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Seminars in Neurology最新文献

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Supporting the Development of Neurologic Educators. 支持神经教育工作者的发展。
IF 2.2 4区 医学
Seminars in Neurology Pub Date : 2026-06-01 Epub Date: 2026-03-30 DOI: 10.1055/a-2836-0535
Gurmeen Kaur, Tamara B Kaplan, Tracey A Milligan
{"title":"Supporting the Development of Neurologic Educators.","authors":"Gurmeen Kaur, Tamara B Kaplan, Tracey A Milligan","doi":"10.1055/a-2836-0535","DOIUrl":"10.1055/a-2836-0535","url":null,"abstract":"<p><strong>Abstract: </strong>Developing neurologic educators is vital to the future of neurologic care. This chapter presents a practical framework to recruit, prepare, and sustain educators across the career arc. It outlines a milestones-based pathway from resident-as-educator to clinician-educator tracks with protected time, mentored capstone scholarship, and educator-portfolio development. Five reinforcing priorities: (1) professional development with instructional-design support; (2) communities of practice that normalize peer observation, coaching, and writing collaboratives; (3) recognition systems that convert effort into promotable evidence; (4) promotion pathways anchored in the educator portfolio with transparent criteria; and (5) support and compensation models that treat protected time as currency and education as measurable work. It clarifies distinctions among mentorship, sponsorship, and coaching. Future directions include integrating Health Systems, Neuroequity, and Health Humanities; leveraging AI and immersive technologies for adaptive learning; and linking educator impact to patient-centered outcomes. These strategies position educator development as a core strategy to improve neurologic care.</p>","PeriodicalId":49544,"journal":{"name":"Seminars in Neurology","volume":" ","pages":"311-322"},"PeriodicalIF":2.2,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147582741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A New Dawn: Resident Recruitment in the United States in the Post-COVID Era. 《新曙光：后新冠时代美国居民招聘》
IF 2.2 4区 医学
Seminars in Neurology Pub Date : 2026-06-01 Epub Date: 2026-02-19 DOI: 10.1055/a-2794-0336
W Alexander Dalrymple, Jeffrey B Ratliff
{"title":"A New Dawn: Resident Recruitment in the United States in the Post-COVID Era.","authors":"W Alexander Dalrymple, Jeffrey B Ratliff","doi":"10.1055/a-2794-0336","DOIUrl":"10.1055/a-2794-0336","url":null,"abstract":"<p><strong>Abstract: </strong>The widespread adoption of virtual residency interviews in response to the COVID-19 pandemic led to an explosion in literature comparing the pros and cons of virtual and in-person interviews, but also led to an explosion in already-high residency application and interview volumes. While virtual interviews were substantially cheaper for all involved, there is fear that applicants and programs cannot judge one another as well as during in-person interviews. Likewise, increases in application volumes have made holistic application review more challenging for program directors, but the recent rise in \"preference signaling\" seems to be an optimal solution to that issue. 2020 also saw increased awareness of systemic inequities in the United States, and medical education and residency recruitment was not immune from scrutiny. Finally, the rise of artificial intelligence could again fundamentally change the resident selection process. It is imperative that the GME community continues to adapt to a changing world.</p>","PeriodicalId":49544,"journal":{"name":"Seminars in Neurology","volume":" ","pages":"263-274"},"PeriodicalIF":2.2,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146229520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Neurologic Education in 2025: Where We Stand as Educators Today. 2025年的神经学教育：我们今天作为教育工作者的地位。
IF 2.2 4区 医学
Seminars in Neurology Pub Date : 2026-06-01 Epub Date: 2026-03-12 DOI: 10.1055/a-2817-3673
Christopher G Tarolli, Ralph F Jozefowicz
{"title":"Neurologic Education in 2025: Where We Stand as Educators Today.","authors":"Christopher G Tarolli, Ralph F Jozefowicz","doi":"10.1055/a-2817-3673","DOIUrl":"10.1055/a-2817-3673","url":null,"abstract":"<p><strong>Abstract: </strong>The role of the neurologic educator has evolved from an informal pursuit into an intentional academic discipline. This development intersects with the persistent challenge of neurophobia, characterized by fear and avoidance of neurology among trainees. Despite improved understanding of its drivers, neurophobia continues to negatively influence engagement and recruitment into the field. Importantly, many contributing factors reflect modifiable features of educational design rather than inherent characteristics of neurology, creating opportunities for educational innovation. Here, we situate the modern neurologic educator within the evolution of medical education and describe how the complementary roles of teacher, administrator, and scholar can advance neurologic education and address neurophobia. We also highlight opportunities in neurologic education, including engagement with nonphysician clinicians, use of nontraditional platforms for dissemination, and a shift toward cultivating neurophilia. Central to this work is the intentional creation of career pathways that inspire, support, and sustain the next generation of neurologic educators.</p>","PeriodicalId":49544,"journal":{"name":"Seminars in Neurology","volume":" ","pages":"244-249"},"PeriodicalIF":2.2,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147445831","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Functional Neurological Disorder. 功能性神经障碍。
