Butler Emily, Slatton Jack, Sharp Sheffield, Schattinger Lauren, Turchan Maxim, Charles Phillip D, Harper Kelly A
From the Department of Neurology (E.B., S.S., L.S., M.T., P.D.C., K.A.H.), Vanderbilt University Medical Center, Nashville, TN; and Marnix E. Heersink School of Medicine (J.S.), University of Alabama, Birmingham.
Neurol Educ. 2023 May 10;2(2):e200074. doi: 10.1212/NE9.0000000000200074. eCollection 2023 Jun.
The aging US population has led to the increased prevalence of neurodegenerative diseases and the critical need for specialists with advanced training in the management of these conditions. Focus on Common Movement Disorders (FOCMD), a 2-day educational course hosted by Vanderbilt University, was started 16 years ago to provide neurology residents with exposure to the diagnosis and treatment of movement disorders.
The aim of the course was to provide early-career neurology residents with relevant exposure to the field of movement disorders, through which we hope to increase medical knowledge of movement disorders and common Food and Drug Administration (FDA)-approved therapies and inspire residents to pursue fellowship training in the field.
FOCMD consists of lectures and small-group workshops that provide an overview of common movement disorders and approved therapies. All North American neurology residency program directors are invited to nominate a first-year or second-year resident. Attendees are administered standardized multiple-choice precourse and postcourse examinations to assess foundational knowledge of common movement disorders and FDA-approved therapies and to measure acquisition of the course material. Past participants are regularly surveyed to gauge their impression of the course's effect on fellowship selection and their utilization of therapies common in the treatment of movement disorders.
Since 2008, FOCMD has trained 854 neurology residents from 113 programs. Between 2010 and 2020, 507 residents completed the precourse and postcourse examinations. There was an increase of 22.4 (95% CI 20.67-24.49; < 0.001) percentage points between the precourse and postcourse examinations or an additional 3.8 questions were answered correctly. Follow-up surveys were sent to 414 past participants, and 116 were completed. Survey responses revealed that 84% of past attendees completed a fellowship, 44% of which were in the field of movement disorders. In addition, 82% of past participants reported that the course affected subspecialty selection and 63% reported treating patients with movement disorders in their current practice.
Experience with FOCMD has shown it to be successful in introducing neurology residents to the subspecialty early in their career and increasing medical knowledge on movement disorders. An educational program of this format may also positively influence fellowship selection.
美国人口老龄化导致神经退行性疾病的患病率上升，因此迫切需要受过高级培训的专科医生来管理这些疾病。16年前，范德堡大学举办了为期两天的“聚焦常见运动障碍”（FOCMD）教育课程，旨在让神经科住院医师接触运动障碍的诊断和治疗。
该课程的目的是让处于职业生涯早期的神经科住院医师接触运动障碍领域的相关知识，希望借此增加他们对运动障碍以及美国食品药品监督管理局（FDA）批准的常见疗法的医学知识，并激励住院医师在该领域接受专科培训。
FOCMD包括讲座和小组研讨会，概述常见运动障碍和批准的疗法。所有北美神经科住院医师培训项目主任都被邀请提名一名一年级或二年级住院医师。参与者需在课程开始前和结束后参加标准化多项选择题考试，以评估他们对常见运动障碍和FDA批准疗法的基础知识，并衡量他们对课程材料的掌握程度。过去的参与者会定期接受调查，以了解他们对该课程对专科培训选择的影响以及他们在治疗运动障碍中常用疗法的使用情况的印象。
自2008年以来，FOCMD已培训了来自113个项目的854名神经科住院医师。2010年至2020年期间，507名住院医师完成了课程开始前和结束后的考试。课程开始前和结束后的考试成绩提高了22.4个百分点（95%置信区间为20.67 - 24.49；P < 0.001），即平均多答对了3.8道题。向414名过去的参与者发送了后续调查问卷，116人完成了调查。调查回复显示，84%的过去参与者完成了专科培训，其中44%是在运动障碍领域。此外，82%的过去参与者表示该课程影响了他们对亚专科的选择，63%的人表示在目前的工作中治疗运动障碍患者。
FOCMD的经验表明，它成功地在神经科住院医师职业生涯早期将他们引入亚专科领域，并增加了他们对运动障碍的医学知识。这种形式的教育项目也可能对专科培训选择产生积极影响。
