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Abstract Details

The Use of Standardized Patients versus Mannequin-Simulation for Training in Neurologic Emergencies – How “Real” is Real Enough? A Pilot Study
Research Methodology, 好色先生, and History
P2 - Poster Session 2 (5:30 PM-6:30 PM)
4-012
To determine if resident knowledge and/or confidence differentially increase when using standardized actor-patients (SPs) as compared to a multi-media simulation platform in a neurologic emergencies training course.
In neurology, there has been reluctance to use mannequin simulators for resident training because they cannot accurately portray key/common findings of a neurologic exam. SPs can be trained to portray many neurologic deficits, however, their ability to support training in a critical care environment remains unclear. 
20 PGY-2 neurology residents engaged in 3 simulated neurologic emergencies: a right MCA, stroke case, status epilepticus case, and a pontine hemorrhage/coma case. The “stroke” and “status epilepticus” cases were portrayed by trained SPs for half of the residents, while the other half interacted with the simulator-mannequin supplemented with video clips of pertinent neurologic exam findings. Both groups interacted with the simulator for the coma case.  All residents completed a 40 question multiple-choice  test on management of neurologic emergencies and a survey about their confidence handling 15 neurologic and 6 non-neurologic emergencies before and immediately after the simulation sessions. Finally, all residents answered items about the educational quality of their simulation sessions.
When combined, both resident groups had statistically significant higher knowledge scores after their training sessions (pre: 49% vs post: 72%, p<0.001). There was no statistically significant difference in the increase between the two groups (average of 23% increase in both groups). There was also a statistically significant increase in confidence among all residents after training (p<0.001). However, there was no significant difference of the increase in confidence scores between the two groups (SP group = 11.78 points vs. mannequin group = 11.30 points, p=0.865).
This pilot study demonstrates that residents’ knowledge and confidence increase following standardized training encounters in neurologic emergencies, regardless of whether actor-patient or multi-media simulation platforms are used. 
Authors/Disclosures
Casey S. Albin, MD, FAAN (Emory Healthcare)
PRESENTER 		Dr. Albin has received personal compensation in the range of $0-$499 for serving as a Consultant for Azurity Pharmaceutical. Dr. Albin has received personal compensation in the range of $10,000-$49,999 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for Continuum: Life Long Learning in Neurology. Dr. Albin has received research support from 好色先生. Dr. Albin has received publishing royalties from a publication relating to health care.
James Gordon, MD, FRCPC, FAAN No disclosure on file
No disclosure on file
Sahar Zafar, MD Dr. Zafar has received personal compensation in the range of $5,000-$9,999 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for Springer. Dr. Zafar has received research support from NIH. Dr. Zafar has received personal compensation in the range of $5,000-$9,999 for serving as a Speaker for a lecture with Marinus.