IF 2 4区 医学
Seminars in Neurology Pub Date : 2026-04-01 Epub Date: 2026-03-15 DOI: 10.1055/a-2817-9428
Barbara A Dworetzky, Mary Angela O'Neal
{"title":"Functional Neurological Disorder.","authors":"Barbara A Dworetzky, Mary Angela O'Neal","doi":"10.1055/a-2817-9428","DOIUrl":"10.1055/a-2817-9428","url":null,"abstract":"","PeriodicalId":49544,"journal":{"name":"Seminars in Neurology","volume":" ","pages":"130"},"PeriodicalIF":2.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147464080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Building a Functional Neurological Disorder Program: Finding Solutions to Common Obstacles. 建立功能性神经障碍项目：寻找常见障碍的解决方案。
IF 2.2 4区 医学
Seminars in Neurology Pub Date : 2026-04-01 Epub Date: 2026-02-13 DOI: 10.1055/a-2796-7123
Maria Raquel Lopez, W Curt LaFrance
{"title":"Building a Functional Neurological Disorder Program: Finding Solutions to Common Obstacles.","authors":"Maria Raquel Lopez, W Curt LaFrance","doi":"10.1055/a-2796-7123","DOIUrl":"10.1055/a-2796-7123","url":null,"abstract":"<p><strong>Abstract: </strong>We describe efforts to systematically improve care delivery and outcomes in patients with functional neurological disorder (FND) via the creation of a program that allows the delivery of comprehensive clinical care, backed by administrative support. Collaborative efforts are necessary to develop an efficient, effective, long-term, and sustainable program. The creation of multi-site clinic service agreements, electronic medical records templates, multidisciplinary meetings, and trainee and staff education aids in guaranteeing the reliability and impact on patient care, outcomes, and knowledge in the FND field. We review barriers encountered in the process of creating a program and describe solutions to enable a system that builds bridges to integrate whole-person care for patients with FND. The success of a multidisciplinary program relies on a systems approach, administrative coordination, team communication, defined roles, and initiative and oversight by a site champion, for a focus on each patient as an individual and on continuity of care. The FND program also established an educational path to train clinicians and encourage interdisciplinary clinical research in the field and programmatic evaluation.</p>","PeriodicalId":49544,"journal":{"name":"Seminars in Neurology","volume":" ","pages":"234-239"},"PeriodicalIF":2.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146195937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Neuropsychiatric Treatment in Functional Neurological Disorder: Foundations and Future. 功能性神经障碍的神经精神治疗：基础与未来。
IF 2.2 4区 医学
Seminars in Neurology Pub Date : 2026-04-01 Epub Date: 2026-01-15 DOI: 10.1055/a-2786-3694
Irene Gonsalvez, Chadrick E Lane, Gaston Baslet
{"title":"Neuropsychiatric Treatment in Functional Neurological Disorder: Foundations and Future.","authors":"Irene Gonsalvez, Chadrick E Lane, Gaston Baslet","doi":"10.1055/a-2786-3694","DOIUrl":"10.1055/a-2786-3694","url":null,"abstract":"<p><strong>Abstract: </strong>Over the past two decades, advances in assessment, treatment, and neuroscience of functional neurological disorder (FND) have reshaped care, yet many patients still face limited access and persistent disability. This review offers a practical, evidence-informed guide to initiating multidisciplinary treatment, emphasizing clear diagnostic communication, an individualized biopsychosocial formulation, and strategies to support engagement. Psychological and rehabilitative interventions are summarized within stepped models of care. Mechanistic perspectives are considered in linking clinical interventions with plausible neurobiological processes. Additionally, we examine emerging adjunctive modalities-such as noninvasive neuromodulation and psychedelic-assisted therapies-which may hold promise as future therapeutic interventions.</p>","PeriodicalId":49544,"journal":{"name":"Seminars in Neurology","volume":" ","pages":"176-188"},"PeriodicalIF":2.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145991390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
An Integrative Approach to Functional Neurologic Disorder. 功能性神经障碍的综合治疗方法。
IF 2 4区 医学
Seminars in Neurology Pub Date : 2026-04-01 Epub Date: 2025-12-08 DOI: 10.1055/a-2761-2185
Rochelle Frank, Julio Quezada
{"title":"An Integrative Approach to Functional Neurologic Disorder.","authors":"Rochelle Frank, Julio Quezada","doi":"10.1055/a-2761-2185","DOIUrl":"10.1055/a-2761-2185","url":null,"abstract":"<p><strong>Abstract: </strong>There is growing evidence supporting specific approaches to treat functional neurological disorder (FND), which commonly employ a multidisciplinary strategy guided by the biopsychosocial model and holistic perspective. Integrative Medicine and Health is an emerging specialty that brings together conventional and complementary modalities to deliver coordinated and comprehensive care. Although integrative approaches can be incorporated into existing care models, their application in the treatment of FND has not been systematically investigated, and programs employing such approaches to FND remain exceedingly rare. This study outlines the potential role of integrative care in FND. It will characterize the integrative approach and highlight its potential benefits for FND, review current evidence for relevant therapies, propose a potential clinic workflow, and illustrate its application through clinical case vignettes.</p>","PeriodicalId":49544,"journal":{"name":"Seminars in Neurology","volume":" ","pages":"206-217"},"PeriodicalIF":2.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145710086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Autonomic Disorder and FND. 自主神经紊乱和FND。
