Training the Next Generation of Child Neurologists: A Child Health-Based Approach

Child Neurology, Cincinnati Children's Hospital Medical Center, OH 45229, USA.
Journal of child neurology (Impact Factor: 1.72). 12/2011; 27(2):270-2. DOI: 10.1177/0883073811427207
Source: PubMed

ABSTRACT 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. The need for modernization has been recognized in a Professors of Child Neurology survey in which a majority of program directors favored reducing adult neurology training and changing the certification to "Child Neurology." This article reviews the rationale for an overdue transformation of Child Neurology training.

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    ABSTRACT: Surprisingly little is mandated about adult neurology training during child neurology residency other than 12 clinical months. As this constitutes one-third of training quantitatively, does this make sense? Does this represent a historical relic that demands right sizing, or something our predecessors got right? The answer is both.
    Neurology 07/2012; 79(8):819. DOI:10.1212/WNL.0b013e31825f9d2a · 8.29 Impact Factor
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    ABSTRACT: We surveyed child neurologists first certified in "Neurology with Special Qualification in Child Neurology" by the American Board of Psychiatry and Neurology (ABPN) between 2001 and 2010 using a 24-item questionnaire. Respondents (n = 204, 54% response rate) were between the ages of 30 and 59 years (54% male), and 68% completed adult neurology training in a 10- to 12-month, primarily inpatient block. Sixty-two percent of the sample completed subspecialty fellowship training and 82% currently reported practicing within a hospital or hospital-based/owned clinic. Current practice data showed just 3% provide general neurology services to adults. A majority reported using adult neurology residency training "less than weekly" and believed the ideal model for residency training in diagnosis and management of both common and rare neurologic conditions would involve less time in adult neurology and more time (mean 6 months) in child neurology, most prominently in genetics and developmental and behavioral areas.
    Journal of child neurology 01/2013; 28(3). DOI:10.1177/0883073812473644 · 1.72 Impact Factor
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    ABSTRACT: Background The optimal position of academic child neurology programs between adult neurology versus pediatrics remains an open question. The Professors of Child Neurology (PCN), the national organization of child neurology department chairs, division chiefs, and training program directors was surveyed to evaluate the placement of child neurology programs. Methods PCN members were surveyed regarding the placement of child neurology programs within adult neurology versus pediatric departments. Questions explored academic versus clinical lines of reporting and factors that may be advantages and disadvantages of these affiliations. Issues also addressed were the current status of board certification and number of clinics expected in academic child neurology departments. Results Of 120 surveys sent, 95 responses were received (79% response rate). The primary academic affiliation is in neurology in 54% of programs versus 46% in pediatrics, and the primary clinical affiliation is 45% neurology and 55% pediatrics. Advantages versus disadvantages of one’s primary affiliation were similar whether the primary affiliation was in neurology or pediatrics. While 61% of respondents are presently board certified in pediatrics, only 2% of those with time limited certification in general pediatrics plan to recertify going forward. Typically 6-8 half-day clinics per week are anticipated for child neurologists in academic departments without additional funding sources. Conclusions Overall, leaders of child neurology departments and training programs would not change their affiliation if given the opportunity. Advantages and disadvantages associated with current affiliations did not change whether child neurology was located in neurology or pediatrics. ABPN child neurology board certification is virtually universal whereas ABP pediatrics certification is being maintained by very few. Most academic child neurology programs expect 3-4 days of fulltime clinics by fulltime faculty.
    Pediatric Neurology 09/2014; 51(3). DOI:10.1016/j.pediatrneurol.2014.05.028 · 1.70 Impact Factor