the proposed competencies. This feedback was used to modify and finalize competencies.Results:Three rounds of surveys, a conference call with US-based experts, and a semi-structured questionnaire and focus group discussion with LMIC experts were utilized to discuss and reach consensus on the final competencies. This resulted in a competency framework consisting of 47 competencies across eight domains: (1) Cultural Context, Social Determinants of Health and Access to Care; (2) Clinical and Teaching Skills and Neurological Medical Knowledge; (3) Team-Based Practice; (4) Developing Global Neurology Partnerships; (5) Ethics; (6) Approach to Clinical Care; (7) Community Neurological Health; (8) Health Care Systems and Multinational Health Care Organizations.Conclusions:These proposed competencies can serve as a foundation on which future global neurology training programs can be built and trainees evaluated. It may also serve as a model for global health training programs in other medical specialties as well as a framework to expand the number of neurologists from HICs trained in global neurology.

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“…The survey was developed by a multidisciplinary team (composed of neurologists and ID physicians), based on the literature [ 12 , 14 ]. The 11-item questionnaire ( Supplementary Data 1 ) pilot was tested by 2 additional ID physicians (A. T. and K. M.), to assess for length and clarity.…”

Section: Methodsmentioning

confidence: 99%

“…Within neurology, training usually occurs as part of a neuro-ID fellowship, although such a pathway does not have formal accreditation status in the US. As a result, no formal curriculum exists for training in neuro-ID, although recently a group of neurologists with expertise in neuro-ID developed a consensus curriculum via a modified Delphi method [ 12 ]. In addition to guidelines regarding the clinical and laboratory evaluation of patients, the group highlighted the importance of a team-based approach to clinical care, with the involvement of ID physicians.…”

mentioning

confidence: 99%

Perspectives on Diagnosis and Management of All-Cause Encephalitis: A National Survey of Adult Infectious Diseases Physicians

Maréchal

Diaz-Arias

Beekmann

et al. 2023

Open Forum Infectious Diseases

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Background Encephalitis is widely recognized as a challenging condition to diagnose and manage. The care of patients with encephalitis typically involves multiple disciplines, including neurologists and infectious disease (ID) physicians. Our objective was to describe the perspectives and needs of ID physicians regarding encephalitis, using a cross-sectional questionnaire survey. Methods We performed a survey among physician members of the Infectious Diseases Society of America’s Emerging Infections Network. Results Response rate was 33% (480 among 1,472 active EIN physician members). Over 75% of respondents reported caring for patients with suspected encephalitis. Although one-third were involved in the care of multiple patients with autoimmune encephalitis (AE) annually, comfort in diagnosing and managing encephalitis, and in particular AE, was low. Experience with advanced diagnostic tools was variable, as were approaches toward deployment of such tools. Respondents noted that training could be improved by incorporating a multidisciplinary approach, taking advantage of online and virtual platforms. ID physicians report a heavy reliance on the 2008 IDSA Guidelines for the Management of Encephalitis, and indicated strong support for a formal update. Conclusions ID physicians play an important role in the diagnosis and management of all-cause encephalitis. Despite exposure to AE, few ID physicians are comfortable in recognizing, diagnosing and treating AE. Moreover, comfort with and use of advanced diagnostic tools for infectious encephalitis was highly variable. Training in encephalitis should include a focus on use and stewardship of advanced diagnostic tools, and on collaborative approaches with neurologists and other practioners on mechanisms and clinical presentations of AE. There is a need for a formal update of 2008 guidelines on the management of encephalitis.

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Building a neuroinfectious disease consensus curriculum

Cited by 5 publications

References 18 publications

Consensus Definition of Misophonia: A Delphi Study

Consensus Definition of Misophonia: A Delphi Study

Consensus Competencies for Postgraduate Fellowship Training in Global Neurology

Perspectives on Diagnosis and Management of All-Cause Encephalitis: A National Survey of Adult Infectious Diseases Physicians

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