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Abstract Details

Brain Death Determination Skills Workshop for Neurology Residents
Research Methodology, 好色先生, and History
P2 - Poster Session 2 (5:30 PM-6:30 PM)
4-009
Brain death determination is an essential skill that neurologists are expected to perform, however a survey amongst our neurology residents at the University of Minnesota revealed low comfort levels and low exposure to brain death determination. Therefore, an educational simulation was designed based on 2010 AAN practice guidelines to address this gap. The objective of the workshop was to increase neurology resident comfort level with brain death determination.
The role of simulation in medical education is growing and its use in brain death assessment has been described. Our study adds to this body of literature, but differs from prior studies in its targeting of neurology residents and incorporation of real-time formative feedback as opposed to summative assessment.

A simulated patient environment was created using high-fidelity mannequins in ICU setting at the Hennepin Healthcare Simulation Center. Neurology residents collaborated in pairs to review clinical data, establish the prerequisites and perform the brain death exam and apnea test. Faculty facilitators completed a checklist for all the components of the exam and gave immediate feedback. Afterwards, learners completed a survey about the workshop.
A total of 17 neurology residents completed the brain death skills workshop. Facilitators provided formative feedback to all learners in real-time. After completing the workshop, learners’ self-assessed ability to recall prerequisites to brain death increased by 83% and comfort levels with performing brain death exam, performing apnea test, and diagnosing a patient with brain death increased significantly by 85%, 117%, and 75%, respectively.
Completing a simulation workshop in brain death determination was effective in improving neurology resident comfort level with this important skill. Repeat testing in the simulation environment as well as observation in the clinical learning environment in order to assess for knowledge and skill retention and demonstrable change in behavior at bedside are planned.
Authors/Disclosures
Roshni A. Patel, MD (Jesse Brown VA)
PRESENTER 		Dr. Patel has nothing to disclose.
Lisa Brown, ScD No disclosure on file
No disclosure on file
No disclosure on file
Michael Leffler-McCabe, MD (Minneapolis VA Medical Center) No disclosure on file
Ezgi Tiryaki, MD, FAAN Dr. Tiryaki has or had stock in HITIT Leadership Coaching.Dr. Tiryaki has a non-compensated relationship as a Professor of Neurology with University of Minnesota that is relevant to AAN interests or activities. Dr. Tiryaki has a non-compensated relationship as a Clinic Director of a Center of Excellence with The ALS Association that is relevant to AAN interests or activities. Dr. Tiryaki has a non-compensated relationship as a Volunteer Clinical Neurologist at ALS Clinic with Minneapolis VA Healthcare System that is relevant to AAN interests or activities.