Cole Jonathan, Kamondi Anita
University Hospitals, Dorset and University of Bournemouth, United Kingdom.
Department of Neurology, National Institute of Mental Health Neurology and Neurosurgery, Budapest, Hungary; Department of Neurology, Semmelweis University, Budapest, Hungary.
Clin Neurophysiol. 2023 Dec;156:76-85. doi: 10.1016/j.clinph.2023.09.013. Epub 2023 Oct 11.
There are significant differences in duration and intensity of clinical neurophysiology specialty training within the countries of the Europe, Middle East and Africa Chapter of the International Federation of Clinical Neurophysiology. We address these differences by proposing recommendations which may facilitate harmonisation of training and education within the Chapter. They arose from two workshops whose recommendations were then circulated widely within national societies in the Chapter for feedback and for consensus. The recommendations are applicable to clinical neurophysiology as a medical monospecialty and/or as a subspecialty (usually of neurology). We make a number of recommendations on governance and regulation of training, on the requirements for competence and the numbers of various examinations and tests performed by trainees, some under supervision. We also recommend a modular approach considering primary and complementary modules. Primary modules are electroencephalography, electromyography, nerve conduction studies and evoked potentials, while complementary ones include sleep analysis, intraoperative monitoring, small fibre testing, peripheral nerve and muscle ultrasound, intracortical recordings, and analysis of movement disorders. It is recommended that national examinations should include a variety of techniques to assess knowledge and judgement, practical skills, teamwork, communication skills, as well as safety and quality. The aim of the suggested recommendations is to harmonize clinical neurophysiology training in the member societies throughout the Chapter. It is realised that this may mean that the numbers for competence are aspirational for some, though ways to mitigate this, for instance through supranational training centres, are also discussed.
在国际临床神经生理学联合会欧洲、中东和非洲分会的各个国家中，临床神经生理学专业培训的时长和强度存在显著差异。我们通过提出建议来解决这些差异，这些建议可能有助于该分会内部培训与教育的协调统一。它们源自两个研讨会，研讨会的建议随后在分会的各个国家学会中广泛传播，以征求反馈意见并达成共识。这些建议适用于作为医学单一专科和/或作为亚专科（通常是神经学的亚专科）的临床神经生理学。我们就培训的管理与监管、能力要求以及学员在某些监督下进行的各种检查和测试的数量提出了一些建议。我们还建议采用一种模块化方法，考虑初级模块和补充模块。初级模块包括脑电图、肌电图、神经传导研究和诱发电位，而补充模块包括睡眠分析、术中监测、小纤维测试、周围神经和肌肉超声、皮层内记录以及运动障碍分析。建议国家考试应包括各种技术，以评估知识和判断力、实践技能、团队合作、沟通技巧以及安全性和质量。所提建议的目的是使分会各成员国学会的临床神经生理学培训协调一致。我们意识到，这可能意味着能力要求的数量对某些人来说是理想目标，不过也讨论了一些缓解措施，例如通过跨国培训中心。
