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Abstract Details

Confidence and Knowledge Retention For Inpatient Acute Stroke Management Among Internal Medicine Residents Via a "Code Stroke" Lecture
Research Methodology, 好色先生, and History
Research Methodology and 好色先生 Posters (7:00 AM-5:00 PM)
051

The objectives of this survey-based study were to: 1) assess pre-existing confidence and knowledge about acute stroke care among internal medicine trainees and 2) measure any change after a dedicated lecture-based didactic ("intervention") regarding acute stroke care.
Acute stroke management is essential in neurology residency education, with most programs providing a combination of lectures, simulations, and patient-based didactics. However, medical trainees in related specialties are less likely to be provided dedicated training in acute stroke care despite having to care for hospitalized patients with acute stroke
A pre-lecture survey and knowledge assessment was given to internal medicine residents and medical students, followed by one-hour lecture on acute stroke management. A post-intervention survey and knowledge assessment as administered immediately after the lecture, and again approximately 3-4 weeks later at the end of their rotation. A 10-point Likert scale was used to indicate confidence. Statistics were performed using Student’s T-Test via Microsoft Excel.
Fifty-one respondents participated in the survey and knowledge assessment; 25% completed the delayed post-intervention survey (average 22 days after intervention). On average, respondents scored 56% on knowledge assessment, which improved to 89% post-intervention (p<0.001). There was no significant difference between immediate versus delayed knowledge assessment (p=0.31). Respondents reported modest confidence pre-intervention (5.2/10 and 5.8/10) and increased confidence (6.4/10, p=0.0007; 6.8/10, p=0.0007) post-intervention in their ability to respond to an inpatient code stroke, in addition to understanding indications and contraindications for various acute stroke therapies. 

A dedicated lecture-based intervention was useful in improving acute stroke management knowledge and confidence among internal medicine trainees, which were retained throughout their rotation.

Authors/Disclosures
Vincent LaBarbera, MD (Brown Neurology)
PRESENTER 		Dr. LaBarbera has nothing to disclose.
Daniel Sacchetti, DO, FAAN Dr. Sacchetti has nothing to disclose.