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Viewpoint on Milestones for Fellowship Training in Movement Disorders
Movement Disorders ( IF 8.6 ) Pub Date : 2022-07-11 , DOI: 10.1002/mds.29146
Jeffrey B Ratliff 1 , Sara M Schaefer 2 , Shilpa Chitnis 3 , Jeffrey W Cooney 4 , Christopher W Hess 5 , Njideka Okubadejo 6 , Ali Shalash 7 , Elena Moro 8 , Carolyn Sue 9 , Sanjay Pandey 10 , Pramod K Pal 11 , Laurice Yang 12
Affiliation  

There is a demand for quality Parkinson's Disease (PD) care globally and competent movement disorders specialists are needed.1-3 Fellowship training provides neurologists (residency graduates) education in the diagnosis and management of movement disorders. Graduates may provide improved care for patients with movement disorders, serve as a referral for colleagues, become educators or leaders in the field, and may have scholarly experience during training that prepares them to contribute to the understanding of movement disorders. In North America, there are at least 88 fellowship positions in 2022, compared to 43 positions in 2012.4, 5 Detailed data outlining the landscape of movement disorders training across global regions is unavailable, but training programs exist in countries across all populated continents. Most programs offer clinical training, research, and didactic conferences, but there is curricular variability.5, 6 Data suggests improvement in training is needed.1

A curriculum developed by the American Academy of Neurology (AAN) Movement Disorders section and the Movement Disorder Society's Pan American Section (MDS-PAS) outlines content, but provides little methodological guidance for evaluating trainees (Supplementary S1). Other international neurological societies (ie, the MDS, the European Academy of Neurology) financially support clinical or research fellowships in movement disorders ranging from 3 to 12 months at selected centers. There is no established common curriculum for these fellowships. Firmer assessment guidance will improve trainees' clinical competency development.

Milestones are used in medical education internationally, although the definition of “milestone,” differs between regions.7, 8 Our use of “milestones” adheres to the United States (US)-based definition, in which milestones are “behaviors associated with a specific level of achievement for [a] competency.”7 American physician training programs accredited by the Accreditation Council for Graduate Medical Education (ACGME) use milestones to address inter-program variability and as a tool to evaluate trainees' growth.9 These milestones are not requirements, but provide discrete levels of growing competence trainees can demonstrate via observable behaviors.10



中文翻译:

运动障碍团契训练里程碑的观点

全球都需要高质量的帕金森病 (PD) 护理,并且需要有能力的运动障碍专家。1-3奖学金培训为神经病学家(住院医师毕业生)提供运动障碍诊断和管理方面的教育。毕业生可以为运动障碍患者提供更好的护理,作为同事的推荐人,成为该领域的教育者或领导者,并且可能在培训期间拥有学术经验,使他们为理解运动障碍做好准备。在北美,2022 年至少有 88 个研究金职位,而 2012 年为 43个。4, 5无法获得概述全球地区运动障碍培训情况的详细数据,但所有人口稠密的大陆的国家/地区都有培训计划。大多数项目提供临床培训、研究和教学会议,但课程存在差异。5, 6数据表明需要改进培训。1

由美国神经病学学会 (AAN) 运动障碍部分和运动障碍协会泛美部分 (MDS-PAS) 开发的课程概述了内容,但几乎没有为评估学员提供方法指导(补充 S1)。其他国际神经学学会(即 MDS、欧洲神经病学学会)在经济上支持在选定中心开展为期 3 至 12 个月的运动障碍临床或研究奖学金。这些奖学金没有既定的共同课程。更严格的评估指导将提高学员的临床能力发展。

里程碑在国际医学教育中使用,尽管“里程碑”的定义因地区而异。7, 8我们对“里程碑”的使用遵循基于美国 (US) 的定义,其中里程碑是“与 [a] 能力的特定成就水平相关的行为”。7 个由研究生医学教育认证委员会 (ACGME) 认可的美国医师培训计划使用里程碑来解决计划间的差异,并作为评估受训者成长的工具。9这些里程碑不是要求,但提供了学员可以通过可观察的行为展示的不断增长的能力的离散水平。10

更新日期:2022-07-11
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