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Most child neurology program directors believe residents need less adult neurology training, favoring subspecialty education. They feel their views are under-represented in board requirements.

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Area of Science:

  • Neurology
  • Medical Education
  • Pediatrics

Background:

  • Current Child Neurology and Neurodevelopmental Disability (NDD) certification requirements include 12 months of adult neurology rotations.
  • Advances in clinical practice and science have made this requirement controversial.

Purpose of the Study:

  • To survey U.S. Child Neurology and NDD residency program directors on optimal training duration.
  • To assess opinions on the necessity of adult neurology rotations for certification.

Main Methods:

  • An 18-item questionnaire was developed and distributed electronically to all 80 program directors.
  • SurveyMonkey was used for data collection, achieving a 55% response rate (44 directors).

Main Results:

  • 73% of respondents favored reducing adult neurology training below 12 months.
  • Respondents identified genetics and neuromuscular disease as areas needing more training.
  • Barriers to reducing adult neurology rotations include hospital service needs (55%) and finances (34%).
  • 70% supported program flexibility in adult neurology training duration.
  • Most directors felt their views are under-represented in the Accreditation Council for Graduate Medical Education.

Conclusions:

  • The 12-month adult neurology training requirement is not aligned with program directors' opinions.
  • Directors advocate for increased training in specialized pediatric neurology fields.
  • Program directors seek greater representation in graduate medical education governance.