Abstract Details

Title An Online, Interactive, Self-Paced, Case-Based Clinical Neurophysiology Curriculum for Neurology Residents

Topic Epilepsy/Clinical Neurophysiology (EEG)

Presentation(s) P18 - Poster Session 18 (5:30 PM-6:30 PM)

Poster/Presentation
Number 10-005

Background

Exposure to EEG during residency is fragmented and relies heavily on on-site supervision between the trainee and the faculty in the work setting. There is no formalized curriculum for teaching EEG in residency.

Objective

To develop, implement and evaluate an interactive, case-based EEG curriculum for neurology residents and other interested learners.

Design/Methods

Using a specialized platform (Rise Articulate), we created an online course that consisted of 10 lessons (introduction in EEG, electrodes and montages, normal adult EEG, normal EEG variants, artifacts, non epileptiform, interictal and ictal epileptiform abnormalities, EEG in the ICU and neonatal EEG). We distributed the course through specialized software (Canvas) to adults and pediatric neurology residents and other interested learners. A pre and post course survey was used (SurveyMonkey) to evaluate the trainees’ interest, comfort level and barriers in learning EEG and a pre- and post-course knowledge assessment was used to evaluate its effectiveness. Student t-test and Ch-square were used for comparison of continuous and categorical variables, respectively.

Results 15 neurology trainees, 4 EEG technologists and 7 neurocritical care advanced practitioners participated in the course. The pre-course survey showed that 73% of the neurology trainees are very interested in learning EEG. 57% of the trainees rarely or never review the EEGs they ordered, and 60% feel little or not at all confident in interpreting EEG. The most reported barriers for learning included limited time and the need for 1:1 teaching. The mean score of the pre-course knowledge assessment was 61% (SD +-24) among all trainees. Within the group that completed both the pre-course and the post-course test (n=10), there was an improvement in the mean score (71% vs 82%, respectively, p=0.05).

Conclusions

A self-paced and interactive online EEG course can provide foundational concepts and complement existing strategies to improve knowledge and level of confidence in interpreting EEG.

Authors/Disclosures
Valerie Jeanneret Lopez, MD (Emory University) PRESENTER	Dr. Jeanneret Lopez has nothing to disclose.
Spencer Hutto, MD (Emory University: Neurology Residency Program)	Dr. Hutto has nothing to disclose.
Monica B. Dhakar, MBBS (Xenon Pharmaceuticals)	The institution of Dr. Dhakar has received research support from NIH. The institution of Dr. Dhakar has received research support from UCB Biopharma. The institution of Dr. Dhakar has received research support from Marinus Pharmaceuticals.
Denise F. Chen (Emory University)	Ms. Chen has nothing to disclose.
Harshad Ladha, MD (University of Arkansas for Medical Sciences)	Dr. Ladha has nothing to disclose.
Ruba Al-Ramadhani, MD (UMMC)	Dr. Al-Ramadhani has nothing to disclose.
Muruvet Elkay, MD (CHOA, Emory University)	Dr. Elkay has nothing to disclose.
Rebecca E. Matthews, MD (Emory University)	Dr. Matthews has received personal compensation in the range of $5,000-$9,999 for serving as a Consultant for Neurelis. Dr. Matthews has received personal compensation in the range of $10,000-$49,999 for serving as a Speaker with Penry Epilepsy Programs.
Panayiotis Mitsias, MD (Henry Ford Hospital, Neurology)	Dr. Mitsias has nothing to disclose.
Ioannis Karakis, MD, FAAN (Emory University)	Dr. Karakis has received personal compensation for serving as an employee of Emory University School of Medicine. Dr. Karakis has received personal compensation in the range of $500-$4,999 for serving as a Consultant for UCB. Dr. Karakis has received personal compensation in the range of $5,000-$9,999 for serving as a Consultant for GSK. Dr. Karakis has received personal compensation in the range of $10,000-$49,999 for serving as a Consultant for Epitel. Dr. Karakis has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Ceribell. Dr. Karakis has received personal compensation in the range of $500-$4,999 for serving as an Expert Witness for Hill Ward Henderson.