title: Center for Neuroscience and Behavioral Medicine: an innovative administrative structure and possible paradigm for the future.
abstract: Child neurology has evolved from a primarily diagnostic to a therapeutic subspecialty. Despite well-documented manpower shortages, child neurology programs at major children's hospitals have expanded, and the optimal administrative structure for child neurology programs has not been clearly defined. The Division of Child Neurology at Children's National Medical Center in Washington, DC, is a part of the Center for Neuroscience and Behavioral Medicine. This center includes multiple medical, behavioral health, and surgical subspecialties, and fosters the development of child neurology. During the 10 years of its existence, the number of board-certified or eligible child neurologists within the center has tripled to over 30. Because of its success, the Division of Child Neurology was split into three free-standing divisions and two institutes. This unique structure has fostered the development of numerous multidisciplinary programs, and is fiscally sustainable. The strengths, limitations, and challenges of this structure in terms of child neurology are reviewed. This administrative structure has been successful and may act as a model for other programs.
authors.affiliation: Center for Neuroscience and Behavioral Medicine, Children's National Medical Center, Washington, DC 20010, USA. rpacker@cnmc.org
authors.forename: Roger J
authors.initials: RJ
authors.lastname: Packer
authors.forename: Jocelyn
authors.initials: J
authors.lastname: Villongco
authors.forename: Mark
authors.initials: M
authors.lastname: Batshaw
authors.forename: Peter
authors.initials: P
authors.lastname: Holbrook
authors.forename: William Davis
authors.initials: WD
authors.lastname: Gaillard
authors.forename: Phillip L
authors.initials: PL
authors.lastname: Pearl
authors.forename: Steven
authors.initials: S
authors.lastname: Weinstein
authors.forename: Edwin
authors.initials: E
authors.lastname: Zechman
mesh_terms: D000046:Academic Medical Centers / Q000191:economics / Q000458:organization & administration*; D001524:Behavioral Medicine / Q000193:education / Q000639:trends*; D004219:District of Columbia; D009488:Neurosciences / Q000193:education / Q000639:trends*; D010372:Pediatrics / Q000193:education; D000078329:Workforce