From Kaiser Permanente Fontana Medical Center (C.W.L.); UC Riverside School of Medicine (C.W.L.), CA; Washington University School of Medicine (S.D.), St Louis, MO; University of Iowa (S.O.-G.), Iowa City; University of California, Los Angeles (D.S.L.); Memorial Hermann Hospital-Texas Medical Center (J.C.G.), Houston; Cooper University Hospital (T.G.J.), Cooper Medical School of Rowan University Camden, NJ; Boston Medical Center (T.N.N.), Boston University School of Medicine, MA; Marcus Stroke & Neuroscience Center (R.G.N.), Grady Memorial Hospital, Emory University School of Medicine, Atlanta, GA; State University of New York Upstate Medical University (H.M.), Syracuse; Semmes-Murphey Clinic (L.E.), University of Tennessee Health Science Center, Memphis; BSMH St Vincent Medical Center (O.O.Z.), Toledo, OH; University of Texas Rio Grande Valley (A.E.H.), Harlingen; Miami Cardiac and Vascular Institute (I.L.), FL; Mount Sinai Hospital (J.T.F.), New York; and University of Texas Health Science Center at Houston (S.A.S.).
Neurology. 2021 Apr 13;96(15):e2028-e2032. doi: 10.1212/WNL.0000000000011629. Epub 2021 Feb 12.
The widespread adoption of endovascular therapy (EVT) for emergent large vessel occlusion has led to increased nationwide demand for neurointerventionalists, heightened interest among neurology residents to pursue neurointervention as a career, and increased importance of neurointervention exposure for all neurologists who care for patients with acute ischemic stroke. Exposure to neurointervention and its career path are not well-defined for neurology trainees.
The Society for Vascular and Interventional Neurology (SVIN) Education Committee conducted a multicenter electronic survey directed towards neurology residents and vascular neurology (VN), neurocritical care (NCC), and neurointervention fellows in June 2018. A total of 250 programs were invited to participate; 76 trainees completed the survey.
Respondents self-identified as 22% postgraduate year (PGY)2, 40% PGY3/4, 30% VN fellows, and 8% neurointervention or NCC fellows. Eighty-seven percent of trainees had more than 2 months exposure to VN during residency, 41% to NCC, and only 3% to neurointervention. Sixty-eight percent of respondents had no exposure to neurointervention during residency. Whereas 72% believed that a background in neurology was good preparation for neurointervention, only 41% agreed that fellowship training pathway in neurointervention is well-structured for neurology residents when compared to other subspecialties.
In this survey, respondents identified lack of exposure to neurointervention and a well-defined training pathway as obstacles towards pursuing neurointervention as a career. These obstacles must be addressed for the continued development of neurointervention as a subspecialty of neurology.
血管内治疗（EVT）广泛应用于紧急大血管闭塞，导致全国范围内对神经介入医师的需求增加，神经科住院医师对神经介入作为职业的兴趣增加，以及所有治疗急性缺血性脑卒中患者的神经科医生对神经介入的重视增加。神经介入培训生对神经介入的接触和职业道路并不了解。
血管和介入神经病学学会（SVIN）教育委员会于 2018 年 6 月对神经科住院医师、血管神经病学（VN）、神经重症监护（NCC）和神经介入研究员进行了一项多中心电子调查。共邀请了 250 个项目参与；76 名学员完成了调查。
受访者自我认定为 22%的住院医师 2 年级，40%的住院医师 3/4 年级，30%的 VN 研究员，8%的神经介入或 NCC 研究员。87%的学员在住院期间有超过 2 个月的 VN 接触，41%的学员有 NCC 接触，只有 3%的学员有神经介入接触。68%的受访者在住院期间没有接触过神经介入。尽管 72%的人认为神经科背景是神经介入的良好准备，但只有 41%的人认为与其他专业相比，神经介入的住院医师培训途径对神经科住院医师来说是结构良好的。
在这项调查中，受访者认为缺乏神经介入的接触和明确的培训途径是阻碍他们从事神经介入职业的障碍。必须解决这些障碍，以促进神经介入作为神经病学的一个亚专科的持续发展。
