Headache in medical education: medical schools, neurology and family practice residencies.
OBJECTIVE
To explore the extent of headache education received by medical students and residents.


BACKGROUND
Headache is a common, often severe, and sometimes disabling problem. However, 49% of sufferers do not seek professional treatment-of those who do, only 28% are very satisfied. One possible reason is limited education of physicians about headache.


METHODS
Surveys were sent to all allopathic and osteopathic medical schools, 200 family medicine residencies, and all 126 neurology residencies. Information requested included the amount and perceived adequacy of headache education and any plans to increase headache education.


RESULTS
Response rates were 35% to 40%. Medical school lecture hours ranged from 0 (4%) to >5 (24%) with 92% having no plans for an increase in headache education. Family Medicine residency lecture hours ranged from 1--3 (30%) to >5 (34%) and case presentations from 1--5 (23%) to >5 (41%), with 88% of program directors having no plans for increase. Neurology residency lecture hours ranged from 1--3 (11%) to >5 (64%) and case presentations from 1--5 (23%) to>0 (57%), with 80% having no plans for increase.


CONCLUSIONS
Undergraduate medical education in headache is limited. Despite medical schools perceiving their training as adequate, both neurology and family practice residency program directors believe entering residents are inadequately prepared in headache upon entering the program.
University of Headache Center, School of Osteopathic Medicine, Moorestown, NJ 08057, USA.
R Michael
RM
Gallagher
Rolande
R
Alam
Shiwan
S
Shah
Loretta
L
Mueller
James J
JJ
Rogers
D003479:Curriculum; D004504:Education, Medical, Undergraduate; D005194:Family Practice / Q000193:education*; D006261:Headache; D006801:Humans; D007396:Internship and Residency; D009462:Neurology / Q000193:education*; D012577:Schools, Medical; D014481:United States