From the A.B. Baker Section on Neurological Education (S.S., J.V.B., M.C., J.C., P.G., R.J.G.-S., H.K., S.M., N.M., D.L.M., K.S.N., H.S., L.D.S.), American Academy of Neurology, Minneapolis, MN; Imperial College London (S.S.), UK; University of Virginia (J.V.B.), Charlottesville; University of Florida (M.C.), Gainesville; Ohio State University (J.C.), Columbus; George Washington University (P.G.), Washington, DC; University of Michigan (R.J.G.-S.), Ann Arbor; University of Cincinnati (H.K.), OH; University of Pennsylvania (S.M.), Philadelphia; University of Arkansas (N.M.), Little Rock; Oakland University/William Beaumont School of Medicine (D.L.M.), Rochester, MI; Memorial Sloan Kettering Cancer Center (K.S.N.); Cornell University (H.S.), New York, NY; and Stanford Center for Sleep Sciences and Medicine (L.D.S.), Palo Alto, CA.
Neurology. 2019 Jan 22;92(4):174-179. doi: 10.1212/WNL.0000000000006716. Epub 2018 Dec 19.
Neurologic disorders are among the most frequent causes of morbidity and mortality in the United States. Moreover, the current shortfall of neurologists is expected to worsen over the coming decade. As a consequence, many patients with neurologic disorders will be treated by physicians and primary care providers without formal neurologic training. Furthermore, a pervasive and well-described fear of neurology, termed neurophobia, has been identified in medical student cohorts, residents, and among general practitioners. In this article, members of the American Academy of Neurology A.B. Baker Section on Neurological Education review current guidelines regarding neurologic and neuroscience education, contextualize the genesis and the negative consequences of neurophobia, and provide strategies to mitigate it for purposes of mentoring future generations of health care providers.
神经系统疾病是美国发病率和死亡率最高的疾病之一。此外,预计未来十年内神经科医生的短缺情况将进一步恶化。因此,许多患有神经系统疾病的患者将由没有接受过正规神经科培训的医生和初级保健提供者进行治疗。此外,在医学生群体、住院医师和普通科医生中,已经发现了一种普遍存在且描述详尽的对神经病学的恐惧,称为神经恐惧症。在本文中,美国神经病学学会 A.B. Baker 神经内科教育分会的成员回顾了关于神经病学和神经科学教育的现行指南,阐述了神经恐惧症的起源和负面影响,并提供了一些策略来减轻它,以指导未来几代医疗保健提供者。