A competency-based longitudinal core curriculum in medical neuroscience.

Abstract:

:Current medical educational theory encourages the development of competency-based curricula. The Accreditation Council for Graduate Medical Education's 6 core competencies for resident education (medical knowledge, patient care, professionalism, interpersonal and communication skills, practice-based learning, and systems-based practice) have been embraced by medical schools as the building blocks necessary for becoming a competent licensed physician. Many medical schools are therefore changing their educational approach to an integrated model in which students demonstrate incremental acquisition and mastery of all competencies as they progress through medical school. Challenges to medical schools include integration of preclinical and clinical studies as well as development of learning objectives and assessment measures for each competency. The Undergraduate Education Subcommittee (UES) of the American Academy of Neurology (AAN) assembled a group of neuroscience educators to outline a longitudinal competency-based curriculum in medical neuroscience encompassing both preclinical and clinical coursework. In development of this curriculum, the committee reviewed United States Medical Licensing Examination content outlines, Liaison Committee on Medical Education requirements, prior AAN-mandated core curricula for basic neuroscience and clinical neurology, and survey responses from educators in US medical schools. The newly recommended curriculum provides an outline of learning objectives for each of the 6 competencies, listing each learning objective in active terms. Documentation of experiences is emphasized, and assessment measures are suggested to demonstrate adequate achievement in each competency. These guidelines, widely vetted and approved by the UES membership, aspire to be both useful as a stand-alone curriculum and also provide a framework for neuroscience educators who wish to develop a more detailed focus in certain areas of study.

journal_name

Neurology

journal_title

Neurology

authors

Merlin LR,Horak HA,Milligan TA,Kraakevik JA,Ali II

doi

10.1212/WNL.0000000000000646

subject

Has Abstract

pub_date

2014-07-29 00:00:00

pages

456-62

issue

5

eissn

0028-3878

issn

1526-632X

pii

WNL.0000000000000646

journal_volume

83

pub_type

杂志文章
  • Stem cell therapy in ischemic stroke: role of IV and intra-arterial therapy.

    abstract:OBJECTIVE:Cell-based therapies are being investigated as an adjunct to IV thrombolysis or mechanical thrombectomy in ischemic stroke. This review summarizes the potential applications as well as challenges of intravascular cell delivery in ischemic stroke. METHOD:We conducted a search of Medline as well as the clinica...

    journal_title:Neurology

    pub_type: 杂志文章,评审

    doi:10.1212/WNL.0b013e31826959d2

    authors: Misra V,Ritchie MM,Stone LL,Low WC,Janardhan V

    更新日期:2012-09-25 00:00:00

  • Late-life blood pressure association with cerebrovascular and Alzheimer disease pathology.

    abstract:OBJECTIVE:To examine associations of average and change in late-life blood pressure (BP) with cerebrovascular and Alzheimer disease (AD) neuropathology in a large group of decedents followed longitudinally in vivo. METHODS:This clinical-pathologic study was derived from prospective, community-based cohort studies of a...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000005951

    authors: Arvanitakis Z,Capuano AW,Lamar M,Shah RC,Barnes LL,Bennett DA,Schneider JA

    更新日期:2018-08-07 00:00:00

  • Cardiac injury associated with neurogenic pulmonary edema following subarachnoid hemorrhage.

    abstract:OBJECTIVE:To describe the clinical features of cardiac injury associated with neurogenic pulmonary edema (NPE) in patients with acute subarachnoid hemorrhage (SAH). BACKGROUND:NPE is generally viewed as a form of noncardiogenic pulmonary edema related to massive sympathetic discharge. METHODS:Case series. RESULTS:We...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.44.5.815

    authors: Mayer SA,Fink ME,Homma S,Sherman D,LiMandri G,Lennihan L,Solomon RA,Klebanoff LM,Beckford A,Raps EC

    更新日期:1994-05-01 00:00:00

  • Multicenter evaluation of neurofilaments in early symptom onset amyotrophic lateral sclerosis.

