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American Academy of Neurology neuroimaging training guidelines

These guidelines are intended to reflect the content of neuroimaging training in many neurology programs. They emphasize the importance of neuroimaging in the training of neurologists. These guidelines are not intended to replace or supplement the Essentials for Residency Training Programs promulgated by the Neurology Residency Review Committee of the Accreditation Council for Graduate Medical Education.



1. Background and scope of neuroimaging
 * Neuroimaging is an integral part of the clinical evaluation of patients with neurologic disorders. Neuroimaging, unlike some of the more specialized neurophysiologic techniques, is often integrated in the neurologic evaluation and therefore is best learned by the residents and fellows as part of their clinical experience.
 * Three levels of competence in neuroimaging can be defined:
 1. Diagnostic expertise for most neurologic disorders. This level is generally achieved by the end of residency training in neurology.
 2. Expertise in all clinical and basic aspects of a given modality. Depending on specific circumstances, this degree of expertise allows operation of an imaging laboratory independently. This level will usually require fellowship training.
 3. Research expertise in a particular aspect of neuroimaging. It is advisable for neurology residents and imperative for neuroimaging fellows that they conduct research in some area of neuroimaging.
 

2. Guidelines for neuroimaging training during neurology residency
 * Given the central role of neuroimaging in the practice of neurology, it is highly desirable that the residency training experience enables the graduate of a neurology program to interpret neuroimaging studies of all common neurologic disorders. This experience may include all those modalities that are used in the practice of neurology (e.g., MRI, magnetic resonance angiography, CT, neurosonology).
 * Neuroimaging curriculum for the residency
 1. Neuroimaging is best learned as an integrated aspect of the clinical evaluation of a given patient. Most of the neuroimaging experience of the resident will be acquired during the 18 months of required adult …