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January 22, 2019; 92 (4) Contemporary Issues: Innovations in Education

Neurologic and neuroscience education

Mitigating neurophobia to mentor health care providers

View ORCID ProfileStefano Sandrone, View ORCID ProfileJimmy V. Berthaud, View ORCID ProfileMiguel Chuquilin, Jacquelyne Cios, View ORCID ProfilePritha Ghosh, Rachel J. Gottlieb-Smith, View ORCID ProfileHani Kushlaf, View ORCID ProfileSneha Mantri, View ORCID ProfileNeil Masangkay, View ORCID ProfileDaniel L. Menkes, View ORCID ProfileKathryn S. Nevel, View ORCID ProfileHarini Sarva, View ORCID ProfileLogan D. Schneider
First published December 19, 2018, DOI: https://doi.org/10.1212/WNL.0000000000006716
Stefano Sandrone
From the A.B. Baker Section on Neurological Education (S.S., J.V.B., M.C., J.C., P.G., R.J.G.-S., H.K., S.M., N.M., D.L.M., K.S.N., H.S., L.D.S.), American Academy of Neurology, Minneapolis, MN; Imperial College London (S.S.), UK; University of Virginia (J.V.B.), Charlottesville; University of Florida (M.C.), Gainesville; Ohio State University (J.C.), Columbus; George Washington University (P.G.), Washington, DC; University of Michigan (R.J.G.-S.), Ann Arbor; University of Cincinnati (H.K.), OH; University of Pennsylvania (S.M.), Philadelphia; University of Arkansas (N.M.), Little Rock; Oakland University/William Beaumont School of Medicine (D.L.M.), Rochester, MI; Memorial Sloan Kettering Cancer Center (K.S.N.); Cornell University (H.S.), New York, NY; and Stanford Center for Sleep Sciences and Medicine (L.D.S.), Palo Alto, CA.
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Jimmy V. Berthaud
From the A.B. Baker Section on Neurological Education (S.S., J.V.B., M.C., J.C., P.G., R.J.G.-S., H.K., S.M., N.M., D.L.M., K.S.N., H.S., L.D.S.), American Academy of Neurology, Minneapolis, MN; Imperial College London (S.S.), UK; University of Virginia (J.V.B.), Charlottesville; University of Florida (M.C.), Gainesville; Ohio State University (J.C.), Columbus; George Washington University (P.G.), Washington, DC; University of Michigan (R.J.G.-S.), Ann Arbor; University of Cincinnati (H.K.), OH; University of Pennsylvania (S.M.), Philadelphia; University of Arkansas (N.M.), Little Rock; Oakland University/William Beaumont School of Medicine (D.L.M.), Rochester, MI; Memorial Sloan Kettering Cancer Center (K.S.N.); Cornell University (H.S.), New York, NY; and Stanford Center for Sleep Sciences and Medicine (L.D.S.), Palo Alto, CA.
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Miguel Chuquilin
From the A.B. Baker Section on Neurological Education (S.S., J.V.B., M.C., J.C., P.G., R.J.G.-S., H.K., S.M., N.M., D.L.M., K.S.N., H.S., L.D.S.), American Academy of Neurology, Minneapolis, MN; Imperial College London (S.S.), UK; University of Virginia (J.V.B.), Charlottesville; University of Florida (M.C.), Gainesville; Ohio State University (J.C.), Columbus; George Washington University (P.G.), Washington, DC; University of Michigan (R.J.G.-S.), Ann Arbor; University of Cincinnati (H.K.), OH; University of Pennsylvania (S.M.), Philadelphia; University of Arkansas (N.M.), Little Rock; Oakland University/William Beaumont School of Medicine (D.L.M.), Rochester, MI; Memorial Sloan Kettering Cancer Center (K.S.N.); Cornell University (H.S.), New York, NY; and Stanford Center for Sleep Sciences and Medicine (L.D.S.), Palo Alto, CA.
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Jacquelyne Cios
From the A.B. Baker Section on Neurological Education (S.S., J.V.B., M.C., J.C., P.G., R.J.G.-S., H.K., S.M., N.M., D.L.M., K.S.N., H.S., L.D.S.), American Academy of Neurology, Minneapolis, MN; Imperial College London (S.S.), UK; University of Virginia (J.V.B.), Charlottesville; University of Florida (M.C.), Gainesville; Ohio State University (J.C.), Columbus; George Washington University (P.G.), Washington, DC; University of Michigan (R.J.G.-S.), Ann Arbor; University of Cincinnati (H.K.), OH; University of Pennsylvania (S.M.), Philadelphia; University of Arkansas (N.M.), Little Rock; Oakland University/William Beaumont School of Medicine (D.L.M.), Rochester, MI; Memorial Sloan Kettering Cancer Center (K.S.N.); Cornell University (H.S.), New York, NY; and Stanford Center for Sleep Sciences and Medicine (L.D.S.), Palo Alto, CA.
