Cole Jonathan, Kamondi Anita, Kimaid Paulo Teixeira, Shahrizaila Nortina
Clinical Neurophysiology, University Hospitals Dorset, (Poole), and University of Bournemouth, Poole, United Kingdom.
Department of Neurology, Semmelweis University, Budapest, Hungary.
Clin Neurophysiol Pract. 2022 Mar 22;7:120-126. doi: 10.1016/j.cnp.2022.02.004. eCollection 2022.
This paper presents results from the first survey of training and education undertaken by the Europe-Middle East-Africa (EMEAC), the Latin America (LAC) and the Asia-Oceania (AOC) Chapters of the International Federation of Clinical Neurophysiology (IFCN). The survey was conducted initially by the EMEAC in 2012 and updated in 2016, 2019, and 2020. It had the following categories: status of specialty and training in member country (21 questions), competency and accreditation (12 questions), practice and concerns (23 questions). An abbreviated version of the survey was conducted by the LAC and AOC in 2018-2019. Clinical neurophysiology (CN) was a single specialty in a minority of member societies' countries: 8/33 EMEAC, 2/12 AOC and 2/10 LAC. In others it was usually a subspecialty of neurology. Training periods in CN were split fairly evenly between 1, 2, 3, 4 and 5 years in EMEAC, while neurology takes 4 to 5 years. In the AOC, neurology training was for 3 to 4 years and CN for up to 2 years. In LAC a majority of countries trained for 2 to 3 years in both neurology and CN. An exit exam was performed in 16/30 EMEAC respondents, 8/12 in the AOC and 3/10 in the LAC. Competence was considered to require a wide range of numbers of tests performed under supervision, from <250 to >750 in EMEAC and AOC, with the EMEAC tending to require more. The main concerns were in recruitment and workload in EMEAC, training in AOC and the need for more recognition of the specialty in some countries within the LAC. This survey, the first across the three chapters, revealed considerable differences in training durations and numbers of tests performed for competence between national societies.
本文展示了国际临床神经生理学联合会（IFCN）欧洲-中东-非洲（EMEAC）分会、拉丁美洲（LAC）分会及亚洲-大洋洲（AOC）分会首次开展的培训与教育调查结果。该调查最初由EMEAC于2012年进行，并于2016年、2019年和2020年进行更新。调查包含以下类别：成员国专业与培训状况（21个问题）、能力与认证（12个问题）、实践与关切（23个问题）。LAC和AOC在2018 - 2019年进行了该调查的简略版本。临床神经生理学（CN）在少数成员国协会的国家中是单一专业：EMEAC的33个国家中有8个，AOC的12个国家中有2个，LAC的10个国家中有2个。在其他国家，它通常是神经病学的一个亚专业。EMEAC中CN的培训时长在1年、2年、3年、4年和5年之间分布较为均匀，而神经病学培训时长为4至5年。在AOC，神经病学培训为3至4年，CN培训最长为2年。在LAC，大多数国家的神经病学和CN培训时长均为2至3年。16/30的EMEAC受访者、8/12的AOC受访者和3/10的LAC受访者参加了结业考试。能力被认为需要在监督下进行广泛数量的测试，EMEAC和AOC要求的测试数量范围从<250到>750，EMEAC往往要求更多。主要关切问题在EMEAC是招聘和工作量，在AOC是培训，在LAC的一些国家是该专业需要更多认可。这项跨三个分会的首次调查揭示了各国协会在培训时长和为获得能力而进行的测试数量方面存在显著差异。
