Neurocritical care education during neurology residency

Sheth, Kevin N; Drogan, Oksana; Geocadin, Romer; Ziai, Wendy

doi:10.1212/wnl.0b013e3182583034

Cited by 22 publications

(13 citation statements)

References 1 publication

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“…Both these factors have greatly increased compared with a survey distributed in 2011 that showed nearly double the rate of neurology-trained NCC physicians at institutions with a dedicated neurologic ICU. 6 Accordingly, the survey responses reflect the composition of the trainees responding. However, these shifts may also represent a generational trend in the demand for core critical care skills among fellowship-trained NCC practitioners as well as an increase in fellow-trained NCC practitioners across programs.…”

Section: Discussionmentioning

confidence: 99%

“…NCC and other critical care practitioners have historically agreed that NCC units improve the quality of care for patients, and neurology residencies have responded by expanding NCC educational offerings. 6,7 However, practitioners from different training derivations express differing levels of confidence in the readiness of neurologists to provide critical care. 8 supervision.…”

Section: Discussionmentioning

confidence: 99%

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Education Research: Variation in priorities for neurocritical care education expressed across role groups

et al. 2018

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Broad support exists across NCC role groups for wide-ranging NCC competencies including skills often performed by other neurology and non-neurology subspecialties. Variations highlight natural divergences in expectations among trainee, physician, and nurse role groups. These results establish expectations for core competencies within NCC and initiate dialogue across subspecialties about best practice standards for the spectrum of critically ill patients requiring neurologic care.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Education Research: Variation in priorities for neurocritical care education expressed across role groups

et al. 2018

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“…We believe that an evidence-based manual or handbook related to NCUs' clinical practice guidelines is essential for education and care quality control in institutions without sufficient certified specialists or neurosurgeons 8) . In the survey for this study, 65 hospital respondents thought such a handbook was necessary, but only 40 respondents expressed willingness to participate in producing such a handbook.…”

Section: Handbook For Clinical Practice In the Ncumentioning

confidence: 99%

Current Status of Neurosurgical and Neurointensive Care Units in Korea : A Brief Report on Nationwide Survey Results

Kim

Yoo

et al. 2020

J Korean Neurosurg Soc

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The purpose of this study is identify the operation status of the neurosurgical care units (NCUs) in neurosurgical residency training hospitals nationwide and determine needed changes by comparing findings with those obtained from the Korean Neurosurgical Society (KNS) and Korean Society of Neurointensive Care Medicine (KNIC) survey of 2010. Method : This survey was conducted over 1 year in 86 neurosurgical residency training hospitals and two neurosurgery specialist hospitals and focused on the following areas : 1) the current status of the infrastructure and operating systems of NCUs in Korea, 2) barriers to installing neurointensivist team systems, 3) future roles of the KNS and KNIC, and 4) a handbook for physicians and practitioners in NCUs. We compared and analyzed the results of this survey with those from a KNIC survey of 2010. Results : Seventy seven hospitals (87.5%) participated in the survey. Nineteen hospitals (24.7%) employed a neurointensivist or faculty member; Thirty seven hospitals (48.1%) reported high demand for neurointensivists, and 62 hospitals (80.5%) stated that the mandatory deployment of a neurointensivist improved the quality of patient care. Forty four hospitals (57.1%) believed that hiring neurointensivist would increase hospital costs, and in response to a question on potential earnings declines. In terms of potential solutions to these problems, 70 respondents (90.9%) maintained that additional fees were necessary for neurointensivists' work, and 64 (83.1%) answered that direct support was needed of the personnel expenses for neurointensivists. Conclusion : We hope the results of this survey will guide successful implementation of neurointensivist systems across Korea.

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“…9 The growth of these clinical programs has provided trainees in neurology, neonatology, and pediatric training programs with consistent and expanded exposure to neonatal neurocritical care as an important component of their training, sparking growing interest in training in the field. 10 Increasingly, specialized training beyond the traditional residency program is required to attain the requisite experience and expertise necessary to function independently and provide state-of-the-art care in this area of child neurology. 11 This requirement has led many individuals to pursue additional training in fetal-neonatal neurology, often through independent mechanisms.…”

Section: Introductionmentioning

confidence: 99%

Fellowship Training in the Emerging Fields of Fetal-Neonatal Neurology and Neonatal Neurocritical Care

Smyser

Tam

Chang

et al. 2016

Pediatric Neurology

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Neonatal neurocritical care is a growing and rapidly evolving medical subspecialty, with increasing numbers of dedicated multidisciplinary clinical, educational, and research programs established at academic institutions. The growth of these programs has provided trainees in neurology, neonatology, and pediatrics with increased exposure to the field, sparking interest in dedicated fellowship training in fetal-neonatal neurology. OBJECTIVES: To meet this rising demand, increasing numbers of training programs are being established to provide trainees with the requisite knowledge and skills to independently deliver care for infants with neurological injury or impairment from the fetal care center and neonatal intensive care unit to the outpatient clinic. This article provides an initial framework for standardization of training across these programs. RESULTS: Recommendations include goals and objectives for training in the field; core areas where clinical competency must be demonstrated; training activities and neuroimaging and neurodiagnostic modalities which require proficiency; and programmatic requirements necessary to support a comprehensive and well-rounded training program. CONCLUSIONS: With consistent implementation, the proposed model has the potential to establish recognized standards of professional excellence for training in the field, provide a pathway toward Accreditation Council for Graduate Medical Education certification for program graduates, and lead to continued improvements in medical and neurological care provided to patients in the neonatal intensive care unit.

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Neurocritical care education during neurology residency

Cited by 22 publications

References 1 publication

Education Research: Variation in priorities for neurocritical care education expressed across role groups

Education Research: Variation in priorities for neurocritical care education expressed across role groups

Current Status of Neurosurgical and Neurointensive Care Units in Korea : A Brief Report on Nationwide Survey Results

Fellowship Training in the Emerging Fields of Fetal-Neonatal Neurology and Neonatal Neurocritical Care

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