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Pritha Ghosh
From the A.B. Baker Section on Neurological Education (S.S., J.V.B., M.C., J.C., P.G., R.J.G.-S., H.K., S.M., N.M., D.L.M., K.S.N., H.S., L.D.S.), American Academy of Neurology, Minneapolis, MN; Imperial College London (S.S.), UK; University of Virginia (J.V.B.), Charlottesville; University of Florida (M.C.), Gainesville; Ohio State University (J.C.), Columbus; George Washington University (P.G.), Washington, DC; University of Michigan (R.J.G.-S.), Ann Arbor; University of Cincinnati (H.K.), OH; University of Pennsylvania (S.M.), Philadelphia; University of Arkansas (N.M.), Little Rock; Oakland University/William Beaumont School of Medicine (D.L.M.), Rochester, MI; Memorial Sloan Kettering Cancer Center (K.S.N.); Cornell University (H.S.), New York, NY; and Stanford Center for Sleep Sciences and Medicine (L.D.S.), Palo Alto, CA.
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Rachel J. Gottlieb-Smith
From the A.B. Baker Section on Neurological Education (S.S., J.V.B., M.C., J.C., P.G., R.J.G.-S., H.K., S.M., N.M., D.L.M., K.S.N., H.S., L.D.S.), American Academy of Neurology, Minneapolis, MN; Imperial College London (S.S.), UK; University of Virginia (J.V.B.), Charlottesville; University of Florida (M.C.), Gainesville; Ohio State University (J.C.), Columbus; George Washington University (P.G.), Washington, DC; University of Michigan (R.J.G.-S.), Ann Arbor; University of Cincinnati (H.K.), OH; University of Pennsylvania (S.M.), Philadelphia; University of Arkansas (N.M.), Little Rock; Oakland University/William Beaumont School of Medicine (D.L.M.), Rochester, MI; Memorial Sloan Kettering Cancer Center (K.S.N.); Cornell University (H.S.), New York, NY; and Stanford Center for Sleep Sciences and Medicine (L.D.S.), Palo Alto, CA.
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Hani Kushlaf
From the A.B. Baker Section on Neurological Education (S.S., J.V.B., M.C., J.C., P.G., R.J.G.-S., H.K., S.M., N.M., D.L.M., K.S.N., H.S., L.D.S.), American Academy of Neurology, Minneapolis, MN; Imperial College London (S.S.), UK; University of Virginia (J.V.B.), Charlottesville; University of Florida (M.C.), Gainesville; Ohio State University (J.C.), Columbus; George Washington University (P.G.), Washington, DC; University of Michigan (R.J.G.-S.), Ann Arbor; University of Cincinnati (H.K.), OH; University of Pennsylvania (S.M.), Philadelphia; University of Arkansas (N.M.), Little Rock; Oakland University/William Beaumont School of Medicine (D.L.M.), Rochester, MI; Memorial Sloan Kettering Cancer Center (K.S.N.); Cornell University (H.S.), New York, NY; and Stanford Center for Sleep Sciences and Medicine (L.D.S.), Palo Alto, CA.
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Sneha Mantri
From the A.B. Baker Section on Neurological Education (S.S., J.V.B., M.C., J.C., P.G., R.J.G.-S., H.K., S.M., N.M., D.L.M., K.S.N., H.S., L.D.S.), American Academy of Neurology, Minneapolis, MN; Imperial College London (S.S.), UK; University of Virginia (J.V.B.), Charlottesville; University of Florida (M.C.), Gainesville; Ohio State University (J.C.), Columbus; George Washington University (P.G.), Washington, DC; University of Michigan (R.J.G.-S.), Ann Arbor; University of Cincinnati (H.K.), OH; University of Pennsylvania (S.M.), Philadelphia; University of Arkansas (N.M.), Little Rock; Oakland University/William Beaumont School of Medicine (D.L.M.), Rochester, MI; Memorial Sloan Kettering Cancer Center (K.S.N.); Cornell University (H.S.), New York, NY; and Stanford Center for Sleep Sciences and Medicine (L.D.S.), Palo Alto, CA.
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Neil Masangkay
From the A.B. Baker Section on Neurological Education (S.S., J.V.B., M.C., J.C., P.G., R.J.G.-S., H.K., S.M., N.M., D.L.M., K.S.N., H.S., L.D.S.), American Academy of Neurology, Minneapolis, MN; Imperial College London (S.S.), UK; University of Virginia (J.V.B.), Charlottesville; University of Florida (M.C.), Gainesville; Ohio State University (J.C.), Columbus; George Washington University (P.G.), Washington, DC; University of Michigan (R.J.G.-S.), Ann Arbor; University of Cincinnati (H.K.), OH; University of Pennsylvania (S.M.), Philadelphia; University of Arkansas (N.M.), Little Rock; Oakland University/William Beaumont School of Medicine (D.L.M.), Rochester, MI; Memorial Sloan Kettering Cancer Center (K.S.N.); Cornell University (H.S.), New York, NY; and Stanford Center for Sleep Sciences and Medicine (L.D.S.), Palo Alto, CA.
