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Clin Pediatr (Phila). 2018 Jan;57(1):46-51. doi: 10.1177/0009922817691819. Epub 2017 Feb 13.

Education on the Brain: A Partnership Between a Pediatric Primary Care Center and Neurology Residency.

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1 Department of Pediatrics, University of North Carolina School of Medicine, Chapel Hill, NC, USA.
2 Department of Neurology, Boston Children's Hospital, Boston, MA, USA.
3 Harvard Medical School, Boston, MA, USA.
4 Department of Medicine, Boston Children's Hospital, Boston, MA, USA.
5 Department of Neurology, St Louis Children's Hospital, St Louis, MO, USA.
6 Washington University School of Medicine, St Louis, MO, USA.


The national shortage of pediatric neurologists is worsening, yet referral rates by pediatricians are high. Suboptimal training of pediatric residents in care of patients with neurologic disease may be a contributing factor. We formed a partnership between the Boston Children's Primary Care at Longwood clinic and Child Neurology Residency Training Program. The educational intervention included lectures, observed neurologic examinations, in-person and virtual triage, and an electronic medical record-based consult system. Residents in other primary care clinics served as the comparison group. Intervention-group residents reported significantly improved confidence in diagnosis of chronic/recurrent headache, attention deficit hyperactivity disorder (ADHD), and developmental delay; initial management of ADHD and developmental delay; and secondary management of ADHD, developmental delay, and concussion/traumatic brain injury. Comparison-group residents reported significantly improved confidence only in diagnosis of developmental delay. Our multipronged intervention is a promising approach to improving pediatric resident training in pediatric neurology and may be generalizable to subspecialty collaborations for other residency programs.


innovation; medical education; pediatric neurology; resident training

[Indexed for MEDLINE]

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