IF 2 4区 医学
Seminars in Neurology Pub Date : 2026-04-01 Epub Date: 2025-12-31 DOI: 10.1055/a-2764-3644
Aditi Varma-Doyle, Nathaniel Robbins
{"title":"Autonomic Disorder and FND.","authors":"Aditi Varma-Doyle, Nathaniel Robbins","doi":"10.1055/a-2764-3644","DOIUrl":"10.1055/a-2764-3644","url":null,"abstract":"<p><strong>Abstract: </strong>Functional neurological disorder (FND) are neurological conditions resulting from altered brain network activity causing physical symptoms that are genuine but not explained by structural changes in the brain. FND results from abnormal connectivity in the limbic system and overlapping circuitry dysfunction in salience networks. The autonomic nervous system (ANS) refers to the part of the nervous system devoted to unconscious processes, the viscera and homeostasis. The ANS has afferent pathways, central nuclei and networks, and efferent pathways. Since unconscious neural processing and automatic behaviors are under the purview of the ANS, there is great interest in understanding the role of abnormal ANS activity in FND. To date, the overlap between ANS dysfunction and FND has been relatively underexplored. Here, we discuss the role of the ANS in FND and the overlap between autonomic dysfunction and FND.</p>","PeriodicalId":49544,"journal":{"name":"Seminars in Neurology","volume":" ","pages":"189-195"},"PeriodicalIF":2.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145878998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
How Developing Brains Differ: Pediatric Functional Neurological Disorder: Distinct Clinical Courses, Unique Needs, Personalized Communication, and Pathways to Recovery. 发育中的大脑是如何不同的：儿童功能性神经障碍：不同的临床过程，独特的需求，个性化的沟通和康复途径。
IF 2 4区 医学
Seminars in Neurology Pub Date : 2026-04-01 Epub Date: 2025-12-31 DOI: 10.1055/a-2769-6597
Matthew S Goldfinger, Aaron D Fobian, Itay Tokatly Latzer, Dara V F Albert
{"title":"How Developing Brains Differ: Pediatric Functional Neurological Disorder: Distinct Clinical Courses, Unique Needs, Personalized Communication, and Pathways to Recovery.","authors":"Matthew S Goldfinger, Aaron D Fobian, Itay Tokatly Latzer, Dara V F Albert","doi":"10.1055/a-2769-6597","DOIUrl":"10.1055/a-2769-6597","url":null,"abstract":"<p><strong>Abstract: </strong>Functional neurological disorder (FND) in children and adolescents presents distinct challenges and opportunities compared with adult populations. Pediatric FND frequently affects high-achieving youth without significant trauma histories or psychiatric illness, highlighting demographic and etiologic differences that challenge many of the classic psychodynamic assumptions. The developing brain's heightened plasticity may predispose to maladaptive functional patterns, yet also makes recovery particularly attainable when diagnosis and treatment are timely. Positive rule-in signs and clear, developmentally attuned explanations are central to reframing symptoms as real, reversible, and brain-based. Evidence from the retraining and control therapy randomized trial and recent telehealth cohorts demonstrates that multidisciplinary, family- and school-engaged approaches can achieve high remission rates. Adjunctive strategies that target network dynamics and plasticity may further amplify recovery. With coordinated care, pediatric FND is highly reversible, restoring agency, alleviating disability, and giving back decades of ability, opportunity, and thriving identity formation.</p>","PeriodicalId":49544,"journal":{"name":"Seminars in Neurology","volume":" ","pages":"155-166"},"PeriodicalIF":2.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145878990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Women's Issues and Female-specific Factors in Functional Neurological Disorder. 功能性神经障碍中的女性问题和女性特有因素。
IF 2 4区 医学
Seminars in Neurology Pub Date : 2026-04-01 Epub Date: 2025-12-23 DOI: 10.1055/a-2761-1554
Kelly A Boylan, Primavera A Spagnolo, Mary Angela O'Neal
{"title":"Women's Issues and Female-specific Factors in Functional Neurological Disorder.","authors":"Kelly A Boylan, Primavera A Spagnolo, Mary Angela O'Neal","doi":"10.1055/a-2761-1554","DOIUrl":"10.1055/a-2761-1554","url":null,"abstract":"<p><strong>Abstract: </strong>Functional neurological disorder (FND) most commonly affects females. As such, there is biological evidence that sex differences contribute to the onset and development of this disorder. Gender can also impact FND. In this article, we will address some important considerations for FND, including the history of sex differences and gender-related factors in FND, common comorbidities, hormonal and reproductive considerations, and future directions for research.</p>","PeriodicalId":49544,"journal":{"name":"Seminars in Neurology","volume":" ","pages":"218-224"},"PeriodicalIF":2.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145821981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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