Center for Neuroscience and Behavioral Medicine: An Innovative Administrative Structure and Possible Paradigm for the Future

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....

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Bibliographic Details
Published in:Pediatric neurology 2011, Vol.44 (1), p.1-9
Main Authors: Packer, Roger J., MD, Villongco, Jocelyn, MHSA, Batshaw, Mark, MD, Holbrook, Peter, MD, Gaillard, William Davis, MD, Pearl, Phillip L., MD, Weinstein, Steven, MD, Zechman, Edwin, ME, MHSA
Format: Article
Language:English
Subjects:
Academic Medical Centers - economics
Academic Medical Centers - organization & administration
Behavioral Medicine - education
Behavioral Medicine - manpower
Behavioral Medicine - trends
Biological and medical sciences
District of Columbia
Human viral diseases
Infectious diseases
Medical sciences
Neurology
Neurosciences - education
Neurosciences - manpower
Neurosciences - trends
Pediatrics
Pediatrics - education
Viral diseases
Viral diseases of the lymphoid tissue and the blood. Aids
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Summary: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.
ISSN:0887-8994
1873-5150
DOI:10.1016/j.pediatrneurol.2010.07.007