    abstract:OBJECTIVE:To examine neurofilament (Nf) concentrations according to symptom onset and clinical diagnostic certainty categories of amyotrophic lateral sclerosis (ALS). METHODS:We measured Nf light chain (NfL) and phosphorylated Nf heavy chain (pNfH) CSF and NfL serum levels in patients with ALS with first symptom onset...

    journal_title:Neurology

    pub_type: 杂志文章,多中心研究

    doi:10.1212/WNL.0000000000004761

    authors: Feneberg E,Oeckl P,Steinacker P,Verde F,Barro C,Van Damme P,Gray E,Grosskreutz J,Jardel C,Kuhle J,Koerner S,Lamari F,Amador MDM,Mayer B,Morelli C,Muckova P,Petri S,Poesen K,Raaphorst J,Salachas F,Silani V,Stuben

    更新日期:2018-01-02 00:00:00

  • Clinical manifestations of intermediate allele carriers in Huntington disease.

    abstract:OBJECTIVE:There is controversy about the clinical consequences of intermediate alleles (IAs) in Huntington disease (HD). The main objective of this study was to establish the clinical manifestations of IA carriers for a prospective, international, European HD registry. METHODS:We assessed a cohort of participants at r...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000002944

    authors: Cubo E,Ramos-Arroyo MA,Martinez-Horta S,Martínez-Descalls A,Calvo S,Gil-Polo C,European HD Network.

    更新日期:2016-08-09 00:00:00

  • Episodic migraine and obesity and the influence of age, race, and sex.

    abstract:OBJECTIVE:To evaluate the episodic migraine (EM)-obesity association and the influence of age, race, and sex on this relationship. METHODS:We examined the EM-obesity association and the influence of age, race, and sex in 3,862 adult participants of both black and white race interviewed in the National Comorbidity Surv...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e3182a824f7

    authors: Peterlin BL,Rosso AL,Williams MA,Rosenberg JR,Haythornthwaite JA,Merikangas KR,Gottesman RF,Bond DS,He JP,Zonderman AB

    更新日期:2013-10-08 00:00:00

  • Caloric stimulation and unilateral visual neglect.

    abstract::We studied performance on tests of visual neglect and left lateral gaze after caloric stimulation in 18 patients with left-sided visual neglect after strokes. Except for one patient with absent vestibulo-ocular responses, all improved during caloric stimulation on the left by cold (LC) or on the right by warm water (R...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.35.7.1019

    authors: Rubens AB

    更新日期:1985-07-01 00:00:00

  • Randomized trial of l-serine in patients with hereditary sensory and autonomic neuropathy type 1.

    abstract:OBJECTIVE:To evaluate the safety and efficacy of l-serine in humans with hereditary sensory autonomic neuropathy type I (HSAN1). METHODS:In this randomized, placebo-controlled, parallel-group trial with open-label extension, patients aged 18-70 years with symptomatic HSAN1 were randomized to l-serine (400 mg/kg/day) o...

    journal_title:Neurology

    pub_type: 杂志文章,随机对照试验

    doi:10.1212/WNL.0000000000006811

    authors: Fridman V,Suriyanarayanan S,Novak P,David W,Macklin EA,McKenna-Yasek D,Walsh K,Aziz-Bose R,Oaklander AL,Brown R,Hornemann T,Eichler F

    更新日期:2019-01-22 00:00:00

  • Spasmodic dysphonia associated with a left ventrolateral putaminal lesion.

    abstract::A 34-year-old man presented with a 30-year history of spasmodic dysphonia. He developed a speech disturbance 1 month after a closed head injury due to a fall. Sighing, coughing, and crying were normal. He had a tremor of the right hand when he drew a vertical line. His out-stretched right hand had a minimal dystonic p...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.47.3.827

    authors: Lee MS,Lee SB,Kim WC

    更新日期:1996-09-01 00:00:00

  • The risks and costs of multiple-generic substitution of topiramate.

