Kommineni Maya, Finkel Alan G
University of North Carolina at Chapel Hill, Chapell Hill, NC 27559-7025, USA.
Headache. 2005 Jul-Aug;45(7):862-5. doi: 10.1111/j.1526-4610.2005.05154.x.
To determine the status of headache education in American medical schools and Neurology Residency Training Programs.
One hundred and thirty-three programs were identified using the Association of University Professors of Neurology listing. Two hundred and seventeen surveys were mailed to departmental chairs (DC) and residency training directors (RTD) with fax back response sheets enclosed. Two additional mailings were sent to nonresponders. Questions regarding the presence of medical school or resident educational opportunities in headache medicine including lectures and electives were included. Additional questions were asked to assess beliefs about headache education in America.
One hundred nineteen surveys were returned. Ninety-five institutions responded including 75 Chairs and 44 RTD. Eighty percent of institutions have formal medical school lectures in headache/migraine. Fifty-five institutions claim to have a headache clinic, 52 within neurology departments. Thirty-two percent offer a headache elective to medical students. Nearly all departments offer formal resident lectures in headache/migraine, and 57% offer a headache elective. Essentially, all individual respondents believe that migraine is a valid neurological disorder and an important subject to teach in medical school. Ninety-one agree or strongly agree that headache is an important public health issue. Twenty-nine percent agree or strongly agree that headache diagnosis and management is adequately taught. Eighty-four percent believe the pharmaceutical industry has influenced migraine education and management. No important differences in response were found between Chairs and RTD.
This survey provides the first comprehensive assessment of the status of headache medicine education in academic departments of neurology.
确定美国医学院校和神经病学住院医师培训项目中头痛教育的现状。
利用神经病学大学教授协会的名录确定了133个项目。向系主任（DC）和住院医师培训主任（RTD）邮寄了217份调查问卷，并附上可传真回复的表单。又向未回复者发送了两次邮件。问题包括医学院校或住院医师培训项目中是否存在头痛医学方面的教育机会，如讲座和选修课。还提出了其他问题以评估对美国头痛教育的看法。
共收到119份回复。95个机构做出了回应，其中包括75位系主任和44位住院医师培训主任。80%的机构在医学院校开设了关于头痛/偏头痛的正式讲座。55个机构声称设有头痛诊所，其中52个在神经科。32%的机构为医学生提供头痛选修课。几乎所有科室都为住院医师开设了关于头痛/偏头痛的正式讲座，57%的科室提供头痛选修课。基本上，所有个人受访者都认为偏头痛是一种有效的神经系统疾病，也是医学院校教学中的一个重要课题。91人同意或强烈同意头痛是一个重要的公共卫生问题。29%的人同意或强烈同意头痛的诊断和管理得到了充分的教学。84%的人认为制药行业对偏头痛教育和管理产生了影响。系主任和住院医师培训主任的回复没有发现重要差异。
本次调查首次对神经病学学术部门中头痛医学教育的现状进行了全面评估。
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