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Daniel L. Menkes
From the A.B. Baker Section on Neurological Education (S.S., J.V.B., M.C., J.C., P.G., R.J.G.-S., H.K., S.M., N.M., D.L.M., K.S.N., H.S., L.D.S.), American Academy of Neurology, Minneapolis, MN; Imperial College London (S.S.), UK; University of Virginia (J.V.B.), Charlottesville; University of Florida (M.C.), Gainesville; Ohio State University (J.C.), Columbus; George Washington University (P.G.), Washington, DC; University of Michigan (R.J.G.-S.), Ann Arbor; University of Cincinnati (H.K.), OH; University of Pennsylvania (S.M.), Philadelphia; University of Arkansas (N.M.), Little Rock; Oakland University/William Beaumont School of Medicine (D.L.M.), Rochester, MI; Memorial Sloan Kettering Cancer Center (K.S.N.); Cornell University (H.S.), New York, NY; and Stanford Center for Sleep Sciences and Medicine (L.D.S.), Palo Alto, CA.
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Kathryn S. Nevel
From the A.B. Baker Section on Neurological Education (S.S., J.V.B., M.C., J.C., P.G., R.J.G.-S., H.K., S.M., N.M., D.L.M., K.S.N., H.S., L.D.S.), American Academy of Neurology, Minneapolis, MN; Imperial College London (S.S.), UK; University of Virginia (J.V.B.), Charlottesville; University of Florida (M.C.), Gainesville; Ohio State University (J.C.), Columbus; George Washington University (P.G.), Washington, DC; University of Michigan (R.J.G.-S.), Ann Arbor; University of Cincinnati (H.K.), OH; University of Pennsylvania (S.M.), Philadelphia; University of Arkansas (N.M.), Little Rock; Oakland University/William Beaumont School of Medicine (D.L.M.), Rochester, MI; Memorial Sloan Kettering Cancer Center (K.S.N.); Cornell University (H.S.), New York, NY; and Stanford Center for Sleep Sciences and Medicine (L.D.S.), Palo Alto, CA.
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Harini Sarva
From the A.B. Baker Section on Neurological Education (S.S., J.V.B., M.C., J.C., P.G., R.J.G.-S., H.K., S.M., N.M., D.L.M., K.S.N., H.S., L.D.S.), American Academy of Neurology, Minneapolis, MN; Imperial College London (S.S.), UK; University of Virginia (J.V.B.), Charlottesville; University of Florida (M.C.), Gainesville; Ohio State University (J.C.), Columbus; George Washington University (P.G.), Washington, DC; University of Michigan (R.J.G.-S.), Ann Arbor; University of Cincinnati (H.K.), OH; University of Pennsylvania (S.M.), Philadelphia; University of Arkansas (N.M.), Little Rock; Oakland University/William Beaumont School of Medicine (D.L.M.), Rochester, MI; Memorial Sloan Kettering Cancer Center (K.S.N.); Cornell University (H.S.), New York, NY; and Stanford Center for Sleep Sciences and Medicine (L.D.S.), Palo Alto, CA.
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Logan D. Schneider
From the A.B. Baker Section on Neurological Education (S.S., J.V.B., M.C., J.C., P.G., R.J.G.-S., H.K., S.M., N.M., D.L.M., K.S.N., H.S., L.D.S.), American Academy of Neurology, Minneapolis, MN; Imperial College London (S.S.), UK; University of Virginia (J.V.B.), Charlottesville; University of Florida (M.C.), Gainesville; Ohio State University (J.C.), Columbus; George Washington University (P.G.), Washington, DC; University of Michigan (R.J.G.-S.), Ann Arbor; University of Cincinnati (H.K.), OH; University of Pennsylvania (S.M.), Philadelphia; University of Arkansas (N.M.), Little Rock; Oakland University/William Beaumont School of Medicine (D.L.M.), Rochester, MI; Memorial Sloan Kettering Cancer Center (K.S.N.); Cornell University (H.S.), New York, NY; and Stanford Center for Sleep Sciences and Medicine (L.D.S.), Palo Alto, CA.
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Full PDF
Citation
Neurologic and neuroscience education
Mitigating neurophobia to mentor health care providers
Stefano Sandrone, Jimmy V. Berthaud, Miguel Chuquilin, Jacquelyne Cios, Pritha Ghosh, Rachel J. Gottlieb-Smith, Hani Kushlaf, Sneha Mantri, Neil Masangkay, Daniel L. Menkes, Kathryn S. Nevel, Harini Sarva, Logan D. Schneider
Neurology Jan 2019, 92 (4) 174-179; DOI: 10.1212/WNL.0000000000006716

