scholarly journals The Current State and Needs of North American Movement Disorders Fellowship Programs

2013 ◽  
Vol 2013 ◽  
pp. 1-7 ◽  
Author(s):  
Ludy C. Shih ◽  
Daniel Tarsy ◽  
Michael S. Okun
Keyword(s):  
Movement Disorders ◽  
North American ◽  
Clinical Training ◽  
Training Programs ◽  
Fellowship Training ◽  
Centers Of Excellence ◽  
Funding Sources ◽  
Current State ◽  
Fellowship Programs ◽  
American Academy Of Neurology

Background. Movement disorders fellowships are an important source of future clinician-specialists and clinician-scientists for the field. Scant published information exists on the number and characteristics of North American movement disorders fellowship training programs.Methods. A 31-item internet-based survey was formulated and distributed to academic movement disorders listed in the American Academy of Neurology (AAN) directory as having a movement disorders fellowship and to all National Parkinson Foundation Centers of Excellence and Care Centers in North America.Results. There was a 77% response rate among academic movement disorders centers. Broad similarities in clinical training were identified. The two most important rated missions of maintaining a movement disorders fellowship were contributions to scholarly activities and to fulfilling a critical need for specialists. Almost a quarter of fellowship programs did not offer a fellowship slot during the most recent academic year. Fellowship directors cited a wide variety of funding sources, but their top concern was lack of available funding for fellowship programs.Conclusions. North American movement disorders fellowship training programs currently offer similar methods of clinical training and education. Lack of funding was the most important obstacle to maintaining fellowship programs and should be made a priority for discussion in the field.

The Association of Pediatric Critical Care Medicine Training Programs with Research Publication Productivity and Employment Outcomes of Their Graduates

2020 ◽  
Author(s):  
Sonali Basu ◽  
Robin Horak ◽  
Murray M. Pollack
Keyword(s):  
Critical Care ◽  
Intensive Care ◽  
Medical School ◽  
Training Programs ◽  
Fellowship Training ◽  
Publication Productivity ◽  
Research Publication ◽  
Pediatric Critical Care ◽  
Publication Success ◽  
Fellowship Programs

AbstractOur objective was to associate characteristics of pediatric critical care medicine (PCCM) fellowship training programs with career outcomes of PCCM physicians, including research publication productivity and employment characteristics. This is a descriptive study using publicly available data from 2557 PCCM physicians from the National Provider Index registry. We analyzed data on a systematic sample of 690 PCCM physicians representing 62 fellowship programs. There was substantial diversity in the characteristics of fellowship training programs in terms of fellowship size, intensive care unit (ICU) bed numbers, age of program, location, research rank of affiliated medical school, and academic metrics based on publication productivity of their graduates standardized over time. The clinical and academic attributes of fellowship training programs were associated with publication success and characteristics of their graduates' employment hospital. Programs with greater publication rate per graduate had more ICU beds and were associated with higher ranked medical schools. At the physician level, training program attributes including larger size, older program, and higher academic metrics were associated with graduates with greater publication productivity. There were varied characteristics of current employment hospitals, with graduates from larger, more academic fellowship training programs more likely to work in larger pediatric intensive care units (24 [interquartile range, IQR: 16–35] vs. 19 [IQR: 12–24] beds; p < 0.001), freestanding children's hospitals (52.6 vs. 26.3%; p < 0.001), hospitals with fellowship programs (57.3 vs. 40.3%; p = 0.01), and higher affiliated medical school research ranks (35.5 [IQR: 14–72] vs. 62 [IQR: 32, unranked]; p < 0.001). Large programs with higher academic metrics train physicians with greater publication success (H index 3 [IQR: 1–7] vs. 2 [IQR: 0–6]; p < 0.001) and greater likelihood of working in large academic centers. These associations may guide prospective trainees as they choose training programs that may foster their career values.

scholarly journals A Cross-Sectional Survey of the North American Skull Base Society Part 3: The State of Lateral Skull Base Surgery Training in North America

