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Abstract Details

Simulation Based Training for Status Epilepticus
Neurologic 好色先生
P05 - (-)
008
BACKGROUND: Simulation based training provides a controlled environment that recreates a real-life patient care setting without putting patients at risk. Status epilepticus is a neurological emergency that requires multiple competencies in recognition, history taking, neurological examination, communication skills, and pharmacological knowledge of anti-epileptic treatment. Underperforming in any of these categories during status epilepticus may lead to adverse events.
DESIGN/METHODS: 4 subjects were evaluated. A pre-test of 8 items was given before simulation. Items assessed the subject's comfort ability in status epilepticus management, knowledge of differential diagnosis of status epilepticus, history taking, coma examination, neuroimaging interpretation, status epilepticus algorithm familiarity, communication skills, and knowledge of certain IV anti-epileptic medications, with a 1 (strongly disagree) to 5 (strongly agree) scale. Subjects performed the simulation with a high fidelity mannequin. After simulation and debriefing, subjects were then given a post-test. Paired t-test assessed pre/post test score differences. McNemar test assessed strongly agree pre/post test percentage differences.
RESULTS: Prior to simulation training, none of the four participants indicated strong agreement with any of the eight items assessed. Management, coma examination, neuroimaging interpretation, and communication skills had the highest scores prior to training, while algorithm familiarity and coma examination had the highest scores after training. Mean scores improved for all items except neuroimaging interpretation. The greatest improvement was observed for algorithm familiarity, management, history taking, and knowledge of IV medications. Three of the four participants had improved scores for management, algorithm familiarity, and knowledge of IV medications. Two of the four participants improved for the other items except neuroimaging interpretation.
CONCLUSIONS: Simulation based medical education for status epilepticus may provide trainees with improved learning outcomes and skills without putting patients at risk. Studies are needed to translate simulation based training to patient outcomes.
Authors/Disclosures
Dan J. Capampangan, MD, FAAN (Arc Neurology LLC)
PRESENTER 		No disclosure on file
Joseph Hentz (Mayo Clinic) No disclosure on file
Thomas Leist, MD, PhD, FAAN (Thomas Jefferson University) Dr. Leist has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Biogen. Dr. Leist has received personal compensation in the range of $10,000-$49,999 for serving as a Consultant for Novartis. Dr. Leist has received personal compensation in the range of $500-$4,999 for serving as a Consultant for BMS. Dr. Leist has received personal compensation in the range of $10,000-$49,999 for serving as a Consultant for EMD Serono. Dr. Leist has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Horizon. Dr. Leist has received personal compensation in the range of $10,000-$49,999 for serving as a Consultant for Genentech. Dr. Leist has received personal compensation in the range of $5,000-$9,999 for serving as a Consultant for Sanofi. Dr. Leist has received personal compensation in the range of $10,000-$49,999 for serving on a Speakers Bureau for Biogen. Dr. Leist has received personal compensation in the range of $10,000-$49,999 for serving on a Speakers Bureau for Genentech. Dr. Leist has received personal compensation in the range of $10,000-$49,999 for serving on a Speakers Bureau for Sanofi. Dr. Leist has received personal compensation in the range of $10,000-$49,999 for serving on a Speakers Bureau for Horizon. Dr. Leist has received personal compensation in the range of $10,000-$49,999 for serving on a Speakers Bureau for EMD Seono. Dr. Leist has received personal compensation in the range of $10,000-$49,999 for serving as a Expert Wittness with DHHS HRSA.
Matthew T. Hoerth, MD, FAAN (Mayo Clinic Arizona) Dr. Hoerth has a non-compensated relationship as a Epilepsy.com Editorial Board member with the Epilepsy Foundation of America that is relevant to AAN interests or activities.