Arun Tarunya, Petheram Kate, Tallantyre Emma, Ford Helen, Chataway Jeremy, Dougall Niall Mac, Doshi Anisha, Englezou Christina, Farrell Rachel, Hughes Stella, McDonnell Gavin, Murray Katy, Rees Richard, Robertson Neil, Schmierer Klaus, Dobson Ruth
University Hospitals of Coventry and Warwickshire, Warwick Evidence Group, University of Warwick, UK.
Department of Neurology, South Tyneside and Sunderland NHS Foundation Trust, South Shields, UK.
Mult Scler Relat Disord. 2024 Dec;92:106144. doi: 10.1016/j.msard.2024.106144. Epub 2024 Nov 10.
Therapeutics of neuroinflammatory disorders including multiple sclerosis is one of the fastest growing areas in neurology. However, pressures on higher specialty training in neurology together with an expanding curriculum have led to challenges in adequately preparing trainees for a subspecialist career. In this study we set out to understand current perceptions and barriers to training in neuroinflammatory disorders among neurology trainees in the UK. A structured questionnaire was used to assess trainees' perspectives on training opportunities and career aspirations. Findings reveal significant gaps in training, including insufficient training opportunities, lack of mentorship, and concerns about managing complex treatment regimes. We used these findings to develop structured action points with aim of improving training and retention in this subspecialty. These include early exposure to subspecialty experiences, enhanced mentorship, and equal access to training opportunities regardless of geographical location. Our findings underscore the need for further curriculum development in neurology training, potentially combining early support with dedicated fellowships later in training, in order to ensure sustainability of neuroinflammation as a subspecialty and to meet the growing demand for expertise in MS and related conditions.
包括多发性硬化症在内的神经炎症性疾病的治疗是神经病学领域中发展最快的领域之一。然而，神经病学高级专科培训面临的压力以及课程的不断扩展，给充分培养学员从事亚专科职业带来了挑战。在本研究中，我们旨在了解英国神经病学培训学员对神经炎症性疾病培训的当前看法和障碍。我们使用一份结构化问卷来评估学员对培训机会和职业抱负的看法。研究结果揭示了培训方面的重大差距，包括培训机会不足、缺乏导师指导以及对管理复杂治疗方案的担忧。我们利用这些结果制定了结构化的行动要点，旨在改善该亚专科的培训和人才保留情况。这些要点包括尽早接触亚专科经验、加强导师指导以及无论地理位置如何都能平等获得培训机会。我们的研究结果强调了神经病学培训中进一步课程开发的必要性，可能需要在培训早期提供支持，并在后期提供专门的奖学金，以确保神经炎症作为一个亚专科的可持续性，并满足对多发性硬化症及相关疾病专业知识不断增长的需求。
