S. Levitt is associate director, Brain Medicine Fellowship, and assistant professor, Department of Psychiatry, University of Toronto, as well as a psychiatrist, Centre for Mental Health, University Health Network, Toronto, Ontario, Canada.
A. Henri-Bhargava is medical director, Neil and Susan Manning Cognitive Health Initiative, clinical associate professor, University of British Columbia, and a neurologist, Royal Jubilee Hospital, Victoria, British Columbia, Canada.
Acad Med. 2023 May 1;98(5):590-594. doi: 10.1097/ACM.0000000000005156. Epub 2023 Jan 30.
Complex brain disorders involve symptoms in the domains of affect, behavior, and cognition. It is increasingly recognized that there is a need for a novel type of physician who can treat individuals with these conditions in an interdisciplinary fashion to best address their complexity. Few training programs have focused on the education of such practitioners.
The authors outline the development and practices of the Brain Medicine Fellowship, an innovative, competency-based fellowship program at the University of Toronto Temerty Faculty of Medicine that accepts trainees from multiple brain medicine-related specialty training programs to develop expertise in integrative assessment and treatment of complex brain disorders. The authors describe how brain medicine competencies were generated, the current assessment process, and the seminal clinical experience associated with the fellowship-the Brain Medicine Clinic-and explain how it exemplifies brain medicine in action.
The first fellow was registered from July 2019 to December 2020. As of December 2022, 3 fellows have entered the program, with 3 more anticipated to begin in July 2023. More than 26 supervisors are associated with the fellowship, who offer a diversity of experiences for fellows to choose from in developing their individualized learning plans. The Brain Medicine Fellowship not only fosters the development of a novel type of clinician (a brain medicine specialist) but also is innovative in its educational design as one of the first nonsurgical fellowships to implement competency-based medical education and has resulted in original clinical programming in the form of the Brain Medicine Clinic, which benefits patients and their caregivers.
The development of the Brain Medicine Fellowship continues with competency refinement and translation into entrustable professional activities and constituent milestones. A comprehensive program evaluation will be completed by 2025.
复杂的脑部疾病涉及情感、行为和认知领域的症状。人们越来越认识到，需要一种新型的医生，能够以跨学科的方式治疗患有这些疾病的个体，以最好地解决他们的复杂性。很少有培训计划专注于此类从业者的教育。
作者概述了多伦多大学 Temerty 医学院脑医学奖学金的发展和实践，这是一个创新的、基于能力的奖学金项目，接受来自多个脑医学相关专业培训项目的学员，以培养综合评估和治疗复杂脑疾病的专业知识。作者描述了脑医学能力是如何产生的，当前的评估过程，以及与奖学金相关的开创性临床经验——脑医学诊所，并解释了它如何体现了实际的脑医学。
第一名学员于 2019 年 7 月至 2020 年 12 月注册。截至 2022 年 12 月，已有 3 名学员进入该项目，预计 2023 年 7 月将有 3 名学员进入该项目。该奖学金有 26 多名导师参与，为学员提供了多样化的经验，供他们在制定个性化学习计划时选择。脑医学奖学金不仅促进了新型临床医生（脑医学专家）的发展，而且在教育设计方面也具有创新性，是首批实施基于能力的医学教育的非外科奖学金之一，并以脑医学诊所的形式产生了原始的临床编程，使患者及其护理人员受益。
脑医学奖学金的发展将继续进行能力细化，并转化为可信赖的专业活动和组成里程碑。全面的项目评估将于 2025 年完成。
