Prioritizing Pediatricians' Neurosurgical Education: Results From a National Survey of Primary Care Pediatricians

Clin Pediatr (Phila). 2020 Sep;59(9-10):902-909. doi: 10.1177/0009922820928060. Epub 2020 May 30.

Abstract

Introduction. We surveyed nonretired American Academy of Pediatrics-member US pediatricians regarding common neurosurgical conditions, identifying specific areas of focus in education. Methods. Data were acquired via self-administered electronic questionnaire. Results. Of 505 total respondents, 56% reported neurology was not a required residency rotation, and 86% had diagnosed craniosynostosis, plagiocephaly, or macrocephaly. Craniosynostosis can mostly be diagnosed by physical examination alone, but almost 50% reported relying on skull X-rays. Fifty-four percent reported diagnosing ocular surface disease (OSD; with 15% to 40% not screening an infant despite well-established cutaneous markers). Seventy-four screened OSD in a patient with sacral dimple. Ninety-seven percent reported treating concussion, but nearly 25% did not manage these patients alone. Two out of 3 patients indicated head injury as most important for continuing education. Conclusion. Improved education for craniosynostosis, OSD, head injury, and concussion management are important for earlier diagnosis, management, and referral of some disorders, while decreasing resource utilization in others. These results should be used when considering pediatrician educational programs.

Keywords: education; neurosurgery; pediatricians; pediatrics; survey.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Child
  • Female
  • Humans
  • Internship and Residency / methods*
  • Internship and Residency / statistics & numerical data
  • Male
  • Middle Aged
  • Nervous System Diseases* / diagnosis
  • Nervous System Diseases* / therapy
  • Neurosurgery / education*
  • Pediatrics / education*
  • Pediatrics / methods
  • Practice Patterns, Physicians' / statistics & numerical data
  • Primary Health Care* / methods
  • Surveys and Questionnaires
  • United States