underway to explore a unified pathway to critical care training
and establish parity between specialties, an important step
for neurointensivists may be to achieve ACGME accreditation
of their training, as currently exists for general critical care
training from a variety of background specialties. Over half of
survey respondents (52 percent) believed that both ACGME
accreditation and ABMS certification were necessary to facilitate
future integration of NCC into general critical care training
and certification pathways. Finally, taking all factors into
consideration, 68 percent of program directors chose ACGME
accreditation as the optimal accreditation pathway to support the
growth of NCC as a field, while 69 percent chose ABMS as the
optimal certification pathway.
Of note, the 2016 survey covered several additional details
of significant interest to neurointensivists (distribution of
closed versus open ICUs, background specialties of faculty and
fellows, procedural volumes, composition of after-hours unit
staffing, acceptable visas for international graduates) and can
be accessed at https://www.frontiersin.org/articles/10.3389/
fneur.2017.00548/full. The key message from the survey appears
to be that there is broad approval for the transition to ACGMEABMS
but also that the transition will be consequential for a
number of programs. Initiatives by NCS and allied organizations
to educate and help members prepare may prove to be valuable
as the transition moves forward.
FIGURE 1
FIGURE 1
Administra7ve Responsibili7es
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Fellow evalua7ons, at least semi-annual
Faculty evalua7ons, at least annual
Program evalua7ons using wri;en feedback from trainees
and faculty, at least annual
Monitoring/ measurement of trainee and faculty
performance/development, annual repor7ng of ac7on
Duty hour tracking/documenta7on
Clinical Competency Commi;ee for fellow evalua7ons
Program Evalua7on Commi;ee (PEC)
Currently comply Do not currently comply
Percent of neurocritical care fellowship programs currently required (by the accrediting body
such as UCNS, the institution or both) to comply with administrative and documentation
responsibilities of ACGME accredited training programs. Number of respondents for this
question = 30.
Percent of neurocritical care fellowship programs currently
required (by the accrediting body such as UCNS, the institution
or both) to comply with administrative and documentation
responsibilities of ACGME accredited training programs. Number
of respondents for this question = 30.
FFIIGGUURER E2 2
Ins7tu7onal Support for Fellowship
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Protected 7me/ effort for Neurocri7cal Care Fellowship
Director
Salary support for administra7ve co-ordinator
Salary support for Neurocri7cal Care Fellowship Director
Currently available to felloship program Not available to fellowship program
Percent of neurocritical care fellowship programs currently
receiving institutional support analogous to ACGME accredited
training programs. Number of respondents for this question = 33.
REFERENCES
1. Vespa PM, Sergay SM, Kohring JH. Subspecialization in
Percent of neurocritical care fellowship programs currently receiving institutional support
analogous to ACGME accredited training programs. Number of respondents for this question =
33.
REFERENCES
1. Vespa PM, Sergay SM, Kohring JH. Subspecialization in neurology: the role of the
United neurology:Council for Neurologic the role Subspecialties.of the United Neurology.Council 2011;77(18):for 1702-Neurologic
5.
2. Subspecialties.UCNS certifies new diplomates:Neurology. United 2011;Council 77(for 18):Neurologic 1702-Subspecialties;5.
Spring
2008 cited 2017 October 7. Available from:
https://2. UCNS www.ucns.certifies org/globals/new axon/assets/diplomates:3935.pdf.
United Council for
3. Neurologic UCNS accredits Subspecialties;new programs: United Spring Council for 2008 Neurologic cited Subspecialties;2017 October
Fall 2008
cited 2017 7. Available October 7. Available from: from: https://www.ucns.org/globals/axon/assets/4480.pdf.
4. UCNS diplomates certified https://in neurocritical www.care:ucns. United org/Council globals/for Neurologic
axon/
Subspecialties;assets/ 3935.cited 2017 pdf.
October 7. Available from:
http://3. www.UCNS ucns.accredits org/globals/axon/assets/12425.pdf.
5. Fellowship Directory: United new programs:Council for Neurologic United Subspecialties;Council for
cited 2017 October
7. Available from:
https://www.ucns.org/apps/directory/index.cfm?event=public.program.searchResults&subspecial
ty_ids=5&inst_state=&submit=Start+Search.
Neurologic Subspecialties; Fall 2008 cited 2017 October
7. Available from: https://www.ucns.org/globals/axon/
assets/4480.pdf.
4. UCNS diplomates certified in neurocritical care: United
Council for Neurologic Subspecialties; cited 2017 October
7. Available from: http://www.ucns.org/globals/axon/
assets/12425.pdf.
5. Fellowship Directory: United Council for Neurologic
Subspecialties; cited 2017 October 7. Available from:
https://www.ucns.org/apps/directory/index.cfm?event=public.
program.searchResults&subspecialty_ids=5&inst_
state=&submit=Start+Search.
6. Subspecialty training and fellowships (CAST). Neurocritical
Care: The Society of Neurological Surgeons; cited 2017
October 7. Available from: https://www.societyns.org/
fellowships/Neurocritical Care1.asp.
7. Dhar R, Rajajee V, Caulfield AF, Maas MB, James ML, Kumar
AB, et al. The State of Neurocritical Care Fellowship Training
and Attitudes toward Accreditation and Certification: A Survey
of Neurocritical Care Fellowship Program Directors. Frontiers
in Neurology. 2017;8(548).
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