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Published on: January 15, 2017
Proposed cross-disciplinary training in pediatric neurointensive care
1Division of Pediatric Neurology, Rainbow Babies and Children's Hospital, University Hospitals Case Medical Center, Case Western Reserve University School of Medicine, Cleveland, Ohio, USA. Mark.Scher@uhhospitals.org
Insights
Pediatric neurointensive care requires specialized approaches for children, emphasizing collaboration across pediatric and adult medicine. This emerging subspecialty benefits from cross-disciplinary training and a life-course perspective for optimal patient outcomes.
Area of Science:
- Pediatric critical care medicine
- Neuroscience
- Medical education
Background:
- Pediatric neurointensive care demands unique strategies due to immature brain differences compared to adults.
- It involves collaboration among pediatric subspecialists, coordinated by intensivists.
- Insights from adult neurointensivists enhance clinical care, training, and research.
Purpose of the Study:
- To review the collaborative and interdisciplinary nature of pediatric neurointensive care.
- To highlight the need for tailored innovations in clinical services, education, and research for children.
- To emphasize cross-disciplinary training opportunities beyond physician roles.
Main Methods:
- Literature review focusing on pediatric neurocritical care principles.
- Analysis of collaborative models involving pediatric and adult medical specialists.
- Exploration of interdisciplinary training and research frameworks.
Main Results:
- Pediatric neurointensive care is an emerging subspecialty requiring broad collaboration.
- Innovations should be developed for children and adaptable for adults.
- Cross-disciplinary research and non-physician mentorship are crucial.
Conclusions:
- Optimal pediatric neurointensive care necessitates a collaborative, multi-specialty approach.
- A life-course perspective, integrating neonatal through adult care, is essential.
- Cross-fertilization from diverse academic disciplines enriches the field.
Abstract:
Training and research in pediatric neurointensive care require unique approaches to childhood diseases that reflect differences in the immature brain's response to injury or disease compared with adults. Pediatric neurocritical care is a collaborative effort to provide consultative care among pediatric subspecialists, coordinated by neonatal and pediatric intensivists. Valuable perspectives for clinical care, training, and research can also be learned through collaboration with adult neurointensivists. Pediatric neurointensive care is thus an emerging subspecialty that optimally functions by applying a broad collaborative effort among colleagues across multiple medical specialties in pediatric and adult medicine. Innovations in clinical services, educational pathways, and research agendas need to be developed for children that can be modified for younger and older adults. This review also stresses cross-disciplinary research and training opportunities in pediatric neurointensive care beyond physician training. Nonmedical faculty from multiple academic disciplines should also serve as mentors to design appropriate curricula and research plans for the specific trainee in their respective fields and across specialties. The discipline of neurocritical care must consider a life-course approach for the patient requiring neurointensive care from neonatal through childhood and adult ages, with cross-fertilization from diverse academic disciplines and investigative points of view.
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