Universidad de Zaragoza, 50013 Zaragoza, España.
Hospital Universitari Arnau de Vilanova , Lleida, España.
Rev Neurol. 2023 Dec 16;77(12):285-291. doi: 10.33588/rn.7712.2023249.
Neurophobia is defined as the fear towards clinical neurology caused by the inability to apply theoretical knowledge to practical clinical situations. This phenomenon is not restricted to medical students and has never been studied before in the Emergency Department. We aimed to study how resident doctors perceive their knowledge in neurology and urgent neurological conditions as well as possible causes for said fears.
Cross-sectional multicentric study using self-administered surveys sent to medical residents within the Aragon Health Service. They were questioned about their fear of neurology and other medical specialties, possible causes, and perception of knowledge in neurological pathologies and subareas in the emergency service.
We obtained 134 responses. 27.6% (37) suffered from neurophobia. Despite neurology being considered the most difficult discipline, it did also arouse the third most interest among the students. The areas where they showed the most confidence were headaches and vascular pathology. The areas where they felt the most insecure were neuromuscular diseases, neuro-ophthalmology, and spinal cord injury. In none of the areas surveyed, the percentage of respondents who felt secure exceeded 50%.
Neurophobia is prevalent among trainee doctors working in the emergency department. Their confidence correlates with the degree of exposure to patients. Neurologist must play an active role in the education of new specialist and promote the collaboration with emergency departments.
神经恐惧症是指由于无法将理论知识应用于实际临床情况而对临床神经病学产生的恐惧。这种现象不仅限于医学生，以前在急诊科也从未研究过。我们旨在研究住院医师如何看待他们在神经病学和紧急神经状况方面的知识，以及导致这种恐惧的可能原因。
这是一项使用自我管理的问卷调查在阿拉贡卫生服务中心内对住院医师进行的横断面多中心研究。他们被问到对神经病学和其他医学专业的恐惧、可能的原因，以及对在急诊服务中神经病理学和亚领域的知识的看法。
我们共获得了 134 份回复。27.6%（37 人）患有神经恐惧症。尽管神经病学被认为是最难的学科，但它也是学生中最感兴趣的第三大科目。他们最自信的领域是头痛和血管病理学。他们最不自信的领域是神经肌肉疾病、神经眼科和脊髓损伤。在调查的所有领域，感到安全的受访者比例都没有超过 50%。
在急诊科工作的实习医生中普遍存在神经恐惧症。他们的信心与接触患者的程度相关。神经科医生必须在新专家的教育中发挥积极作用，并促进与急诊科的合作。