2018 ◽  
Vol 80 (04) ◽  
pp. 399-415
Author(s):  
Neil S. Patel ◽  
Jamie J. Van Gompel ◽  
Nicole M. Tombers ◽  
Michael J. Link ◽  
Matthew L. Carlson
Keyword(s):  
Decision Making ◽  
North America ◽  
Skull Base ◽  
North American ◽  
Training Programs ◽  
Case Volume ◽  
Cross Sectional ◽  
Training Requirements ◽  
The North ◽  
Fellowship Programs

Introduction Optimal management of vestibular schwannoma (VS) demands involvement of an experienced multidisciplinary team. As the number of training programs in neurotology and skull base neurosurgery continues to rise, ensuring that trainees are capable of evidence-based decision-making and treatment, whether microsurgical or radiosurgical, is of paramount importance. The purpose of this study is to characterize the landscape of neurotologic and neurosurgical fellowship training programs in North America, with special reference to VS management. Methods A 64-item web-based survey assessing VS practice trends was devised by members of the North American Skull Base Society (NASBS) Research Task Force and distributed electronically to NASBS membership via SurveyMonkey as a cross-sectional study. Participation was entirely voluntary and there was no remuneration for survey completion. The survey link was active from November 29 to December 14, 2016. Results Of 719 members of the NASBS who were emailed a survey link, a total of 57 were returned (8%) completed surveys. Of all respondents, 51 (89%) claimed to have formal training in skull base neurosurgery or neurotology. Thirty-three respondents (65%) were skull base neurosurgeons while the remainder were neurotologists (n = 18; 35%). Institutions with fellowship programs tended to have a higher surgical, radiosurgical, and overall case volume than those with a residency program alone. However, 20% of respondents at institutions with fellowship programs reported evaluating less than 50 new diagnoses of VS per year and 12% reported a surgical case volume of less than 10 cases per year. Conclusion As the number of skull base training programs expands, it is our duty to ensure that trainees gain sufficient experience to enter independent practice with the ability to exercise informed decision-making and safely perform VS surgery and radiosurgery. In the current training climate, implementing multidisciplinary care models, formalized training requirements, and emerging surgical simulators will support the development of minimum proficiencies in VS care.

scholarly journals Parenting While in Training: A Comprehensive Needs Assessment of Residents and Fellows

2020 ◽  
Vol 12 (2) ◽  
pp. 162-167 ◽  
Author(s):  
Kirti Magudia ◽  
Thomas S. C. Ng ◽  
Alexander G. Bick ◽  
Megan A. Koster ◽  
Camden Bay ◽  
...  
Keyword(s):  
Clinical Training ◽  
Training Programs ◽  
Parental Leave ◽  
Fellowship Training ◽  
Parental Status ◽  
Specific Information ◽  
Online Questionnaire ◽  
Access And Affordability ◽  
Selection Of ◽  
Individual Training

ABSTRACT Background Parenting issues can affect physicians' choice of specialty or subspecialty, as well as their selection of individual training programs, because of the distinctive challenges facing residents and fellows with children. Specific information about how residents perceive these challenges is limited. Objective We sought to better understand the challenges associated with parenting during residency and fellowship training in order to inform policy and research. Methods In 2017, a voluntary online questionnaire was distributed to all 2214 Partners HealthCare graduate medical education trainees across 285 training programs. The survey queried attitudes of and about trainees with children and assessed needs and experiences related to parental leave, lactation, and childcare. Responses were compared between subgroups, including gender, surgical versus nonsurgical specialty, parental status, and whether the respondent was planning to become a parent. Results A total of 578 trainees (26%) responded to the questionnaire. Of these, 195 (34%) became parents during training. An additional 298 (52%) planned to become parents during training. Respondents overwhelmingly agreed that their institution should support trainees with children (95%) and that doing so is important for trainee wellness (98%). However, 25% felt that trainees with children burden trainees without children. Childcare access, affordability, and availability for sufficient hours were identified as key challenges, along with issues related to parental leave, lactation facilities, and effect on peers. Conclusions This survey highlights trainees' perspectives about parenting during their clinical training, signaling parental leave, lactation facilities, and childcare access and affordability as particular challenges and potential targets for future interventions.

