Rajan Shobana, Bustillo Maria, Lee Chanhung, Kofke W Andrew
Department of Anesthesiology, University of Texas Health Science center at Hosuton, 6431 Fannin Street, Houston, Texas USA.
Department of Anesthesiology, Weill Cornell Medicine, 525 East 68th St, P-309, New York, NY 10065 USA.
Curr Anesthesiol Rep. 2021;11(4):467-476. doi: 10.1007/s40140-021-00477-y. Epub 2021 Oct 26.
This review illustrates the evolution and progress with standardization of fellowship education in neuroanesthesiology. It provides a structured discussion around the need for curricula and framework which individual training programs in neuroanesthesiology can use to meet defined educational standards thus meeting criteria for accreditation.
Neuroanesthesiology training has traditionally been heterogenous around the world but international efforts from the community of neuroanesthesiology have culminated in the development of an international council for perioperative training in neuroscience in anesthesiology(ICPNT). This serves not only as an accrediting body but also creates a platform through their neuroanesthesia program relations committee for collaboration and engagement between various training programs internationally, increasing the educational standards of the individual programs and collectively increasing the overall level of standards for neuroanesthesia training. Standardized curriculum and competency-based assessments and milestones would help with narrowing the focus to quality education in neuroanesthesiology.
Structured training around the three pillars of neuroanesthesiology with concomitant accreditation is expected to lead to higher education standards with better patient care. The SNACC created milestones for neuroanesthesiology training during residency and the ICPNT can now use this as a foundation for fellowship training. Having a council to accredit and standardize will likely become indispensable in creating a set path for training in neuroanesthesiology. Additionally, the flexibility built in due to the international nature would allow modified and variable pathways depending upon individual capabilities and interests. The path forward will include widespread adoption of standardization supporting the overarching goal of excellent patient outcomes around the world.
本综述阐述了神经麻醉学专科培训标准化的发展历程与进展。它围绕课程设置及框架的必要性展开了结构化讨论，神经麻醉学的各个培训项目可利用这些来满足既定的教育标准，从而符合认证标准。
传统上，世界各地的神经麻醉学培训参差不齐，但神经麻醉学界的国际努力最终促成了麻醉学围术期神经科学培训国际委员会（ICPNT）的成立。该委员会不仅作为一个认证机构，还通过其神经麻醉项目关系委员会创建了一个平台，促进国际上各个培训项目之间的合作与交流，提高了各个项目的教育标准，进而整体提升了神经麻醉学培训的标准水平。标准化课程、基于能力的评估以及里程碑式目标将有助于把重点聚焦于神经麻醉学的高质量教育。
围绕神经麻醉学的三大支柱进行结构化培训并同时进行认证，有望提高教育标准，改善患者护理。神经麻醉与重症监护学会（SNACC）为住院医师培训期间的神经麻醉学培训制定了里程碑式目标，ICPNT现在可以以此为基础开展专科培训。拥有一个进行认证和标准化的委员会，对于为神经麻醉学培训打造一条既定路径可能会变得不可或缺。此外，由于其国际性所带来的灵活性，将允许根据个人能力和兴趣采用经过修改的不同路径。未来的发展方向将包括广泛采用标准化，以支持全球实现卓越患者治疗效果这一总体目标。
