The State of Neurocritical Care Fellowship Training and Attitudes toward Accreditation and Certification: A Survey of Neurocritical Care Fellowship Program Directors
Neurocritical care as a recognized and distinct subspecialty of critical care has grown remarkably since its inception in the 1980s. As of 2016, there were 61 fellowship training programs accredited by the United Council for Neurologic Subspecialties (UCNS) in the United States and more than 1,000 U...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2017-11-01
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| Series: | Frontiers in Neurology |
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| Online Access: | http://journal.frontiersin.org/article/10.3389/fneur.2017.00548/full |
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| author | Rajat Dhar Venkatakrishna Rajajee Venkatakrishna Rajajee Anna Finley Caulfield Matthew B. Maas Matthew B. Maas Michael L. James Michael L. James Avinash Bhargava Kumar Avinash Bhargava Kumar Stephen A. Figueroa Stephen A. Figueroa David McDonagh David McDonagh David McDonagh Agnieszka Ardelt Agnieszka Ardelt |
| author_facet | Rajat Dhar Venkatakrishna Rajajee Venkatakrishna Rajajee Anna Finley Caulfield Matthew B. Maas Matthew B. Maas Michael L. James Michael L. James Avinash Bhargava Kumar Avinash Bhargava Kumar Stephen A. Figueroa Stephen A. Figueroa David McDonagh David McDonagh David McDonagh Agnieszka Ardelt Agnieszka Ardelt |
| author_sort | Rajat Dhar |
| collection | DOAJ |
| description | Neurocritical care as a recognized and distinct subspecialty of critical care has grown remarkably since its inception in the 1980s. As of 2016, there were 61 fellowship training programs accredited by the United Council for Neurologic Subspecialties (UCNS) in the United States and more than 1,000 UCNS-certified neurointensivists from diverse medical backgrounds. In late 2015, the Program Accreditation, Physician Certification, and Fellowship Training (PACT) Committee of the Neurocritical Care Society (NCS) was convened to promote and support excellence in the training and certification of neurointensivists. One of the first tasks of the committee was to survey neurocritical care fellowship training program directors to ascertain the current state of fellowship training and attitudes regarding transition to Accreditation Council for Graduate Medical Education (ACGME) accreditation of training programs and American Board of Medical Specialties (ABMS) certification of physicians. First, the survey revealed significant heterogeneities in the manner of neurocritical care training and a lack of consistency in requirements for fellow procedural competency. Second, although a majority of the 33 respondents indicated that a move toward ACGME accreditation/ABMS certification would facilitate further growth and mainstreaming of training in neurocritical care, many programs do not currently meet administrative requirements and do not receive the level of institutional support that would be needed for such a transition. In summary, the results revealed that there is an opportunity for future harmonization of training standards and that a transition to ACGME accreditation/ABMS certification is preferred. While the results reflect the opinions of more than half of the survey respondents, they represent only a small sample of neurointensivists. |
| first_indexed | 2024-12-14T21:59:27Z |
| format | Article |
| id | doaj.art-2ad0c53d4cf1405b81ed3283b07a91e9 |
| institution | Directory Open Access Journal |
| issn | 1664-2295 |
| language | English |
| last_indexed | 2024-12-14T21:59:27Z |
| publishDate | 2017-11-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neurology |
| spelling | doaj.art-2ad0c53d4cf1405b81ed3283b07a91e92022-12-21T22:46:02ZengFrontiers Media S.A.Frontiers in Neurology1664-22952017-11-01810.3389/fneur.2017.00548285795The State of Neurocritical Care Fellowship Training and Attitudes toward Accreditation and Certification: A Survey of Neurocritical Care Fellowship Program DirectorsRajat Dhar0Venkatakrishna Rajajee1Venkatakrishna Rajajee2Anna Finley Caulfield3Matthew B. Maas4Matthew B. Maas5Michael L. James6Michael L. James7Avinash Bhargava Kumar8Avinash Bhargava Kumar9Stephen A. Figueroa10Stephen A. Figueroa11David McDonagh12David McDonagh13David McDonagh14Agnieszka Ardelt15Agnieszka Ardelt16Department of Neurology, Washington University in St. Louis, St. Louis, MO, United StatesDepartment of Neurology, University of Michigan, Ann Arbor, MI, United StatesDepartment of Neurosurgery, University of Michigan, Ann Arbor, MI, United StatesDepartment of Neurology and Neurological Sciences, Stanford University School of Medicine, Stanford, CA, United StatesDepartment of Neurology, Northwestern University Feinberg School of Medicine, Chicago, IL, United StatesDepartment of Anesthesiology, Northwestern University Feinberg School of