脑医学时间到了。

IF 2.4 4区 医学 Q2 CLINICAL NEUROLOGY
Joshua C Brown, Helen Dainton-Howard, Jared Woodward, Charles Palmer, Manish Karamchandani, Nolan R Williams, Mark S George
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引用次数: 1

摘要

前所未有的大脑知识不可避免地有助于神经病学和精神病学的融合。然而,临床培训继续遵循19世纪建立的一种不同的方法。一种病因方法将继续将更多的精神病患者转移到未经精神病管理培训的神经学家那里。与此同时,这个诊断生物标志物和基于神经科学的精确治疗的新时代需要那些接受过精神病学培训的人所不具备的技能。培训下一代医生的挑战包括建立涉及整个大脑各方面的能力,培养保持最新水平所需的亚专业知识,以及制定持续时间可行、实施可行的计划。本文提出的一项新的4年住院医师培训计划可以取代现有的住院医师计划。该项目包括2年的神经病学和精神病学各方面的普通和紧急培训,然后是2年的选择性亚专业课程。这一概念类似于内科住院医师和研究金。没有必要改变现有的部门结构。与新兴的大脑生物学方法相一致,“脑医学”被提议作为一个新名称,用最简单的术语来表示这种做法:关注大脑的各个方面。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Time for Brain Medicine.

Unprecedented knowledge of the brain is inevitably contributing to the convergence of neurology and psychiatry. However, clinical training continues to follow a divergent approach established in the 19th century. An etiological approach will continue to shift more psychiatric patients to the care of neurologists who are untrained in psychiatric management. At the same time, this new era of diagnostic biomarkers and neuroscience-based precision treatments requires skills not readily available to those trained in psychiatry. The challenges in training the next generation of doctors include establishing competence involving aspects of the whole brain, fostering the subspecialized expertise needed to remain current, and developing programs that are feasible in duration and practical in implementation. A new 4-year residency training program proposed in this article could replace existing residency programs. The program includes 2 years of common and urgent training in various aspects of neurology and psychiatry followed by 2 years of elective subspecialty tracks. The concept is similar to internal medicine residencies and fellowships. No changes to existing departmental structures are necessary. In concert with the emerging biological approach to the brain, "brain medicine" is proposed as a new name to denote this practice in the simplest terms: a focus on all aspects of the brain.

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来源期刊
CiteScore
5.30
自引率
3.40%
发文量
67
审稿时长
6-12 weeks
期刊介绍: As the official Journal of the American Neuropsychiatric Association, the premier North American organization of clinicians, scientists, and educators specializing in behavioral neurology & neuropsychiatry, neuropsychology, and the clinical neurosciences, the Journal of Neuropsychiatry and Clinical Neurosciences (JNCN) aims to publish works that advance the science of brain-behavior relationships, the care of persons and families affected by neurodevelopmental, acquired neurological, and neurodegenerative conditions, and education and training in behavioral neurology & neuropsychiatry. JNCN publishes peer-reviewed articles on the cognitive, emotional, and behavioral manifestations of neurological conditions, the structural and functional neuroanatomy of idiopathic psychiatric disorders, and the clinical and educational applications and public health implications of scientific advances in these areas. The Journal features systematic reviews and meta-analyses, narrative reviews, original research articles, scholarly considerations of treatment and educational challenges in behavioral neurology & neuropsychiatry, analyses and commentaries on advances and emerging trends in the field, international perspectives on neuropsychiatry, opinions and introspections, case reports that inform on the structural and functional bases of neuropsychiatric conditions, and classic pieces from the field’s rich history.
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