    abstract:OBJECTIVE:To investigate clinical and economic consequences following generic substitution of one vs multiple generics of topiramate (Topamax; Ortho-McNeil Neurologics, Titusville, NJ). METHODS:Medical and pharmacy claims data of Régie de l'Assurance-Maladie du Québec from January 2006 to October 2007 were used. Patie...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e3181aa5300

    authors: Duh MS,Paradis PE,Latrémouille-Viau D,Greenberg PE,Lee SP,Durkin MB,Wan GJ,Rupnow MF,LeLorier J

    更新日期:2009-06-16 00:00:00

  • Reduplicative paramnesia.

    abstract::A striking behavioral abnormality is described in three individuals who had severe head trauma. At a point when general mnestic capabilities had returned to a near normal level, the patients persistently relocated the hospital at another geographical site, even in the face of compelling counter-evidence. The strong pa...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.26.2.147

    authors: Benson DF,Gardner H,Meadows JC

    更新日期:1976-02-01 00:00:00

  • Guillain-Barré syndrome after epidural anesthesia: direct nerve root damage may trigger disease.

    abstract::Guillain-Barré syndrome (GBS) appeared in four patients 1 to 2 weeks after epidural anesthesia. In all patients, clinical diagnosis was confirmed by CSF findings and nerve conduction velocity studies. Although epidural anesthesia has not been listed as an antecedent event in GBS, evidence for the relationship has been...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.35.10.1473

    authors: Steiner I,Argov Z,Cahan C,Abramsky O

    更新日期:1985-10-01 00:00:00

  • Sequential changes in the P3 component of the auditory evoked potential in confusional states and dementing illnesses.

    abstract::The P3 component of the auditory evoked potential has been shown to reflect "endogenous" processes related to cognition. This component was measured serially in seven patients who had confusional states or dementing illnesses that fluctuated in severity over time. The latency of P3 component reflected the clinical imp...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.33.9.1215

    authors: Goodin DS,Starr A,Chippendale T,Squires KC

    更新日期:1983-09-01 00:00:00

  • Hemiballism and metastatic brain tumor.

    abstract::We describe a 78-year-old man with right hemiballism as the presenting symptom of a metastatic occult adenocarcinoma of the lung. CT demonstrated two contrast-enhancing lesions: one in the left subthalamic region and the other in the left parietal region. Metastatic tumor was confirmed at autopsy. ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.34.2.204

    authors: Glass JP,Jankovic J,Borit A

    更新日期:1984-02-01 00:00:00

  • The video head impulse test: diagnostic accuracy in peripheral vestibulopathy.

    abstract:BACKGROUND:The head impulse test (HIT) is a useful bedside test to identify peripheral vestibular deficits. However, such a deficit of the vestibulo-ocular reflex (VOR) may not be diagnosed because corrective saccades cannot always be detected by simple observation. The scleral search coil technique is the gold standar...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e3181bacf85

    authors: MacDougall HG,Weber KP,McGarvie LA,Halmagyi GM,Curthoys IS

    更新日期:2009-10-06 00:00:00

  • ALS phenotype is influenced by age, sex, and genetics: A population-based study.

    abstract:OBJECTIVE:To assess the determinants of amyotrophic lateral sclerosis (ALS) phenotypes in a population-based cohort. METHODS:The study population included 2,839 patients with ALS diagnosed in Piemonte, Italy (1995-2015). Patients were classified according to motor (classic, bulbar, flail arm, flail leg, predominantly ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000008869

    authors: Chiò A,Moglia C,Canosa A,Manera U,D'Ovidio F,Vasta R,Grassano M,Brunetti M,Barberis M,Corrado L,D'Alfonso S,Iazzolino B,Peotta L,Sarnelli MF,Solara V,Zucchetti JP,De Marchi F,Mazzini L,Mora G,Calvo A

    更新日期:2020-02-25 00:00:00

  • Presynaptic failure of neuromuscular transmission and synaptic remodeling in EA2.

