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Abstract Details

The Effect of Resident-Led Review Sessions on Medical Students’ NBME Neurology Subject Exam Scores
Research Methodology, Education, and History
Research Methodology and Education Posters (7:00 AM-5:00 PM)
007
The development of strategies to improve medical student knowledge acquisition, foster interest in the field of neurology, and combat "neurophobia" has become a widely studied topic in medical education literature. Very few studies use the neurology shelf exam as an objective outcome measure to assess the efficacy of a given educational strategy.
The present study examines whether a neurology trainee-led review session is an effective means of improving medical students’ scores on the National Board of Medical Examiners Neurology Subject Exam (“shelf exam”) compared to the prior academic year.

A 90-minute review session was offered prior to the neurology shelf exam for each of seven student cohorts between October 2019 and May 2020. Anonymized scores were collected for these seven cohorts and for the corresponding seven cohorts of the prior academic year. Mean raw score and standard deviation were calculated for the compiled cohorts from each academic year. These were compared with a two-tailed student’s t-test.

The students in the 2019-2020 group receiving a review session answered a mean of 82.9 questions correctly (n=60), while the mean score of the 2018-2019 group was 79.9 (n=61, p-value = 0.01). This represented an increase of nearly 15 percentile ranks.

This is the first study to suggest a positive effect on neurology shelf exam scores by a particular educational intervention, replicating the results of similar studies in the field of psychiatry. Our findings also illustrate a simple way to involve resident trainees in medical student education. Since prior studies indicate that students feel their educational experience and interest in neurology is significantly heightened with increased resident involvement, these review sessions may offer a dual benefit: combating student "neurophobia" while simultaneously giving residents the opportunity to reflect on and refine their teaching skills.

Authors/Disclosures
Candace B. Borders, MD (Ascension Wisconsin - Columbia St. Mary's Milwaukee)
PRESENTER
Dr. Borders has nothing to disclose.
Sara J. Stern-Nezer, MD (University of California, Irvine) Dr. Stern-Nezer has nothing to disclose.