Childhood cancer survivorship educational resources in North American pediatric hematology/oncology fellowship training programs: A survey study

2011 ◽  
Vol 57 (7) ◽  
pp. 1186-1190 ◽  
Author(s):  
Paul C. Nathan ◽  
Joshua D. Schiffman ◽  
Sujuan Huang ◽  
Wendy Landier ◽  
Smita Bhatia ◽  
...  
Keyword(s):  
Childhood Cancer ◽  
Cancer Survivorship ◽  
North American ◽  
Training Programs ◽  
Fellowship Training ◽  
Educational Resources ◽  
Survey Study ◽  
Pediatric Hematology ◽  
Childhood Cancer Survivorship

scholarly journals Lack of Accredited Clinical Training in Movement Disorders in Europe, Egypt, and Tunisia

2020 ◽  
Vol 10 (4) ◽  
pp. 1833-1843
Author(s):  
Gertrúd Tamás ◽  
Margherita Fabbri ◽  
Cristian Falup-Pecurariu ◽  
Tiago Teodoro ◽  
Mónica M. Kurtis ◽  
...  
Keyword(s):  
Internal Medicine ◽  
General Practice ◽  
North Africa ◽  
Movement Disorders ◽  
Clinical Training ◽  
Training Programs ◽  
Subspecialty Training ◽  
Educational Tools ◽  
Printed Books ◽  
Case Presentations

Background: Little information is available on the official postgraduate and subspecialty training programs in movement disorders (MD) in Europe and North Africa. Objective: To survey the accessible MD clinical training in these regions. Methods: We designed a survey on clinical training in MD in different medical fields, at postgraduate and specialized levels. We assessed the characteristics of the participants and the facilities for MD care in their respective countries. We examined whether there are structured, or even accredited postgraduate, or subspecialty MD training programs in neurology, neurosurgery, internal medicine, geriatrics, neuroradiology, neuropediatrics, and general practice. Participants also shared their suggestions and needs. Results: The survey was completed in 31/49 countries. Structured postgraduate MD programs in neurology exist in 20 countries; structured neurology subspecialty training exists in 14 countries and is being developed in two additional countries. Certified neurology subspecialty training was reported to exist in 7 countries. Recommended reading lists, printed books, and other materials are the most popular educational tools, while courses, lectures, webinars, and case presentations are the most popular learning formats. Mandatory activities and skills to be certified were not defined in 15/31 countries. Most participants expressed their need for a mandatory postgraduate MD program and for certified MD sub-specialization programs in neurology. Conclusion: Certified postgraduate and subspecialty training exists only in a minority of European countries and was not found in the surveyed Egypt and Tunisia. MD training should be improved in many countries.

Fellowship Trends of Pathology Residents

2009 ◽  
Vol 133 (9) ◽  
pp. 1431-1436 ◽  
Author(s):  
Nikolaj Lagwinski ◽  
Jennifer L. Hunt
Keyword(s):  
Online Survey ◽  
Training Programs ◽  
Clinical Pathology ◽  
Residency Education ◽  
Fellowship Training ◽  
The Internet ◽  
Gastrointestinal Pathology ◽  
First Choice ◽  
Fellowship Programs ◽  
Pathology Training

Abstract Context.—Recent changes in pathology residency education have included a decrease in the program length (from 5 years to 4 years for combined anatomic and clinical pathology training) and a national mandate for programs to assess 6 general competencies of trainees. These have undoubtedly led to changes in program curricula and in residents' desires to seek fellowship training. Objective.—This study was designed to gather information about what residents are seeking from fellowship training programs. Design.—This study used an online survey to assess attitudes of residents in training programs toward fellowship training. The survey instrument had 26 questions pertaining to fellowship choices, motivations for pursuing fellowships, expectations of the fellowships, and postresidency concerns. Results.—There were 213 respondents from a mix of program types and representing each postgraduate year. Most residents will seek at least 1 or 2 fellowships after residency training. The most popular first-choice fellowship was surgical pathology (26%), followed by cytopathology (16%), hematopathology (15%), gastrointestinal pathology (10%), dermatopathology (8%), and forensic pathology (5%). The most common reasons for pursuing fellowship training were to “increase marketability” (43%) or to “become an expert in a particular area” (33%). Most trainees got their information about fellowship training programs from Internet sources. Conclusions.—Fellowship programs will benefit from an optimally designed Web site because residents seek information predominantly from the Internet. Residents seeking fellowships are particularly concerned with selecting programs that provide job connections, an increase in their marketability, and the opportunity to develop diagnostic expertise.

