Neurohospitalist Core Competencies

The Neurohospitalist Society is leading an effort to write and disseminate formal Core Competencies for the neurohospitalist, in order to outline what neurohospitalists do and to highlight what is different about our field. Below is the list of chapter headings that delineate these core competencies.

1. Neurological Conditions

   1. Vascular disease of the nervous system
   2. Seizures and status epilepticus
   3. Acute disorders of consciousness and cognition
   4. Infectious disorders of the nervous system
   5. Acute toxic and metabolic conditions of the nervous system
   6. Acute headache
   7. Acute disorders of the peripheral nervous system
   8. Neoplastic disorders of the nervous system
   9. Autoimmune and paraneoplastic conditions of the nervous system
   10. Acute disorders of the vestibular system
   11. Traumatic injuries of the nervous system
   12. Neurological conditions specific to reproduction, sex, and gender
   13. Perioperative and transplant neurology
   14. Functional neurologic disorders

2. Clinical Interventions and Interpretation of Ancillary Studies

   1. Determine death by neurologic criteria
   2. Intravenous thrombolysis
   3. Lumbar puncture
   4. Indications and clinical correlation of nervous system diagnostic imaging
   5. Indications and clinical correlation of neurophysiology studies

3. Neurohospitalist Role in the Healthcare System

   1. Equitable and inclusive care
   2. Inpatient perioperative consultation for neurologic patients
   3. Neuroprognostication
   4. Teleneurology
   5. Neurological risk reduction for the hospitalized patient
   6. Medical risk reduction for the neurologic inpatient
   7. Neurohospitalist as educator
   8. Hospitalist skills for the neurohospitalist
      1. Transitions of care
      2. Patient safety
      3. Quality improvement
      4. Process optimization
      5. Co-management in the hospital setting
      6. Resource stewardship
      7. Professionalism and medical ethics
      8. Care of the caregiver and burn out
      9. Management practices
      10. Information management