Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2022 Mar 22:7:120-126.
doi: 10.1016/j.cnp.2022.02.004. eCollection 2022.

Training and education practice in the Europe, Middle East and Africa, Latin America and Asia Oceania chapters, IFCN; an international survey

Affiliations
Review

Training and education practice in the Europe, Middle East and Africa, Latin America and Asia Oceania chapters, IFCN; an international survey

Jonathan Cole et al. Clin Neurophysiol Pract. .

Abstract

This paper presents results from the first survey of training and education undertaken by the Europe-Middle East-Africa (EMEAC), the Latin America (LAC) and the Asia-Oceania (AOC) Chapters of the International Federation of Clinical Neurophysiology (IFCN). The survey was conducted initially by the EMEAC in 2012 and updated in 2016, 2019, and 2020. It had the following categories: status of specialty and training in member country (21 questions), competency and accreditation (12 questions), practice and concerns (23 questions). An abbreviated version of the survey was conducted by the LAC and AOC in 2018-2019. Clinical neurophysiology (CN) was a single specialty in a minority of member societies' countries: 8/33 EMEAC, 2/12 AOC and 2/10 LAC. In others it was usually a subspecialty of neurology. Training periods in CN were split fairly evenly between 1, 2, 3, 4 and 5 years in EMEAC, while neurology takes 4 to 5 years. In the AOC, neurology training was for 3 to 4 years and CN for up to 2 years. In LAC a majority of countries trained for 2 to 3 years in both neurology and CN. An exit exam was performed in 16/30 EMEAC respondents, 8/12 in the AOC and 3/10 in the LAC. Competence was considered to require a wide range of numbers of tests performed under supervision, from <250 to >750 in EMEAC and AOC, with the EMEAC tending to require more. The main concerns were in recruitment and workload in EMEAC, training in AOC and the need for more recognition of the specialty in some countries within the LAC. This survey, the first across the three chapters, revealed considerable differences in training durations and numbers of tests performed for competence between national societies.

Keywords: Clinical neurophysiology; Education; IFCN chapters; Survey; Training.

PubMed Disclaimer

Conflict of interest statement

The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Figures

Fig. 1
Fig. 1
EMG numbers for competency assessment in EMEAC and AOC. EMG: electromyography; EMEAC: Europe, Middle East and Africa Chapter; AOC: Asian-Oceanian Chapter.
Fig. 2
Fig. 2
EEG numbers for competency assessment in EMEAC and AOC. EEG: electroencephalography; EMEAC: Europe, Middle East and Africa Chapter; AOC: Asian-Oceanian Chapter.

References

    1. Daniel J.W., Botelho R.V., Milano J.B., Dantas F.R., Onishi F.J., Neto E.R., Bertolini E.F., Borgheresi M.A.D., Joaquim A.F. Intraoperative neurophysiological monitoring in spine surgery: A systematic review and meta-analysis. Spine (Phila Pa. 1976;2018(43):1154–1160. - PubMed
    1. Fried P.J., Santarnecchi E., Antal A., Bartres-Faz D., Bestmann S., Carpenter L.L., Celnik P., Edwards D., Farzan F., Fecteau S., George M.S., He B., Kim Y.-H., Leocani L., Lisanby S.H., Loo C., Luber B., Nitsche M.A., Paulus W., Rossi S., Rossini P.M., Rothwell J., Sack A.T., Thut G., Ugawa Y., Ziemann U., Hallett M., Pascual-Leone A. Training in the practice of noninvasive brain stimulation: Recommendations from an IFCN committee. Clin Neurophysiol. 2021;132(3):819–837. - PMC - PubMed
    1. Giovannoni G., Butzkueven H., Dhib-Jalbut S., Hobart J., Kobelt G., Pepper G., Sormani M.P., Thalheim C., Traboulsee A., Vollmer T. Brain health: time matters in multiple sclerosis. Mult Scler Relat Disord. 2016;9(Suppl 1):S5–S48. - PubMed
    1. Haneef Z., Chiang S., Rutherford H.C., Antony A.R. A survey of neurophysiology fellows in the United States. J Clin Neurophysiol. 2017;34(2):179–186. - PMC - PubMed
    1. Juul D., Levin K.H., Gutmann L., Faulkner L.R. Subspecialization in clinical neurophysiology: Development and current status. Neurology. 2020;95(15):686–692. - PubMed

LinkOut - more resources