Beyond Neural Cubism

Taylor, Joseph J.; Williams, Nolan; George, Mark S.

doi:10.1097/acm.0000000000000530

Cited by 17 publications

(10 citation statements)

References 53 publications

(53 reference statements)

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“…The current culture of specialized medicine presents constraints in the training and practice of those treating brain disorders due to the often singular perspectives of practitioners and the lack of interdisciplinary organizational structures, such as brain sciences programs. 1,2 Calls for equipping clinicians with skills that permit an integrated approach to complex brain disorders are becoming louder, [1][2][3][4] but few programs have made this their focus.…”

Section: Problemmentioning

confidence: 99%

The Brain Medicine Fellowship: A Competency-Based Training Program to Treat Complex Brain Disorders

et al. 2023

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ProblemComplex brain disorders involve symptoms in the domains of affect, behavior, and cognition. It is increasingly recognized that there is a need for a novel type of physician who can treat individuals with these conditions in an interdisciplinary fashion to best address their complexity.Few training programs have focused on the education of such practitioners. ApproachThe authors outline the development and practices of the Brain Medicine Fellowship, an innovative, competencybased fellowship program at the University of Toronto Temerty Faculty of Medicine that accepts trainees from multiple brain medicine-related specialty training programs to develop expertise in integrative assessment and treatment of complex brain disorders. The authors describe how brain medicine competencies were generated, the current assessment process, and the seminal clinical experience associated with the fellowship-the Brain Medicine Clinic-and explain how it exemplifies brain medicine in action. OutcomesThe first fellow was registered from July 2019 to December 2020. As of December 2022, 3 fellows have entered the program, with 3 more anticipated to begin in July 2023. More than 26 supervisors are associated with the fellowship, who offer a diversity of experiences for fellows to choose from in developing their individualized learning Please see the end of this article for information about the authors.

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Section: Problemmentioning

confidence: 99%

The Brain Medicine Fellowship: A Competency-Based Training Program to Treat Complex Brain Disorders

et al. 2023

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“…27 The neurology Accreditation Council for Graduate Medical Education (ACGME) milestones for psychiatric patient care may also help provide a common language to support faculty development integrative initiatives. 1 Innovative programs can be implemented with minimal faculty time commitments such as focused podcasts. 35 Neurology clerkships could partner with their psychiatry colleagues in order to create focused reviews of essential topics.…”

Section: Mowchun 14mentioning

confidence: 99%

“…There has been a recent call to improve undergraduate medical education integration of neurology and psychiatry, to better develop physicians that can address the multidimensional manifestations of nervous system disorders. 1 Closing the great divide between neurological and psychiatric patient care remains elusive, even as our emerging neurobiological knowledge reveals that many brain disorders are not due to detectable lesions, but originate from dysfunction across complex multidirectional neural networks. 2,3 Curriculum integration has a theoretical foundation to promote skill acquisition while learners build deeper connections across medical disciplines.…”

Section: Introductionmentioning

confidence: 99%

Education Research: A Qualitative Study on Student Perceptions of Neurology and Psychiatry Clerkship Integration

2021

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Objective:To explore student perceptions of the feasibility of neurology and psychiatry clerkship integration, including clinical education and competency evaluation, as there has been a call to improve undergraduate medical education integration of the disciplines to better develop physicians that can address nervous system disorders.Method:Via a constructivist grounded theory approach, we carried out five focus groups in 2016-2017 with 28 medical students who completed both independent clerkships. Investigator triangulation was used with iterative interpretation comparisons, and themes were identified using constant comparative analysis.Results:Three major themes arose: 1) combining the clerkships was not favorable as students need sufficient time to delve deeper in each discipline; 2) students did not observe an integrated clinical approach by faculty; 3) positive value of making links between neurology and psychiatry for effective patient care.Conclusions:Students emphasized the importance of making stronger links between the two disciplines for their learning and to improve patient care; however, they did not observe this clinical approach in the workplace. Students perceived that integration of neurology and psychiatry clerkships should occur via increased affinity of the complementary discipline by trainees and faculty in each specialty.

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“…Over the course of the 20th century, brain disorders increasingly fell into the purview of different ‘brain’ specialists, such as neurologists, neurosurgeons or psychiatrists. 1 As psychoanalytic theories gained traction and neurologists became increasingly invested in anatomical explanations for disorders, classification schemes (e.g. ICD-10) and medical training came to reflect the idea that the assessment and management of brain disorders should be divided among specialists.…”

mentioning

confidence: 99%

The Brain Medicine Clinic: two cases highlighting the advantages of integrative care

2023

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Background Current assessment and management models often do not adequately address the many aspects of managing complex brain disorders involving disordered affect, behaviour and cognition (ABC). A more collaborative model of care, where several specialties can jointly assess and manage patients with complex brain disorders, is gaining attention. Aims In this case report, we present two cases that highlight the benefits of the ‘brain medicine’ clinical model. Method The Brain Medicine Clinic employs an integrated clinical model in which psychiatrists and neurologists provide integrated interdisciplinary assessments of patients with complex brain disorders, leading to comprehensive assessment. We describe the clinical model and the trajectories of two patients with complex brain disorders seen in this clinic. In these case descriptions, we explain how the brain medicine clinical approach leads to an improved patient experience. Results The Brain Medicine Clinic assessments resulted in a neurobiopsychosocial formulation of symptoms and, consequently, holistic individualised treatment plans for two patients with complex brain disorders. This approach to patients’ conditions emerges from the understanding that there are multifactorial causes of brain disorders at the social, cultural, psychological and biological level. Conclusions Integrated interdisciplinary assessments allow for tailored treatment plans for individuals experiencing complex brain disorders, while creating efficiencies for the patient and the healthcare system.

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Beyond Neural Cubism

Cited by 17 publications

References 53 publications

The Brain Medicine Fellowship: A Competency-Based Training Program to Treat Complex Brain Disorders

The Brain Medicine Fellowship: A Competency-Based Training Program to Treat Complex Brain Disorders

Education Research: A Qualitative Study on Student Perceptions of Neurology and Psychiatry Clerkship Integration

The Brain Medicine Clinic: two cases highlighting the advantages of integrative care

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