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Neurophobia among resident physicians in the emergency service
I Saldaña-Inda1,2,3, A I Cisneros-Gimeno1,3, A Lambea-Gil1,4,3
1Universidad de Zaragoza, 50013 Zaragoza, España.
Revista De Neurologia
|December 14, 2023
Summary
Neurophobia, the fear of clinical neurology, affects over a quarter of emergency department resident doctors. Confidence in neurology is linked to patient exposure, highlighting a need for improved training and collaboration.
Area of Science:
- Medical Education
- Neurology
- Emergency Medicine
Background:
- Neurophobia, a fear of clinical neurology due to difficulties applying theoretical knowledge, is prevalent among medical professionals.
- This phenomenon has not been previously studied in the context of the Emergency Department.
Purpose of the Study:
- To investigate the prevalence of neurophobia among resident doctors in the Emergency Department.
- To assess residents' perceptions of their neurological knowledge and identify potential causes of their fears.
- To explore confidence levels in specific neurological subspecialties within the emergency setting.
Main Methods:
- A cross-sectional, multicenter study was conducted using self-administered surveys.
- Medical residents within the Aragon Health Service were surveyed.
- Questions focused on fear of neurology, perceived knowledge, and causes of fear in emergency neurological conditions.
Main Results:
- Out of 134 respondents, 27.6% reported experiencing neurophobia.
- Neurology was perceived as the most difficult discipline but also generated significant interest.
- Residents felt most confident in headaches and vascular pathology, but insecure in neuromuscular diseases, neuro-ophthalmology, and spinal cord injury.
- No area surveyed had over 50% of respondents feeling secure.
Conclusions:
- Neurophobia is a significant issue among trainee doctors in emergency departments.
- Confidence in neurological skills is positively correlated with patient exposure.
- Neurologists should actively engage in educating residents and foster collaboration with emergency departments.
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