Child Neurology Training for Pediatricians

Albert, Dara V.F.; Gilbert, Donald L.

doi:10.1016/j.pediatrneurol.2017.03.018

Cited by 1 publication

(1 citation statement)

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“…The CN density in Finland, 11.9/100 000 children under 16 years, is far more than the recommendations (1/100 000) suggested at the beginning of the 1970s 2 , when the CN’s main role was to ascertain the clinical diagnosis 3 . Today, the work field is much broader and more complex than previously 10 and, consequently, the needs for CN services are higher. Overall, few data exist on the density of full‐time child neurologists and needs of CN services (Table 3).…”

Section: Discussionmentioning

confidence: 96%

Child neurology services for children with epilepsy in Finland

2020

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Objective The aim of the study was to describe healthcare organization, training of and needs for child neurologists, patient accessibility to services, and treatment paths of children with epilepsy in Finland. Methods Data were collected from all geographic healthcare areas over Finland on training capacity in child neurology, number and density of child neurologists, and availability and accessibility of child neurological services. Data sources included the National Physician Register, Central Register of Healthcare Professionals of National Supervisory Authority for Welfare and Health, and phone and email inquiries to the heads of public healthcare units. Results The overall density of child neurologists in Finland was 11.9/100 000 children aged 0‐15 years or 8402 children per child neurologist (in 2018). There is a remarkable geographic variation, from 7.1 in northern Finland to 15.6 in the metropolitan area. However, waiting times for the treatment are virtually the same all over the country. According to the Finnish current practice recommendation from the year 2013 and again 2020, children with any first nonfebrile or complicated febrile epileptic seizure are invariably admitted to hospital for evaluation. Children with simple febrile seizures are recommended to be treated as outpatients by general practitioners or by experienced pediatricians. Significance Child neurology services are today well provided and organized in Finland. While there is geographic variation in the number of child neurologists, the accessibility is virtually the same all over the country. A gap between the numbers of specialists at near‐to‐retire age and those in training is a challenge.

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Section: Discussionmentioning

confidence: 96%