ReviewNeurocritical care2026
Neurocritical Care Fellowship Training in the USA: Challenges and Potential Solutions.
Review in Neurocritical care, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Neurocritical Care (NCC) has evolved into an essential multidisciplinary subspecialty in close collaboration with Vascular Neurology, Endovascular Neurology, and Neurosurgery. Following the formal recognition of NCC by the United Council for Neurologic Subspecialties (UCNS) in 2005 and the first NCC certification examination in 2007, the fellowship training programs expanded rapidly. However, recent data demonstrate a significant diminution in the number of accredited fellowship training programs and graduates. This article analyzes historical trends and recent data in the NCC fellowship training to identify challenges related to declining interest and posits practical solutions. Analysis of published surveys, publicly available annual reports of UCNS-accredited NCC fellowships (2008-2024) was performed. These data were compared with those from Vascular and Endovascular Neurology fellowship training programs by the American Board of Medical Specialties (ABMS). Temporal trends in the fellowship positions, graduate certification, and rates of attrition from accredited training programs are presented. The number of UCNS-accredited NCC fellowship training programs declined from 76 in 2021 to 66 in 2024, with a 17% reduction in fellowship graduates and a concomitant 89% drop in UCNS NCC certifications. Factors contributing include introduction and transition to the Accreditation Council of Graduate Medical Education (ACGME), reduced applicant interest, migration to other acute neurology subspecialty fellowships, limited institutional funding, and variable competency standards in clinical skills and procedures leading to inconsistent skill acquisition. NCC is undergoing a challenging transition. By adopting standardized accreditation, investing in early career exposure and mentorship, and technology-enabled care, the current attrition rates may be reversed toward developing a sustainable NCC workforce.
Indexed as
Identifiers
42360631What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.