Neurology Training Worldwide

Abstract

Neurology training is essential for providing neurologic care globally. Large disparities in availability of neurology training exist between higher- and lower-income countries. This review explores the worldwide distribution of neurology training programs and trainees, the characteristics of training programs in different parts of the world, and initiatives aimed at increasing access to neurology training in under-resourced regions.

Keywords

global health - neurology - medical education

• References

• 1 World Health Organization. Atlas: country resources for neurological disorders – 2nd ed. Geneva: World Health Organization; 2017. Available at: http://www.who.int/mental_health/neurology/atlas_second_edition/en/ . Accessed December 13, 2017
• 2 World Health Organization. Atlas: country resources for neurological disorders 2004. Geneva: World Health Organization; 2004. Available at: http://www.who.int/mental_health/neurology/epidemiology/en/ . Accessed April 30, 2017
• 3 Bower JH, Zenebe G. Neurologic services in the nations of Africa. Neurology 2005; 64 (03) 412-415
• 4 World Health Organization. Atlas: country profiles on mental health resources 2001. Geneva: World Health Organization; 2001. Available at: http://www.who.int/mental_health/publications/mh_atlas_profiles_2001/en/ . Accessed May 29, 2017
• 5 World Health Organization. Mental health atlas: 2005. Geneva: World Health Organization; 2005. Available at: http://www.who.int/mental_health/evidence/mhatlas05/en/ . Accessed June 27, 2017
• 6 Mateen FJ, Clark SJ, Borzello M, Kabore J, Seidi O. Neurology training in sub-Saharan Africa: A survey of people in training from 19 countries. Ann Neurol 2016; 79 (06) 871-881
• 7 Bergen DC, Good D. Neurology training programs worldwide: a world federation of neurology survey. J Neurol Sci 2006; 246 (1-2): 59-64
• 8 Steck A, Struhal W, Sergay SM, Grisold W. ; Education Committee World Federation of Neurology. The global perspective on neurology training: the World Federation of Neurology survey. J Neurol Sci 2013; 334 (1-2): 30-47
• 9 Lopes Lima JM, Mesec A, Wilkinson IM. , et al; European Federation of Neurological Societies. Report of the Task Force on pre-graduate education in Europe of the education committee of the European Federation of Neurological Societies Composition of the task force of the education committee on pre-graduate education. Eur J Neurol 2008; 15 (12) e103-e109
• 10 Gelb DJ, Gunderson CH, Henry KA, Kirshner HS, Józefowicz RF. ; Consortium of Neurology Clerkship Directors and the Undergraduate Education Subcommittee of the American Academy of Neurology. The neurology clerkship core curriculum. Neurology 2002; 58 (06) 849-852
• 11 Charles PD, Scherokman B, Jozefowicz RF. How much neurology should a medical student learn? a position statement of the AAN Undergraduate Education Subcommittee. Acad Med 1999; 74 (01) 23-26
• 12 Moore FG, Chalk C. The essential neurologic examination: what should medical students be taught?. Neurology 2009; 72 (23) 2020-2023
• 13 Werner RM, Polsky D. Strategies to attract medical students to the specialty of child neurology. Pediatr Neurol 2004; 30 (01) 35-38
• 14 Albert DV, Yin H, Amidei C, Dixit KS, Brorson JR, Lukas RV. Structure of neuroscience clerkships in medical schools and matching in neuromedicine. Neurology 2015; 85 (02) 172-176
• 15 Menken M, Rosenberg RN, Cole TB. Continuing medical education in neurology: an archives of neurology initiative. Arch Neurol 1999; 56 (01) 23-24 , discussion 129–131
• 16 Medina MT, Munsat T. Continuing medical education in developing countries. J Neurol Sci 2001; 190 (1-2): 1-2
• 17 Benamer HT. Neurology expertise and postgraduate training programmes in the Arab world: a survey. Eur Neurol 2010; 64 (06) 313-318
• 18 Bergen DC. ; World Federation of Neurology Task Force on Neurological Services. Training and distribution of neurologists worldwide. J Neurol Sci 2002; 198 (1-2): 3-7
• 19 Lisnic V, Grisold W, Müller E. ; Education Committee of the EFNS. Manpower of neurologists in the post-socialist countries of Central and Eastern Europe. Eur J Neurol 2008; 15 (11) e94-e98
• 20 Struhal W, Sellner J, Lisnic V, Vécsei L, Müller E, Grisold W. Neurology residency training in Europe--the current situation. Eur J Neurol 2011; 18 (04) e36-e40
• 21 Grisold W, Hopkins A. Neurological manpower and training in Europe. J Neurol 1994; 241 (03) 119-124
• 22 The World Bank. World Bank list of economies March 2017. Available at: http://databank.worldbank.org/data/download/site-content/CLASS.xls . Accessed April 30, 2017
• 23 West Africa College of Physicians. Available at: https://wac-physicians.org/ . Accessed May 29, 2017
• 24 Accreditation Council for Graduate Medical Education (ACGME). Available at: http://www.acgme.org/ . Accessed May 29, 2017
• 25 Pontes C. ; European Federation of Neurological Societies. Recommended core curriculum for a specialist training program in neurology. Eur J Neurol 2005; 12 (10) 743-746