    abstract:OBJECTIVE:To further investigate the basis of abnormal neuromuscular transmission in two patients with congenital myasthenic syndrome associated with episodic ataxia type 2 (EA2) using stimulated single fiber EMG (SFEMG) and in vitro microelectrode studies. METHODS:Two patients with genetically characterized EA2 previ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000099748.41130.9a

    authors: Maselli RA,Wan J,Dunne V,Graves M,Baloh RW,Wollmann RL,Jen J

    更新日期:2003-12-23 00:00:00

  • The clinical spectrum of sarcoglycanopathies.

    abstract::A group of 204 muscular dystrophy patients were screened for immunohistochemical and biochemical alpha-sarcoglycan defect and their DNA was analyzed for pathogenetic mutation in the four sarcoglycan genes. We identified 21 patients with alpha-, beta-, or gamma-sarcoglycan gene mutations. Patients with alpha-sarcoglyca...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.52.1.176

    authors: Angelini C,Fanin M,Freda MP,Duggan DJ,Siciliano G,Hoffman EP

    更新日期:1999-01-01 00:00:00

  • Peripheral neuropathy in classic Niemann-Pick disease: ultrastructure of nerves and skeletal muscles.

    abstract::A patient with classic (type A) Niemann-Pick disease had the usual clinical signs of failure to thrive, hepatosplenomegaly, and intellectual deterioration in the first year of life. In addition, there was striking hypotonia, areflexia, and abnormal nerve conduction velocities. Pathologically, the Schwann cells were fi...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.25.2.107

    authors: Gumbinas M,Larsen M,Mei Liu H

    更新日期:1975-02-01 00:00:00

  • How well does ASPECTS predict the outcome of acute stroke treated with IV tPA?

    abstract::The authors measured the association of early ischemic change on CT scan, measured using the Alberta Stroke Programme Early CT score (ASPECTS), and functional outcome in 825 patients with anterior circulation stroke treated with IV thrombolysis within 3 hours of onset. ASPECTS predicted outcome in a graded fashion (li...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000228221.44334.73

    authors: Weir NU,Pexman JH,Hill MD,Buchan AM,CASES investigators.

    更新日期:2006-08-08 00:00:00

  • Effect of herpes zoster vaccine and antiviral treatment on risk of ischemic stroke.

    abstract:OBJECTIVE:To determine whether increased risk of acute ischemic stroke (AIS) following herpes zoster (HZ) might be modified by the status of zoster vaccine live (ZVL) vaccination and antiviral treatment following HZ. METHODS:We included 87,405 Medicare fee-for-service beneficiaries aged ≥66 years diagnosed with HZ and...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000010028

    authors: Yang Q,George MG,Chang A,Tong X,Merritt R,Hong Y

    更新日期:2020-08-11 00:00:00

  • Time trends in incidence, comorbidity, and mortality of ischemic stroke in Denmark (1996-2016).

    abstract:OBJECTIVE:To examine whether the incidence, comorbidity, and mortality of first-time ischemic stroke changed in Denmark between 1996 and 2016 overall and according to age and sex using a nationwide cohort design. METHODS:In this cohort study, 224,617 individuals ≥18 years of age admitted with first-time ischemic strok...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000010647

    authors: Yafasova A,Fosbøl EL,Christiansen MN,Vinding NE,Andersson C,Kruuse C,Johnsen SP,Gislason GH,Torp-Pedersen C,Køber L,Butt JH

    更新日期:2020-10-27 00:00:00

  • Correlations between magnetization transfer metrics and other magnetic resonance abnormalities in multiple sclerosis.

    abstract::Magnetization transfer imaging (MTI) is a magnetic resonance imaging (MRI) technique that is now used in multiple sclerosis (MS) studies, and is thought to have a higher pathological specificity than conventional T2-weighted imaging. This review outlines the correlations between magnetization transfer (MT) metrics and...

    journal_title:Neurology

    pub_type: 杂志文章,评审

    doi:

    authors: Rovaris M,Horsfield MA,Filippi M

    更新日期:1999-01-01 00:00:00

  • Multiple sclerosis and age at exposure to childhood diseases and animals: cases and their friends.

