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- W4382808608 abstract "Introduction: Neurocritical care (NCC) education involves integrating knowledge and skills from various complex areas. While the United States of America and Europe regulate didactic core training for medical residencies and fellowships, the quantity and the quality of such training in Brazil remain unclear. Objectives: To understand how NCC training is currently performed in Neurology, Neurosurgery and Intensive Care residencies in Brazil. Methods: A virtual survey was developed with 27 questions about the existence, duration, teaching method, quality of supervision and skills required in NCC training during medical residency. The planned sample was 390 answers. Results: 120 participants from 41 Institutions and 8 Brazilian states replied. Median age was 36 years (26–76 years). About 66% were neurologists and 25% intensivists. Of them, 57% had training in NCC, 65% as mandatory rotation, 60% lasting more than 4 weeks, predominantly in the first 2 years of the course (42 and 45% respectively). Training happened in general Intensive Care Units (48%) with 5–20 beds (65%) under the supervision of intensivists (66%). The methodology most used was bedside discussion (98%). Among procedures skills, more than 80% reported having performed central venous catheter insertion, orotracheal intubation and neuroimaging discussion. The least performed skills were transcranial doppler (21%), electroencephalogram interpretation (20%), neurological multimodal monitoring (25%). It was highlighted that after training, few participants feel comfortable with the following diagnoses: control of intracranial hypertension (48%), spinal cord injury (39%), care for potential donors (42%), post cardiac arrest care (52%). Conclusion: NCC education in Brazil is currently heterogeneous and at an early stage of development. Further studies are necessary to identify areas in need of improvement and promote advancements in the field." @default.
- W4382808608 created "2023-07-02" @default.
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- W4382808608 date "2023-01-01" @default.
- W4382808608 modified "2023-10-03" @default.
- W4382808608 title "National survey on neurocritical care education in Brazil: preliminary data" @default.
- W4382808608 doi "https://doi.org/10.5327/1516-3180.141s1.334" @default.
- W4382808608 hasPublicationYear "2023" @default.
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