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A Categorical 4-Year Child Neurology Residency: It's Time.
Robert Thompson-Stone1, Rachel Gottlieb-Smith2, Danny Rogers3
1Department of Neurology, Golisano Children's Hospital, University of Rochester, Rochester, New York, United States.
Seminars in Neurology
|December 11, 2025
Summary
Child neurology residency training needs modernization. A proposed 4-year categorical program offers a streamlined curriculum, better preparing specialists for complex pediatric neurological disorders.
Area of Science:
- Medical Education
- Neurology
- Pediatrics
Background:
- Child neurology training has remained largely unchanged despite significant growth in knowledge and patient complexity.
- The current 5-year residency structure, a result of historical compromises, is misaligned with current clinical practice and educational needs.
- Many child neurologists no longer pursue dual certification or treat adult patients, indicating a shift in practice.
Purpose of the Study:
- To propose a modernized 4-year categorical residency model for child neurology training.
- To create a more efficient and relevant educational structure for future child neurologists.
- To better align training with the expanding complexity and volume of pediatric neurological care.
Main Methods:
- Proposal of a streamlined 4-year categorical residency.
- Integration of essential pediatric and adult neurology components.
- Centering the curriculum on child neurology from the outset.
Main Results:
- The proposed model offers a more flexible structure for training.
- It enhances opportunities for longitudinal mentorship and professional development.
- Aligns training with structures in comparable medical specialties.
Conclusions:
- Modernizing child neurology training is crucial for preparing future specialists.
- The proposed 4-year model can improve resident recruitment and development.
- Essential for meeting the evolving needs of children with neurological disorders.
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