Medicine, Chicago, IL, United StatesDepartment of Neurology, Duke University Medical Center, Durham, NC, United StatesDepartment of Anesthesiology, Duke University Medical Center, Durham, NC, United StatesDepartment of Anesthesiology, Vanderbilt University Medical Center, Nashville, TN, United States0Department of Critical Care Medicine, Vanderbilt University Medical Center, Nashville, TN, United States1Department of Neurological Surgery, University of Texas Southwestern, Dallas, TX, United States2Department of Neurology, University of Texas Southwestern, Dallas, TX, United States1Department of Neurological Surgery, University of Texas Southwestern, Dallas, TX, United States2Department of Neurology, University of Texas Southwestern, Dallas, TX, United States3Department of Anesthesia and Pain Management, University of Texas Southwestern, Dallas, TX, United States4Department of Neurology (Neurosurgery), University of Chicago, Chicago, IL, United States5Department of Surgery (Neurosurgery), University of Chicago, Chicago, IL, United StatesNeurocritical care as a recognized and distinct subspecialty of critical care has grown remarkably since its inception in the 1980s. As of 2016, there were 61 fellowship training programs accredited by the United Council for Neurologic Subspecialties (UCNS) in the United States and more than 1,000 UCNS-certified neurointensivists from diverse medical backgrounds. In late 2015, the Program Accreditation, Physician Certification, and Fellowship Training (PACT) Committee of the Neurocritical Care Society (NCS) was convened to promote and support excellence in the training and certification of neurointensivists. One of the first tasks of the committee was to survey neurocritical care fellowship training program directors to ascertain the current state of fellowship training and attitudes regarding transition to Accreditation Council for Graduate Medical Education (ACGME) accreditation of training programs and American Board of Medical Specialties (ABMS) certification of physicians. First, the survey revealed significant heterogeneities in the manner of neurocritical care training and a lack of consistency in requirements for fellow procedural competency. Second, although a majority of the 33 respondents indicated that a move toward ACGME accreditation/ABMS certification would facilitate further growth and mainstreaming of training in neurocritical care, many programs do not currently meet administrative requirements and do not receive the level of institutional support that would be needed for such a transition. In summary, the results revealed that there is an opportunity for future harmonization of training standards and that a transition to ACGME accreditation/ABMS certification is preferred. While the results reflect the opinions of more than half of the survey respondents, they represent only a small sample of neurointensivists.http://journal.frontiersin.org/article/10.3389/fneur.2017.00548/fullneurocritical carefellowshiptrainingcertificationaccreditation |
| spellingShingle | Rajat Dhar Venkatakrishna Rajajee Venkatakrishna Rajajee Anna Finley Caulfield Matthew B. Maas Matthew B. Maas Michael L. James Michael L. James Avinash Bhargava Kumar Avinash Bhargava Kumar Stephen A. Figueroa Stephen A. Figueroa David McDonagh David McDonagh David McDonagh Agnieszka Ardelt Agnieszka Ardelt The State of Neurocritical Care Fellowship Training and Attitudes toward Accreditation and Certification: A Survey of Neurocritical Care Fellowship Program Directors Frontiers in Neurology neurocritical care fellowship training certification accreditation |
| title | The State of Neurocritical Care Fellowship Training and Attitudes toward Accreditation and Certification: A Survey of Neurocritical Care Fellowship Program Directors |
| title_full | The State of Neurocritical Care Fellowship Training and Attitudes toward Accreditation and Certification: A Survey of Neurocritical Care Fellowship Program Directors |
| title_fullStr | The State of Neurocritical Care Fellowship Training and Attitudes toward Accreditation and Certification: A Survey of Neurocritical Care Fellowship Program Directors |
| title_full_unstemmed | The State of Neurocritical Care Fellowship Training and Attitudes toward Accreditation and Certification: A Survey of Neurocritical Care Fellowship Program Directors |
| title_short | The State of Neurocritical Care Fellowship Training and Attitudes toward Accreditation and Certification: A Survey of Neurocritical Care Fellowship Program Directors |
| title_sort | state of neurocritical care fellowship training and attitudes toward accreditation and certification a survey of neurocritical care fellowship program directors |
| topic | neurocritical care fellowship training certification accreditation |
| url | http://journal.frontiersin.org/article/10.3389/fneur.2017.00548/full |
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