    abstract::Eighty-eight multiple sclerosis case-friend pairs were interviewed by telephone to elicit information about early-life exposures. Available mothers were also interviewed. Risk factors included childhood diseases, exposures to animals, and residence. We found a positive association between MS and having measles at a la...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.34.9.1144

    authors: Sullivan CB,Visscher BR,Detels R

    更新日期:1984-09-01 00:00:00

  • 18F-FDG-PET correlates of cognitive impairment in ALS.

    abstract:OBJECTIVE:To identify the metabolic signature of the various levels of cognitive deficits in amyotrophic lateral sclerosis (ALS) using 18F-2-fluoro-2-deoxy-d-glucose-PET (18F-FDG-PET). METHODS:A total of 170 ALS cases consecutively enrolled at the ALS Center of Turin underwent brain 18F-FDG-PET and were classified as ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000002242

    authors: Canosa A,Pagani M,Cistaro A,Montuschi A,Iazzolino B,Fania P,Cammarosano S,Ilardi A,Moglia C,Calvo A,Chiò A

    更新日期:2016-01-05 00:00:00

  • Familial 'sleep apnea plus' syndrome: report of a family.

    abstract::We describe a familial disorder consisting of sleep apnea, anosmia, colorblindness, partial complex seizures, and cognitive dysfunction. The phenotypic expression of the syndrome suggests an autosomal dominant inheritance with incomplete penetrance. ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.38.2.190

    authors: Manon-Espaillat R,Gothe B,Adams N,Newman C,Ruff R

    更新日期:1988-02-01 00:00:00

  • Phenobarbital and phenytoin in neonatal seizures: metabolism and tissue distribution.

    abstract::Loading doses of 15 to 20 mg per kilogram of both phenobarbital and phenytoin, administered intravenously, are necessary in the newborn to achieve rapid therapeutic plasma anticonvulsant levels. Maintenance doses of 3 to 4 mg per kilogram of both agents will maintain therapeutic levels. Phenytoin is, however, not pred...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.31.9.1107

    authors: Painter MJ,Pippenger C,Wasterlain C,Barmada M,Pitlick W,Carter G,Abern S

    更新日期:1981-09-01 00:00:00

  • Cognitive impairments associated with early Parkinson's disease.

    abstract::We administered a battery of cognitive tests to 41 recently diagnosed Parkinson patients and 41 controls to assess the early neuropsychological changes associated with Parkinson's disease (PD). Parkinson subjects did as well as controls on tasks assessing attention and select language and visuospatial measures. Howeve...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.39.4.557

    authors: Levin BE,Llabre MM,Weiner WJ

    更新日期:1989-04-01 00:00:00

  • A randomized trial of rizatriptan in migraine attacks in children.

    abstract:OBJECTIVE:To examine the efficacy of rizatriptan and the consistency of treatment response in migraine attacks of children and adolescents. METHODS:We conducted a double-blind, placebo-controlled three-way crossover trial in patients ages 6 to 17 years diagnosed with migraine in two pediatric hospital outpatient clini...

    journal_title:Neurology

    pub_type: 杂志文章,随机对照试验

    doi:10.1212/01.wnl.0000238179.79888.44

    authors: Ahonen K,Hämäläinen ML,Eerola M,Hoppu K

    更新日期:2006-10-10 00:00:00

  • Association between performance on Neurology In-Training and Certification Examinations.

    abstract:OBJECTIVE:This study analyzed the relationship between performance on the American Academy of Neurology Residency In-Service Training Examination (RITE) and subsequent performance on the American Board of Psychiatry and Neurology (ABPN) Certification Examination. METHODS:Pearson correlation coefficients were used to e...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e31827b92a3

    authors: Juul D,Flynn FG,Gutmann L,Pascuzzi RM,Webb L,Massey JM,Dekosky ST,Foertsch M,Faulkner LR

    更新日期:2013-01-08 00:00:00