• 26 Peltier WL. Core competencies in neurology resident education: a review and tips for implementation. Neurologist 2004; 10 (02) 97-101
• 27 Mejia A. Migration of physicians and nurses: a world wide picture. Int J Epidemiol 1978; 7 (03) 207-215
• 28 Celletti F, Buch E, Samb B. Medical education in developing countries. In: Walsh K. , ed. Oxford Textbook of Medical Education. Oxford, United Kingdom: Oxford University Press; 2013
• 29 Cancedda C, Farmer PE, Kyamanywa P. , et al. Enhancing formal educational and in-service training programs in rural Rwanda: a partnership among the public sector, a nongovernmental organization, and academia. Acad Med 2014; 89 (08) 1117-1124
• 30 Medina MT, Munsat T, Portera-Sánchez A, Durón RM, Becker CA, Holden KR. ; WFN Education Committee. Developing a neurology training program in Honduras: a joint project of neurologists in Honduras and the World Federation of Neurology. J Neurol Sci 2007; 253 (1-2): 7-17
• 31 Medina MT, Munsat T. Neurology education in Latin America and the World Federation of Neurology. J Neurol Sci 2010; 298 (1-2): 17-20
• 32 Munsat T, Aarli J, Medina M, Birbeck G, Weiss A. International Issues: educational programs of the World Federation of Neurology. Neurology 2009; 72 (10) e46-e49
• 33 Bower JH, Diop AG, Gouider R, Schmutzhard E. Addressing neurologic needs in sub-Saharan Africa: An opportunity for multisociety cooperation. Neurology 2014; 83 (13) 1207-1209
• 34 Berkowitz AL, Martineau L, Morse ME, Israel K. Development of a neurology rotation for internal medicine residents in Haiti. J Neurol Sci 2016; 360: 158-160
• 35 Adamolekun B, Mielke J, Ball D, Mundanda T. An evaluation of the management of epilepsy by primary health care nurses in Chitungwiza, Zimbabwe. Epilepsy Res 2000; 39 (03) 177-181
• 36 Berhanu S, Alemu S, Prevett M, Parry EH. Primary care treatment of epilepsy in rural Ethiopia: causes of default from follow-up. Seizure 2009; 18 (02) 100-103
• 37 Wang WZ, Wu JZ, Ma GY. , et al. Efficacy assessment of phenobarbital in epilepsy: a large community-based intervention trial in rural China. Lancet Neurol 2006; 5 (01) 46-52
• 38 Scott RA, Lhatoo SD, Sander JW. The treatment of epilepsy in developing countries: where do we go from here?. Bull World Health Organ 2001; 79 (04) 344-351
• 39 Ding D, Hong Z, Chen GS. , et al. Primary care treatment of epilepsy with phenobarbital in rural China: cost-outcome analysis from the WHO/ILAE/IBE global campaign against epilepsy demonstration project. Epilepsia 2008; 49 (03) 535-539
• 40 Meyer AC, Dua T, Boscardin WJ, Escarce JJ, Saxena S, Birbeck GL. Critical determinants of the epilepsy treatment gap: a cross-national analysis in resource-limited settings. Epilepsia 2012; 53 (12) 2178-2185
• 41 Lyons JL, Coleman ME, Engstrom JW, Mateen FJ. International electives in neurology training: a survey of US and Canadian program directors. Neurology 2014; 82 (02) 119-125
• 42 Józefowicz RF, Birbeck GL. The globalization of US and Canadian neurology residency training: is it just about the money?. Neurology 2014; 82 (02) 100-101
• 43 Siddiqi OK, Brown M, Cooper C, Atadzhanov M, Lakhi S, Koralnik IJ. Developing a successful global neurology program. Ann Neurol 2017; 81 (02) 167-170
• 44 Berkowitz AL, Milligan TA, Cho TA. Development of a track in global and humanitarian health for neurology residents. Neurology 2015; 85 (21) 1894-1895
• 45 Neurological department visits. World Federation of Neurology. Available at: https://www.wfneurology.org/neurological-department-visits . Accessed June 24, 2017
• 46 Sub-Saharan Africa. European Academy of Neurology. Available at: https://www.ean.org/Sub-saharan-Africa.3559.0.html . Accessed June 24, 2017
• 47 Saadi A, Mateen FJ. The internationalization of the American Academy of Neurology. Neurology 2015; 84 (08) 856-858
• 48 AAN-WFN Continuum Education Programme. World Federation of Neurology. Available at: https://www.wfneurology.org/aan-wfn-continuum-education-programme . Accessed May 31, 2017
• 49 Lee AC, Chin J, Birbeck GL, Bower J, Meyer AC. Creation of the AAN Global Health Section, Part I: introduction and background. Neurology 2013; 80 (22) 2062-2064
• 50 Neurology for non-neurologists. World Federation of Neurology. Available at: https://www.wfneurology.org/neurology-for-non-neurologists . Accessed June 24, 2017
• 51 World Health Organization. mhGAP intervention guide for mental, neurological and substance use disorders in non-specialized health settings. Geneva, Switzerland: WHO Press; 2010. Available at: http://www.who.int/mental_health/publications/mhGAP_intervention_guide/en/ . Accessed June 24, 2017
• 52 Howlett WP. Neurology in Africa. Bergen, Norway: Bodoni; 2012. Available at: http://www.uib.no/filearchive/neurologyinafrica_bora-complete-book.pdf . Accessed June 24, 2017
• 53 Birbeck GL. Where there is no neurologist. Available at: https://www.wfneurology.org/neurology-for-non-neurologists . Accessed June 24, 2017