Abstract Details

Title A Standardized Patient-based Simulation Study on Herpes Simplex Virus (HSV) Encephalitis in a Preclinical Neuroscience Curriculum

Topic ��ɫ��, Research, and Methodology

Presentation(s) P8 - Poster Session 8 (5:30 PM-6:30 PM)

Poster/Presentation
Number 7-002

Objective To administer an educational simulation to medical students in a preclinical neuroscience curriculum to improve confidence in diagnosing and managing altered mental status (AMS), Herpes Simplex Virus (HSV) encephalitis, and seizure.

Background Pre-clinical medical students receive limited interaction with patients with AMS. Simulations can address gaps in medical student education. We developed a standardized patient (SP)-based simulation to improve students’ confidence and competence in the neurological examination and differential diagnosis in a patient presenting with AMS.

Design/Methods Medical students in the preclinical neuroscience curriculum participated in a formative simulation on HSV encephalitis. During the simulation, students interviewed and examined an SP with fever, confusion, and aphasia. Students submitted five differential diagnoses and reviewed the encounter with neurology faculty and housestaff. Lastly, the SP exhibited a tonic-clonic seizure. Students were asked to stabilize the patient, administer medications, and order diagnostic tests. The simulation concluded with a debrief session explaining the results of diagnostic testing and recommendations for managing seizure and HSV encephalitis. Using a 5-point Likert scale ranging from “extremely comfortable” to “not at all comfortable”, matched pre- and post-test surveys assessed students’ comfort with examining, diagnosing, and managing patients with AMS or seizure, and working with peers in a group setting.

Results 83 students completed the pre-test survey, 91 students completed a differential diagnosis, and 60 completed the post-test survey. A Wilcoxon signed-rank test showed that from pre- to post-test, across all domains, students felt more confident in obtaining a history, creating a differential diagnosis, and working with peers with an average increase of 0.81 points (p<0.001). Students found all three parts of the simulation useful (average 3.8/5). 54 students (59%) listed HSV encephalitis on their differential diagnosis.

Conclusions Simulation sessions are a valuable tool to train and build confidence in diagnosing and understanding neurological disorders for medical students.

Authors/Disclosures
Joseph E. Safdieh, MD, FAAN (Weill Medical College of Cornell University) PRESENTER	Dr. Safdieh has received personal compensation in the range of $50,000-$99,999 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for AAN. Dr. Safdieh has received personal compensation in the range of $5,000-$9,999 for serving as an Expert Witness for Dughi, Hewit & Domalewski, P.C.. Dr. Safdieh has received publishing royalties from a publication relating to health care.
Evan Noch, MD (New York Presbyterian Hospital, Weill Cornell Medical Center)	Dr. Noch has received personal compensation for serving as an employee of Destroke, Inc.. Dr. Noch has received personal compensation in the range of $10,000-$49,999 for serving as a Consultant for Lexeo Therapeutics. Dr. Noch has received personal compensation in the range of $500-$4,999 for serving on a Scientific Advisory or Data Safety Monitoring board for Advarra, Inc.. Dr. Noch has received personal compensation in the range of $5,000-$9,999 for serving as an Expert Witness for Imedview, Inc.. Dr. Noch has stock in Destroke, Inc..
Nathan E. Schleinkofer, MD (New York Presbyterian/Weill Cornell)	Dr. Schleinkofer has nothing to disclose.
Safa Kaleem, MD (Mass General Brigham)	Dr. Kaleem has nothing to disclose.
Neel Naik (Weill Cornell Medicine)	No disclosure on file
Mikhail Goman	No disclosure on file
Kevaughn Harvey (Weill Cornell Medicine)	No disclosure on file
Anne Connolly (Weill Cornell Medicine)	No disclosure on file
Erika Abramson (Weill Cornell Medical College)	Erika Abramson has nothing to disclose.
Sydney Katz (Weill Cornell Medical College)	No disclosure on file

��ɫ����

��ɫ����

��ɫ��

��ɫ��