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Abstract

Neurologic disorders are among the most frequent causes of morbidity and mortality in the United States. Moreover, the current shortfall of neurologists is expected to worsen over the coming decade. As a consequence, many patients with neurologic disorders will be treated by physicians and primary care providers without formal neurologic training. Furthermore, a pervasive and well-described fear of neurology, termed neurophobia, has been identified in medical student cohorts, residents, and among general practitioners. In this article, members of the American Academy of Neurology A.B. Baker Section on Neurological Education review current guidelines regarding neurologic and neuroscience education, contextualize the genesis and the negative consequences of neurophobia, and provide strategies to mitigate it for purposes of mentoring future generations of health care providers.

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AAN=
American Academy of Neurology;
LCME=
Liaison Committee on Medical Education;
NIHSS=
NIH Stroke Scale

Footnotes

  • Go to Neurology.org/N for full disclosures. Funding information and disclosures deemed relevant by the authors, if any, are provided at the end of the article.

  • Received June 27, 2018.
  • Accepted in final form September 21, 2018.
  • © 2018 American Academy of Neurology
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  • Mitigating neurophobia
    • Nitin K. Sethi, Associate Professor of Neurology, New York-Presbyterian Hospital, Weill Cornell Medical Center (New York, NY)
    Submitted January 31, 2019
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  • Article
    • Abstract
    • Glossary
    • Introduction
    • Previous reports and current guidelines
    • Dissecting neurologic clerkship training
    • Behind neurophobia: Key factors
    • Beyond neurophobia: Key educational strategies
    • Discussion
    • Study funding
    • Disclosure
    • Appendix 1 Authors
    • Footnotes
    • References
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