Abstract Details

Title High Fidelity Simulation of Acute Neurology Enhances Confidence and Knowledge of Rising Residents

Topic ��ɫ��, Research, and Methodology

Presentation(s) P8 - Poster Session 8 (11:45 AM-12:45 PM)

Poster/Presentation
Number 7-005

Objective Facilitate competency of junior neurology residents using high fidelity simulations.

Background Graduating from internal medicine to neurology can be challenging. The best approach to address this transition has yet to be identified. Studies show that simulation is highly effective at reinforcing knowledge and skills while improving learner confidence. High fidelity simulations are becoming increasingly incorporated into medical training.

Design/Methods In July 2021, our military residency program conducted its third annual week-long “boot camp” course for new PGY2s. For the first time, we hosted residents from a neighboring civilian academic institution, quadrupling the course size. Participants completed three high-fidelity acute neurology cases at the simulation center of a military, level 1 trauma center. Simulations included acute embolic stroke, status epilepticus (SE) in an austere environment and brain death evaluation with family counseling. Residents were sent identical pre- and post-assessments which included four technical questions per simulation and used Likert scales to gauge learner confidence with key points.

Results Self-reported confidence statistically improved after all simulations. This included assessing for (n = 12, p = 0.001) and identifying contraindications (p = 0.002) to tPA, identifying acute ischemic stroke (p = 0.005), clot retrieval candidates (p = 0.001), identifying clinical (n = 6, p = 0.046) and electrographic SE (p = 0.025), diagnosing (p = 0.025) and treating SE (p = 0.014), identifying contraindications to (n = 12, p = 0.002) and confounders of (p = 0.002) brain death diagnosis, performing the exam (p = 0.001) and deliver bad news to families (p = 0.001). Technical knowledge also statistically improved with the stroke (p = 0.046) and brain death simulation (p = 0.039), but not the SE simulation (p = 0.296).

Conclusions High fidelity simulation of neurologic emergencies enhances confidence and knowledge of rising neurology residents. Academic hospitals can consider incorporating simulations into their neurology “boot camps.”

Authors/Disclosures
Zahari Tchopev, MD (Brooke Army Medical Center Department of Neurology) PRESENTER	Dr. Tchopev has nothing to disclose.
Alexis E. Nelson, MD, FAAN	Dr. Nelson has nothing to disclose.
Morgan Jordan, DO	Dr. Jordan has nothing to disclose.

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