Abstract Details

Title Piloting Teleneurology Simulations for Adult Neurology Residents

Topic Education, Research, and Methodology

Presentation(s) P11 - Poster Session 11 (11:45 AM-12:45 PM)

Poster/Presentation
Number 7-003

Background

Telemedicine has become more prevalent in neurologic practice in the last decade. With the neurologist removed from the bedside, proficiency in web-side manner and web-based examination is a new skillset requiring training to prepare residents to practice independently. Simulated patient encounters (SPEs) can provide an avenue for trainees to practice these concepts and can be widely instituted across educational programs.

Objective We describe the feasibility of and pilot data from teleneurology simulations.

Design/Methods From Jan 2021 to present, we instituted a new longitudinal curriculum for neurology residents to improve their understanding and utilization of telemedicine technologies and patient engagement virtually. For this curriculum, we created a set of SPEs with PGY-specific objectives . Four SPEs encompassing inpatient and outpatient clinical cases, two per PGY2 and PGY3 year, were created and incorporated the InTouch Viewpoint telemedicine platform. SPEs were conducted with standardized patients at our institutional clinical skills center. Residents prepared for the simulations by completing interactive online modules to enhance familiarity with the platform. Data on technical use of the InTouch software and exam componentswere collected.

Results Nineteen residents participated in 20 simulations across PGY2 and 3 years. PGY2 residents had more technical interruptions (88%) and did not use the stroke images preloaded in InTouch (44%) as much as PGY3 residents (50% and 70% respectively). Most residents did not perform lower extremity ataxia testing (PGY2 22% and PGY3 10%) but the PGY2 residents were more likely to do gait testing than PGY3 residents (88% vs 0%), likely owing to the acuity of the PGY3 scenarios (acute stroke evaluations).

Conclusions

Teleneurology simulations were feasible and the PGY-specific goals assisted our faculty in identifying limitations in technical familiarity and exam elements that trainees less readily performed over telemedicine. This pilot data guides ongoing telemedicine curriculum development.

Authors/Disclosures
Alicia Zha, MD (The Ohio State University Wexner Medical Center) PRESENTER	Dr. Zha has nothing to disclose.
Rohini D. Samudralwar, MD (The University of Pennsylvania)	Dr. Samudralwar has received personal compensation in the range of $500-$4,999 for serving on a Scientific Advisory or Data Safety Monitoring board for EMD Serono. Dr. Samudralwar has received personal compensation in the range of $500-$4,999 for serving as a Speaker with Multiple Sclerosis Association of America.
Shivika Chandra, MD, FAAN (University of Texas Health Science Center at Houston)	The institution of Dr. Chandra has received research support from American Board of Psychiatry and Neurology Faculty Innovation in Education Award.
Amanda Jagolino-Cole, MD, FAAN (University of Texas Health Science Center At Houston)	Dr. Jagolino-Cole has received personal compensation in the range of $500-$4,999 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for American Academy of Neurology - Neurology Clinical Practice Journal. . The institution of Dr. Jagolino-Cole has received research support from McGovern Medical School at the University of Texas Health Science Center at Houston.