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Abstract Details

The Implementation and Assessment of a Comprehensive Simulation-Based Curriculum in Treating Acute Neurological Emergencies at UC San Diego: Preliminary Results and Findings
Research Methodology, 好色先生, and History
P2 - Poster Session 2 (5:30 PM-6:30 PM)
4-002

The overall objective is to introduce a comprehensive pilot simulation-based curriculum implemented in the UC San Diego Neurology Residency Program and to present preliminary findings regarding resident satisfaction and overall interest in the current curriculum.

Simulation-based learning has become a crucial component of medical education. There is little data about the impact of simulation in neurology, including neurological emergencies and neurocritical care.

This is a single-group pre-post study conducted at the UCSD Simulation Training Center. Subjects are residents of the UCSD Department of Neurology. Simulation sessions consist of interactive clinical scenarios (ischemic stroke, intracranial hemorrhage, status epilepticus, spinal cord emergencies – pending) led by trained faculty members and debriefing sessions immediately following. Collected data assess for changes in anticipated comfort/confidence levels and future interest. Longitudinal assessment of application to clinical practice is currently pending data collection.

In July 2018, 13 PGY 2-4 residents participated in simulation sessions on acute ischemic stroke and intracranial hemorrhage. Prior to the session, 30% of residents reported either feeling not comfortable or having never treated neurological emergencies (likely due to the start of the new residency training year). All residents had received some neurological emergency training through didactic lectures prior to this session, but only 61.5% of residents received hands-on simulation training. Following the session, 90% felt more comfortable treating acute ischemic stroke and 80% with intracranial hemorrhage. Residents found that “being put on the spot” and “going through real-life cases” were the most valuable components of the session. All residents were interested in attending additional sessions.

Preliminary results suggest that residents find simulations valuable and useful in their training on neurological emergency and critical care. Through this project, we hope to highlight the need and value of simulation-based education in neurology residency by providing evaluative information and curricula examples.

Authors/Disclosures
Victoria L. Wu, MD (UC San Francisco)
PRESENTER
Dr. Wu has nothing to disclose.
Cynthia Gonzalez, MD Dr. Gonzalez has nothing to disclose.