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Neurologic Education in Emergency Medicine Training Programs

2005; Wiley; Volume: 12; Issue: 9 Linguagem: Inglês

10.1111/j.1553-2712.2005.tb00972.x

1553-2712

Brian Stettler, Edward C. Jauch, Brett Kissela, Christopher J. Lindsell,

Intracranial Aneurysms: Treatment and Complications

Academic Emergency MedicineVolume 12, Issue 9 p. 909-911 Free Access Neurologic Education in Emergency Medicine Training Programs Brian A. Stettler MD, Corresponding Author Brian A. Stettler MD Department of Emergency Medicine, University of Cincinnati, Cincinnati, OH Department of Emergency Medicine, University of Cincinnati Medical Center, 231 Albert Sabin Way, PO Box 670769, Cincinnati, OH 45267-0769. E-mail: [email protected].Search for more papers by this authorEdward C. Jauch MD, MS, Edward C. Jauch MD, MS Department of Emergency Medicine, University of Cincinnati, Cincinnati, OHSearch for more papers by this authorBrett Kissela MD, Brett Kissela MD Department of Neurology, University of Cincinnati, Cincinnati, OHSearch for more papers by this authorChristopher J. Lindsell PhD, Christopher J. Lindsell PhD Institute for the Study of Health, University of Cincinnati, Cincinnati, OHSearch for more papers by this author Brian A. Stettler MD, Corresponding Author Brian A. Stettler MD Department of Emergency Medicine, University of Cincinnati, Cincinnati, OH Department of Emergency Medicine, University of Cincinnati Medical Center, 231 Albert Sabin Way, PO Box 670769, Cincinnati, OH 45267-0769. E-mail: [email protected].Search for more papers by this authorEdward C. Jauch MD, MS, Edward C. Jauch MD, MS Department of Emergency Medicine, University of Cincinnati, Cincinnati, OHSearch for more papers by this authorBrett Kissela MD, Brett Kissela MD Department of Neurology, University of Cincinnati, Cincinnati, OHSearch for more papers by this authorChristopher J. Lindsell PhD, Christopher J. Lindsell PhD Institute for the Study of Health, University of Cincinnati, Cincinnati, OHSearch for more papers by this author First published: 28 June 2008 https://doi.org/10.1197/j.aem.2005.04.013Citations: 18AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat Abstract Objectives: Neurologic complaints are a frequent cause of emergency department visits. The morbidity and mortality of neurologic complaints such as headache and stroke can be extensive. Thus, emergency medicine residency programs should ensure adequate training in such neurologic emergencies. The authors sought to determine what methods are being used to educate residents on neurologic emergencies. Methods: A two-page survey was mailed to directors of all 126 accredited emergency medicine residency programs in the United States. The number and types of lectures to residents, required rotations, and electives offered were assessed. Means, standard deviations (SDs), and proportions are used to describe the data. Ninety-five percent confidence intervals of proportions (95% CIs) were calculated. Results: The response rate was 78% (98 of 126). Programs had a mean (± SD) of 5.4 (± 1.0) hours of didactic lectures per week, with a mean of 12.0 (± 5.9) lecture hours devoted to neurologic emergencies annually. A neurology rotation was required for 16 of the 92 programs providing these data (17.4%; 95% CI = 10.6% to 27.0%), and a neurosurgery rotation was required for 14 of these 92 programs (15.2%; 95% CI = 8.9% to 24.6%). One program (1.1%; 95% CI = 0.1% to 6.8%) required both a neurology and a neurosurgery rotation, and one program (1.1%; 95% CI = 0.1% to 6.8%) required either a neurology or a neurosurgery rotation. On 15 of the 32 required neurologic rotations (46.9%; 95% CI = 29.5% to 65.0%), time was spent only in the intensive care unit. The remaining 17 rotations used outpatient clinic and general floor neurology settings. Electives in neurology, neurosurgery, or neuroradiology were available for 32 programs (32.7%; 95% CI = 24.2% to 42.4%) but were seldom used. Conclusions: Currently, the primary method of educating residents to treat neurologic emergencies is through didactic lectures, as opposed to clinical rotations in neurology or neurosurgery. 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