TY - JOUR
T1 - Training in neonatal neurocritical care
T2 - a proposal for a hybrid model of competence by design and time-based methods
AU - on behalf of the Newborn Brain Society Guidelines and Publications Committee
AU - Mohammad, Khorshid
AU - Craig, Alexa K.
AU - Chang, Taeun
AU - Tam, Emily W.Y.
AU - Ayed, Mariam
AU - de Vries, Linda S.
AU - El-Dib, Mohamed A.
AU - Esser, Michael J.
AU - Ferriero, Donna M.
AU - Hellström-Westas, Lena
AU - Miller, Steven P.
AU - Soul, Janet S.
AU - Vollmer, Brigitte
AU - Glass, Hannah C.
AU - Smyser, Christopher D.
AU - Aly, Hany
AU - Bonifacio, Sonia
AU - Chang, Tauen
AU - Chau, Vann
AU - Glass, Hannah
AU - Massaro, An
AU - Wintermark, Pia
AU - Wusthoff, Courtney
N1 - Funding Information:
Only 14 (17%) of the 82 respondents reported having an NNCC training program. These responses reflected nine individual programs in four countries. Five (56%) of these programs have existed for <5 years, with the other four (44%) existing for >5 years. These programs are funded by a variety of mechanisms, including research monies, philanthropy, grants, endowments or foundation funds, transport funds, or were “self-funded” by the applicant. Amongst the respondents with formalized programs, they had trained a median of four trainees (IQR 2, 6) since the start of their programs, and most programs (n = 6) offer 1 year of training with a few supporting additional optional years. Scholarly activity was required by five programs (56%), with abstracts and manuscripts most often cited as the expected product. Trainees were split between Neonatology and Child Neurology backgrounds. Three programs (33%) provide a traditional time-based approach to training, while six (66%) tailor training based on trainee goals while maintaining core requirements.
Publisher Copyright:
© 2021, The Author(s), under exclusive licence to the International Pediatric Research Foundation, Inc.
PY - 2021
Y1 - 2021
N2 - Background: Neonatal neurocritical care (NNCC) is a rapidly advancing field with limited fellowship training available in locally developed, non-accredited programs. A standardized survey aimed to understand the training backgrounds of individuals practicing NNCC, the structure of existing clinical NNCC services/training programs, and suggested clinical competencies for new graduates. Methods: We developed an anonymous survey electronically sent to members of societies related to NNCC. Using the survey results as a guide, we discuss a competence by design (CBD) curriculum as a complementary approach to traditional time-based training. Results: There were 82 responses to the survey from 30 countries; 95% of respondents were physicians. Thirty-one (42%) institutions reported having an NNCC service, 24 (29%) individuals reported formal NNCC training, 81% reported “significant variability” across NNCC training programs, and 88% were both in favor of standardizing training programs and pursuing formal accreditation for NNCC in the next 5 years. Conclusions: The survey results demonstrate international interest in standardizing NNCC training and development of an accreditation or certification process. We propose consideration of a CBD-type curriculum as a training approach to focus on the development of specific NNCC competencies, rather than assuming the acquisition of these competencies based on time as a surrogate. Impact: Continued growth and development in the field of NNCC has led to increasing need for training programs suited to meet the diverse needs of trainees from varied backgrounds.We present the results of an international survey that assessed the structure of existing training programs and the priority areas in which graduates must demonstrate competence, highlighting the combination of CBD and time-based training as one approach to address these recommendations.The survey results support interest in translating published training competencies, existing expertise, and infrastructure across centers into a standardized curriculum for NNCC including certification opportunities.
AB - Background: Neonatal neurocritical care (NNCC) is a rapidly advancing field with limited fellowship training available in locally developed, non-accredited programs. A standardized survey aimed to understand the training backgrounds of individuals practicing NNCC, the structure of existing clinical NNCC services/training programs, and suggested clinical competencies for new graduates. Methods: We developed an anonymous survey electronically sent to members of societies related to NNCC. Using the survey results as a guide, we discuss a competence by design (CBD) curriculum as a complementary approach to traditional time-based training. Results: There were 82 responses to the survey from 30 countries; 95% of respondents were physicians. Thirty-one (42%) institutions reported having an NNCC service, 24 (29%) individuals reported formal NNCC training, 81% reported “significant variability” across NNCC training programs, and 88% were both in favor of standardizing training programs and pursuing formal accreditation for NNCC in the next 5 years. Conclusions: The survey results demonstrate international interest in standardizing NNCC training and development of an accreditation or certification process. We propose consideration of a CBD-type curriculum as a training approach to focus on the development of specific NNCC competencies, rather than assuming the acquisition of these competencies based on time as a surrogate. Impact: Continued growth and development in the field of NNCC has led to increasing need for training programs suited to meet the diverse needs of trainees from varied backgrounds.We present the results of an international survey that assessed the structure of existing training programs and the priority areas in which graduates must demonstrate competence, highlighting the combination of CBD and time-based training as one approach to address these recommendations.The survey results support interest in translating published training competencies, existing expertise, and infrastructure across centers into a standardized curriculum for NNCC including certification opportunities.
UR - http://www.scopus.com/inward/record.url?scp=85115654451&partnerID=8YFLogxK
U2 - 10.1038/s41390-021-01727-9
DO - 10.1038/s41390-021-01727-9
M3 - Article
C2 - 34537823
AN - SCOPUS:85115654451
SN - 0031-3998
JO - Pediatric Research
JF - Pediatric Research
ER -