Interventional psychiatry: the elephants in the room

Padberg, Frank; Burkhardt, Gerrit; Goerigk, Stephan; Brunoni, André R.

doi:10.47626/1516-4446-2022-0044

Cited by 1 publication

(1 citation statement)

References 15 publications

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“…Thus, many clinicians tasked with training the next generation are unfamiliar with novel techniques, with rTMS being an example, and unable to facilitate the necessary learning and exposure. For these reasons, we and many others suggest that the time has come to formally define a subspecialty that concerns the application of waveform-based energy interventions (e.g., electromagnetic, ultrasonic) and intensive pharmacologic therapies (e.g., ketamine) for therapeutic purposes in neuropsychiatric conditions [7][8][9][10][11][12][13][14][15][16] . How this might look, and even if it is the best path forward, was the topic of a planned debate at the Clinical TMS Society (CTMSS) Annual Meeting that took place on Saturday, May 6, 2023, in Colorado Springs, CO.…”

Section: Introductionmentioning

confidence: 99%

Defining a Neuromodulation-Focused Subspecialty: Proceedings from a Debate at the 2023 Clinical TMS Society Annual Meeting

Trapp,

Barbour,

Kritzer

et al. 2023

Preprint

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Technologies to modulate neural tissue for therapeutic purposes have expanded rapidly in recent years. Increasingly, clinicians are seeking neuromodulation subspecialty training in parallel across several medical specialties including neurology, neurosurgery, psychiatry, anesthesiology, and physiatry, with different paths determined by the condition being treated and the clinician’s specialty. Transcranial magnetic stimulation (TMS) is one of the neuromodulation technologies experiencing a surge in medical use and associated clinical indications. At the 2023 Annual Meeting of the Clinical TMS Society in Colorado Springs, CO, a planned debate took place to address questions and challenges surrounding the role of TMS within the broader scope of this emerging subspecialty. Here we discuss the proceedings of the debate and expand upon open questions as this subspecialty takes form. This article aims to identify the relevant specialists and stakeholders to engage; outline the treatment modalities which would fall under the purview of the subspecialty; brainstorm official titles for the subspecialty; define the scope of practice and requisite training for clinicians; and review other considerations such as avenues for post-residency training and barriers to subspecialty development.

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