Program Director Survey: Attitudes Regarding Child Neurology Training and Testing

Valencia, Ignacio; Feist, Terri B.; Gilbert, Donald L.

doi:10.1016/j.pediatrneurol.2015.12.011

Cited by 15 publications

(20 citation statements)

References 8 publications

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“…This is consistent with a previous survey of child neurology and neurodevelopmental disability program directors in which 38% felt that residents would benefit from more training in spasticity management and 45% felt residents needed more training in movement disorders. 9 Other areas in which residents were reported to be less competent included establishing an early diagnosis of cerebral palsy, transition to adult care, and pain management. These areas are often overlooked when caring for children with cerebral palsy and warrant further attention in training.…”

Section: Discussionmentioning

confidence: 99%

“…The responses may not be representative of all training programs, although response rates were similar to other survey-based studies. 9,10 Selection bias may have skewed the results toward a greater importance/emphasis on cerebral palsy training as program directors more interested in cerebral palsy may have been more likely to respond. Furthermore, it is not clear how accurate program directors’ perceptions are with regard to the adequacy of training.…”

Section: Discussionmentioning

confidence: 99%

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Cerebral Palsy in Child Neurology and Neurodevelopmental Disabilities Training: An Unmet Need

et al. 2022

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Background Cerebral palsy (CP) is the most common cause of childhood motor disability. However, there is limited guidance on training of child neurologists and neurodevelopmental disability specialists in the care of individuals with cerebral palsy. We sought to determine training program directors’ impressions of the importance and adequacy of training in the diagnosis and management of cerebral palsy. Methods In this cross-sectional study, all 82 child neurology and neurodevelopmental disability program directors were asked to complete a survey querying program characteristics, aspects of training in cerebral palsy, importance of cerebral palsy training, and perceived competence at graduation in cerebral palsy care. Results There were 35 responses (43% response rate). Nearly all program directors (91%) reported “learning to diagnose cerebral palsy” as very important, and most (71%) felt that “learning to manage cerebral palsy” was very important. Although most program directors reported trainees to be very or extremely competent in cerebral palsy diagnosis (77%), only 43% of program directors felt that trainees were very or extremely competent in cerebral palsy management. Time spent with cerebral palsy faculty was associated with higher reported competence in cerebral palsy diagnosis ( P = .03) and management ( P < .01). The presence of a cerebral palsy clinic was associated with higher reported competence in cerebral palsy management ( P = .03). Conclusions Child neurology and neurodevelopmental disability program directors reported that training in cerebral palsy is important for residents; however, a significant proportion felt that residents were not very well prepared to manage cerebral palsy. The development of cerebral palsy curricula and exposure to cerebral palsy clinics may improve training, translating to better care of individuals with cerebral palsy.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Cerebral Palsy in Child Neurology and Neurodevelopmental Disabilities Training: An Unmet Need

et al. 2022

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“…Unless the duration of fellowship training is shifted to 3 years, the loss of training time in PRM to accommodate their basic PM&R education is time not gained back. Similar considerations and debate have taken place in other subspecialties, with similar concerns pointed out [2,3]. Trainees would be running the risk of getting minimal, cursory training (at best) in both PRM and PM&R, and thus graduating with significant knowledge gaps and/or lacking practical experience.…”

Section: Case Scenariosmentioning

confidence: 92%

“…I find it interesting that one of the articles cited in Dr Rinaldi's response actually makes the point that “In the United States, child neurologists continue to value close, historical ties to adult neurology. However, the mandatory year of adult training for American Board of Psychiatry and Neurology certification in ‘Neurology with Special Qualification in Child Neurology’ deprives residents of educational opportunities that would yield greater benefit for children afflicted with neurologic diseases” [5]. The other article on child neurology training expresses similar sentiment about limiting or eliminating adult training requirements for child neurologists [6].…”

Section: Case Scenariosmentioning

confidence: 99%

To Train or Not to Train: Admission of Pediatricians into Pediatric Rehabilitation Medicine Fellowships

Spierre

Rinaldi

2018

PM&R

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“…The majority of child neurology program directors favor reducing the ACGME requirement that child neurology residents spend 12 months in adult neurology. 16 One advantage of this proposed change is that it would give child neurology residents more time to explore subspecialties such as genetics and developmental neurology earlier in residency. 17…”

Section: Other Methods To Support Residents In the Fellowship Applica...mentioning

confidence: 99%

The Neurology Fellowship Application Conundrum

et al. 2022

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For many neurologic subspecialties, the fellowship application process begins early in the first half of the second year of neurology-specific training (PGY3 for adult neurology residents and PGY4 for child neurology residents). In 2019, the American Academy of Neurology (AAN) published a position statement recommending communication between fellowship candidates and training programs begin no sooner than March 1 of the penultimate year of training and that programs offer fellowship positions no sooner than August 1 of the final year of training. A few pilot subspecialties adopted this timeline for 2021 recruitment for positions beginning in 2022. All US-based AAN affiliated neurology and child neurology residents who recently completed the fellowship application process received a survey about their fellowship application experience. Of the 291 residents who responded to the survey, 96% agree that applications should not be submitted before March 1 of the penultimate year of training and 72% feel that August 1 of the final year is a reasonable time to begin offering positions. Nearly half (49%) of residents feel that there is too little time for subspecialty/clinical exposure prior to applying for fellowship and 88% feel the current process and timeline are stressful. Residents who applied to programs in pilot subspecialties report more time to choose, less stress, and a lower number of time-pressured offers. A vast majority of residents (89%) prefer to submit a single application through a centralized system. The survey results suggest that residents who just completed the fellowship application process agree with the AAN recommended timeline for all subspecialties, and that all neurology subspecialties should consider adopting a fellowship match. Programs can help facilitate a better fellowship application experience by providing earlier exposure to a broad range of neurologic subspecialties and ensure that residents are given opportunities to attend national meetings and participate in appropriately scoped scholarly endeavors.

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Program Director Survey: Attitudes Regarding Child Neurology Training and Testing

Cited by 15 publications

References 8 publications

Cerebral Palsy in Child Neurology and Neurodevelopmental Disabilities Training: An Unmet Need

Cerebral Palsy in Child Neurology and Neurodevelopmental Disabilities Training: An Unmet Need

To Train or Not to Train: Admission of Pediatricians into Pediatric Rehabilitation Medicine Fellowships

The Neurology Fellowship Application Conundrum

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