Training residents and fellows in paediatric cardiac anaesthesia

2016 ◽  
Vol 26 (8) ◽  
pp. 1525-1530 ◽  
Author(s):  
Dean B. Andropoulos
Keyword(s):  
Training Programs ◽  
Fellowship Training ◽  
Specialized Training ◽  
The Past ◽  
Cardiac Anaesthesia ◽  
Anaesthetic Care ◽  
Adolescents And Adults ◽  
Fellowship Programs ◽  
Second Year ◽  
The U.S

AbstractThe significant increase in complex anaesthetic care for infants, children, adolescents, and adults with CHD has given rise to specialized fellowship training programs. Specialized paediatric cardiac anaesthesia training for residents and fellows has advanced significantly since the 1970’s, when there a handful of programs. With the advent of formal paediatric anaesthesia fellowship programs in the U.S., more specialized training became available in the 1990’s and early 2000’s. In the past decade, increasing numbers of second year advanced fellowships in paediatric cardiac anaesthesia have been organized; today in North America there are 18 programs with 25 positions. Standardized recommendations for case numbers and curriculum have been devised and are widely available via journal publications.

A Model for the Objective Assessment of Clinical Training Programs: The Initial Application to Two Pulmonary Medicine Fellowship Programs

1989 ◽  
Vol 140 (4) ◽  
pp. 1136-1142 ◽  
Author(s):  
David B. Badesch ◽  
Michael D. Mcclellan ◽  
Arthur P. Wheeler ◽  
Philip G. Archer ◽  
Marvin I. Schwarz ◽  
...  
Keyword(s):  
Clinical Training ◽  
Training Programs ◽  
Objective Assessment ◽  
Pulmonary Medicine ◽  
Initial Application ◽  
Fellowship Programs

Perspectives on endovascular training in traditional 5+2 vascular surgery fellowship training programs

Vascular ◽  
2015 ◽  
Vol 24 (2) ◽  
pp. 134-143 ◽  
Author(s):  
Thomas N Carruthers ◽  
Kaveh Shahmohammadi ◽  
Alik Farber ◽  
Denis Rybin ◽  
Gheorghe Doros ◽  
...  
Keyword(s):  
Vascular Surgery ◽  
Training Programs ◽  
Program Directors ◽  
Fellowship Training ◽  
Faculty Members ◽  
Self Assessment ◽  
High Expectations ◽  
Fellowship Programs ◽  
Endovascular Skills ◽  
Faculty Group

This study aimed to compare expectations and experiences of fellows to those of faculty in vascular surgery fellowship programs with regard to endovascular training. Anonymous surveys were sent to fellows (n = 235) and program directors (n = 147), with 79 fellows and 65 faculty members responding. Fellows noted higher expectations of their endovascular skills prior to starting fellowship than the faculty group reported expecting. Faculty assessed fellows' pre-training endovascular skills at a significantly lower level than the fellows' self-assessment. Fellows were significantly less satisfied with the structured aspects of endovascular training than the faculty believed them to be. Only 3% of fellows vs. 32% of faculty felt that the presence of an endovascular simulator affected how residents ranked fellowship programs during the match. In conclusion, incoming fellows in vascular surgery fellowship programs have high expectations of themselves, but may overestimate their actual pre-training endovascular skills. Fellows desire more structured endovascular training, which is not recognized by faculty. Endovascular simulators are valued, but may not be a significant draw in the match process.

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