Proposed cross-disciplinary training in pediatric neurointensive care.
Training and research in pediatric neurointensive care require unique approaches to childhood diseases that reflect differences in the immature brain's response to injury or disease compared with adults. Pediatric neurocritical care is a collaborative effort to provide consultative care among pediatric subspecialists, coordinated by neonatal and pediatric intensivists. Valuable perspectives for clinical care, training, and research can also be learned through collaboration with adult neurointensivists. Pediatric neurointensive care is thus an emerging subspecialty that optimally functions by applying a broad collaborative effort among colleagues across multiple medical specialties in pediatric and adult medicine. Innovations in clinical services, educational pathways, and research agendas need to be developed for children that can be modified for younger and older adults. This review also stresses cross-disciplinary research and training opportunities in pediatric neurointensive care beyond physician training. Nonmedical faculty from multiple academic disciplines should also serve as mentors to design appropriate curricula and research plans for the specific trainee in their respective fields and across specialties. The discipline of neurocritical care must consider a life-course approach for the patient requiring neurointensive care from neonatal through childhood and adult ages, with cross-fertilization from diverse academic disciplines and investigative points of view.
Division of Pediatric Neurology, Rainbow Babies and Children's Hospital, University Hospitals Case Medical Center, Case Western Reserve University School of Medicine, Cleveland, Ohio, USA. Mark.Scher@uhhospitals.org
Mark
M
Scher
D003422:Critical Care; D004526:Efficiency; D006801:Humans; D015278:Intensive Care Units, Pediatric; D009462:Neurology / Q000193:education*; D010348:Patient Care Team; D010372:Pediatrics / Q000193:education*