{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T14:15:13Z","timestamp":1779286513032,"version":"3.51.4"},"reference-count":22,"publisher":"Georg Thieme Verlag KG","issue":"08","license":[{"start":{"date-parts":[[2025,9,8]],"date-time":"2025-09-08T00:00:00Z","timestamp":1757289600000},"content-version":"vor","delay-in-days":38,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arq Neuropsiquiatr"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The importance of integrating palliative care (PC) competencies into the management of neurological diseases is increasingly acknowledged. The National Medical Residency Program Commission (NMRPC) mandates the inclusion of PC in the curricula of neurology residency programs (NRPs).<\/jats:p><jats:p>To evaluate the implementation of PC training in NRPs across Brazil and to identify barriers to its effective integration.<\/jats:p><jats:p>We conducted a cross-sectional study using an anonymous online survey distributed to all NRP directors in Brazil through the Brazilian Academy of Neurology (BAN). The survey, approved by the institutional ethics committee, comprised 19 questions assessing PC training in NRPs. The responses were analyzed descriptively using IBM SPSS Statistics for Windows (IBM Corp.) software, version 26.0.<\/jats:p><jats:p>The survey achieved a 32% (29 programs) response rate. Of the respondents, 82.8% (24 programs) reported the presence of an institutional PC team, and 75.9% (22 programs) incorporated PC training into their programs. However, only 1 neurology faculty member had formal PC training, and 37% of the directors expressed dissatisfaction with the quality of PC education. Key barriers included limited faculty availability (72.4%), lack of PC expertise (69%), and insufficient teaching time (58.6%).<\/jats:p><jats:p>Palliative care training in Brazilian NRPs lacks consistency and systematic implementation. There is an urgent need for enhanced faculty training and strategic interventions to address structural and curricular barriers to improve PC education.<\/jats:p>","DOI":"10.1055\/s-0045-1811232","type":"journal-article","created":{"date-parts":[[2025,9,8]],"date-time":"2025-09-08T23:05:27Z","timestamp":1757372727000},"page":"001-007","source":"Crossref","is-referenced-by-count":1,"title":["A needs assessment of palliative care education in neurology residency programs in Brazil"],"prefix":"10.1055","volume":"83","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4038-3395","authenticated-orcid":false,"given":"Maiara Silva","family":"Tramonte","sequence":"additional","affiliation":[{"name":"Universidade Estadual Paulista \u201cJ\u00falio de Mesquita Filho\u201d, Faculdade de Medicina de Botucatu, Departamento de Neuroci\u00eancias e Sa\u00fade Mental, Botucatu SP, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7538-9987","authenticated-orcid":false,"given":"Ana Claudia Pires","family":"Carvalho","sequence":"additional","affiliation":[{"name":"Universidade Estadual Paulista \u201cJ\u00falio de Mesquita Filho\u201d, Faculdade de Medicina de Botucatu, Departamento de Neuroci\u00eancias e Sa\u00fade Mental, Botucatu SP, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-8568-1937","authenticated-orcid":false,"given":"Mariana Soares","family":"Pinheiro","sequence":"additional","affiliation":[{"name":"Universidade Estadual Paulista \u201cJ\u00falio de Mesquita Filho\u201d, Faculdade de Medicina de Botucatu, Departamento de Neuroci\u00eancias e Sa\u00fade Mental, Botucatu SP, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5787-1347","authenticated-orcid":false,"given":"Camila Galv\u00e3o","family":"Lopes","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo, Faculdade de Medicina, Departamento de Neurologia, S\u00e3o Paulo SP, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8524-4308","authenticated-orcid":false,"given":"Luciana Oliveira","family":"Neves","sequence":"additional","affiliation":[{"name":"Universidade de Fortaleza, Centro de Ci\u00eancias da Sa\u00fade, Departamento de Sa\u00fade P\u00fablica, Fortaleza CE, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3878-3306","authenticated-orcid":false,"given":"Laura Cardia Gomes","family":"Lopes","sequence":"additional","affiliation":[{"name":"Universidade Estadual Paulista \u201cJ\u00falio de Mesquita Filho\u201d, Faculdade de Medicina de Botucatu, Departamento de Neuroci\u00eancias e Sa\u00fade Mental, Botucatu SP, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,9,8]]},"reference":[{"issue":"9913","key":"ref1","doi-asserted-by":"publisher","first-page":"245","DOI":"10.1016\/s0140-6736(13)61953-4","article-title":"Global and regional burden of stroke during 1990-2010: findings from the Global Burden of Disease Study 2010","volume":"383","author":"V L Feigin","year":"2014","journal-title":"Lancet"},{"issue":"06","key":"ref2","doi-asserted-by":"publisher","first-page":"561","DOI":"10.1212\/WNL.0000000000000674","article-title":"Palliative care and neurology: time for a paradigm shift","volume":"83","author":"I Boersma","year":"2014","journal-title":"Neurology"},{"issue":"07","key":"ref3","doi-asserted-by":"publisher","first-page":"640","DOI":"10.1212\/WNL.0000000000000121","article-title":"Emerging subspecialties in neurology: palliative care","volume":"82","author":"A 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