好色先生

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Abstract Details

Team is Brain: An Interdisciplinary 好色先生al Initiative to Improve Stroke Care in the Emergency Department
Research Methodology, 好色先生, and History
S44 - Research Methodology and 好色先生 (4:42 PM-4:54 PM)
007
Implementation of interdisciplinary simulation-based education for trainees in emergency medicine (EM) and neurology will improve teamwork and clinical knowledge needed to care for acute stroke patients presenting to the emergency department (ED).  Using a high-fidelity simulation of an acute ischemic or hemorrhagic stroke ED encounter, our intervention will foster interdisciplinary collaboration amongst colleagues, and demonstrate sustained retention of knowledge related to acute stroke care.
Nationally, EM physicians care for the majority of acute stroke patients, yet very little dedicated training for acute stroke care currently exists in EM residency programs. Training opportunities for EM and neurology residents to function as an integrated team are even more rare and curricular guidance on how to achieve this is lacking.
Incoming EM and neurology residents participated in a pilot simulation training program of an acute stroke patient presenting to the ED. Clinical performance was assessed via a checklist as well as pre and post-intervention written assessments. The primary outcome was perceived efficacy of teamwork, which was objectively obtained via a Likert scale-based survey. The secondary outcome of interest included retention of clinical knowledge in either in the immediate or long-term post-intervention assessments (60 days following), which was measured via a MCQ assessment.
Immediately post-intervention, affective surveys showed improvements in perceptions of teamwork efficacy by 13.67% (EM) and 10.33% (neurology) compared to baseline. Sustained improvements of 14.93% (EM) and 12.67% (neurology) were seen at 60-days post-intervention. Both EM and neurology residents demonstrated immediate and long-term post-intervention retention of acute stroke care knowledge compared to pre-intervention assessments.
Integration of simulation-based multidisciplinary acute stroke education in the training of EM and neurology residents improves clinical knowledge and perceptions of teamwork outcomes. To our knowledge, this multidisciplinary stroke simulator is the first of its kind to integrate EM and neurology resident team-based training for acute stroke care. 
Authors/Disclosures
Erin R. Fiedler, DO (Baylor Scott & White Neurology)
PRESENTER 		Dr. Fiedler has nothing to disclose.
Michael Teitcher, MD Dr. Teitcher has nothing to disclose.
Rick Gill, MD (Loyola University Medical Center) Dr. Gill has nothing to disclose.
Matthew A. McCoyd, MD (Loyola University, Stritch School of Medicine) Dr. McCoyd has received personal compensation in the range of $500-$4,999 for serving on a Speakers Bureau for Genzyme. Dr. McCoyd has received personal compensation in the range of $500-$4,999 for serving on a Speakers Bureau for EMD Serono.
Sean D. Ruland, MD (Loyola University Medical Center) Dr. Ruland has received personal compensation in the range of $500-$4,999 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for Up to Date. Dr. Ruland has received personal compensation in the range of $500-$4,999 for serving as an Expert Witness for Law Firms.