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A Reflection on Movement Disorders Fellowship Training in Deep Brain Stimulation: Past and Future.

Deepal Shah-Zamora1, Abhimanyu Mahajan2, Harini Sarva3

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Deep brain stimulation (DBS) training varies significantly, impacting patient care for movement disorders. This review highlights discrepancies in DBS fellowship education to ensure consistent proficiency in neuromodulation techniques.

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Area of Science:

  • Neurology
  • Neurosurgery
  • Medical Education

Background:

  • Deep brain stimulation (DBS) is a cornerstone in movement disorder management.
  • Rapid advancements in DBS technology and expanding indications (psychiatric, epilepsy) create complexity.
  • Variability exists in surgical techniques, software, programming, and patient management.

Purpose of the Study:

  • To review the evolution of DBS for movement disorders.
  • To analyze current fellow training in DBS, focusing on movement disorders.
  • To identify discrepancies in DBS education and training.

Main Methods:

  • Literature review on DBS history and evolution.
  • Analysis of fellowship training programs and curricula.
  • Discussion of challenges in standardizing DBS education.

Main Results:

  • Significant heterogeneity in DBS fellowship training opportunities and content.
  • Lack of standardized competency measures for trainees.
  • Challenges for program directors in setting consistent expectations.

Conclusions:

  • Discrepancies in DBS training can affect proficiency in patient care.
  • Standardized educational frameworks are needed for neuromodulation fellows.
  • Addressing training gaps is crucial for optimal patient outcomes in movement disorders and beyond.