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Objective: evaluate how PC training is implemented in neurology residency programs and identify barriers to effective integration. Methods: a cross-sectional anonymous online survey of all neurology residency program directors in Brazil via the Brazilian Academy of Neurology, analyzed descriptively with IBM SPSS Statistics (v26.0). Results show limited faculty formal PC training and quality dissatisfaction. Conclusion: Brazilian training lacks consistency and requires enhanced faculty development and structural curricular interventions.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/a-needs-assessment-of-palliative-care-education-in-neurology-residency-programs-in-brazil/435878/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/a-needs-assessment-of-palliative-care-education-in-neurology-residency-programs-in-brazil/435878.png","ImageObject",300,407,{"name":92,"@type":93},"Patrick","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":44},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What is the main purpose of this needs assessment?","Question",{"text":112,"@type":113},"To evaluate how palliative care training is implemented in neurology residency programs across Brazil and to identify barriers to effective integration.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How was the information collected and analyzed?",{"text":117,"@type":113},"The study used a cross-sectional anonymous online survey distributed to all neurology residency program directors in Brazil, approved by an institutional ethics committee, and analyzed descriptively with IBM SPSS Statistics for Windows (v26.0).",{"name":119,"@type":110,"acceptedAnswer":120},"What barriers and gaps in palliative care education were found?",{"text":121,"@type":113},"Key barriers included limited faculty availability (72.4%), lack of PC expertise (69%), and insufficient teaching time (58.6%). Only one neurology faculty member had formal PC training, and 37% of directors reported dissatisfaction with the quality of PC education.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},435878,1791154232,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":44,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":34,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":144,"preview_page_count":4},549758146520,"https://ap-avatar.wpscdn.com/avatar/80002397d8c0411e94?_k=1775819394049821470","Article published online: 2025-09-08  \nOriginal Article 1  \nA needs assessment of palliative care education in neurology residency programs in Brazil  \nMaiara Silva Tramonte 1 Camila Galvão Lopes2  \nAna Claudia Pires Carvalho 1 Mariana Soares Pinheiro 1 Luciana Oliveira Neves3 Laura Cardia Gomes Lopes 1  \n1 Universidade Estadual Paulista “Júlio de Mesquita Filho”, Faculdade de Medicina de Botucatu, Departamento de Neurociências e Saúde Mental, Botucatu SP, Brazil.  \n2 Universidade de São Paulo, Faculdade de Medicina, Departamento de Neurologia, São Paulo SP, Brazil.  \n3 Universidade de Fortaleza, Centro de Ciências da Saúde, Departamento de Saúde Pública, Fortaleza CE, Brazil.  \nArq. Neuro-Psiquiatr. 2025;83(8):s00451811232 .  \nAddress for correspondence Maiara Silva Tramonte ([email: maiaratramonte@gmail.com](email: maiaratramonte@gmail.com))  \nAbstract  \nKeywords  \n► Education, Medical  \n► Internship and Residency  \n► Neurology  \n► Palliative Care  \nBackground 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) .  \nObjective To evaluate the implementation of PC training in NRPs across Brazil and to identify barriers to its effective integration.  \nMethods 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 .  \nResults 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%) . Conclusion 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.  \nINTRODUCTION  \nNeurological disorders are increasingly prevalent and represent the second leading cause of death globally.1 Many of these conditions result in significant physical or cognitive  \nreceived  \nJanuary 31, 2025  \nreceived in its final form May 7, 2025  \naccepted  \nJune 16, 2025  \nDOI [https://doi.org/](https://doi.org/)[ ](https://doi.org/)10.1055/s-0045-1811232 . ISSN 0004-282X.  \nEditor-in-Chief: Ayrton Roberto Massaro.  \nAssociate Editor: Orlando G. P. Barsottini.  \nimpairments, profoundly impacting patients’ quality of life. These challenges require a range of competencies, including palliative care (PC), throughout the disease trajectory.2,3  \nPalliative care is an approach recommended for patients living with life-threatening illnesses, from diagnosis to  \n© 2025 . The Author(s) .  \nThis is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit ([https://creativecommons.org/licenses/by/4.0/](https://creativecommons.org/licenses/by/4.0/))  \nThieme Revinter Publicações Ltda. , Rua Rego Freitas, 175, loja 1, República, São Paulo, SP, CEP 01220-010, Brazil  \n2 Palliative care education in neurology residency programs Tramonte et al.  \nfamily bereavement support. It focuses on clear communication, conflict resolution, patient-centered care, relief of","cbCaioUH668jtdXE","https://ap.wps.com/l/cbCaioUH668jtdXE","pdf",741104,"English","# Abstract\n# Background\n# Objective\n# Methods\n# Results\n# Conclusion\n# Introduction","[{\"question\":\"What is the main purpose of this needs assessment?\",\"answer\":\"To evaluate how palliative care training is implemented in neurology residency programs across Brazil and to identify barriers to effective integration.\"},{\"question\":\"How was the information collected and analyzed?\",\"answer\":\"The study used a cross-sectional anonymous online survey distributed to all neurology residency program directors in Brazil, approved by an institutional ethics committee, and analyzed descriptively with IBM SPSS Statistics for Windows (v26.0).\"},{\"question\":\"What barriers and gaps in palliative care education were found?\",\"answer\":\"Key barriers included limited faculty availability (72.4%), lack of PC expertise (69%), and insufficient teaching time (58.6%). Only one neurology faculty member had formal PC training, and 37% of directors reported dissatisfaction with the quality of PC education.\"}]","A needs assessment of palliative care education in neurology residency programs in Brazil | PDF",1790675765,18]