Abstract Details

Title Virtual Neuropalliative Care Curriculum Improves Residents' Confidence and Knowledge

Topic Pain

Presentation(s) P1 - Poster Session 1 (9:00 AM-5:00 PM)

Poster/Presentation
Number 447

Objective Our study aimed to determine the feasibility and efficacy of a virtual neuropalliative care curriculum to neurology residents.

Background In 2019, the ACGME recommended that neurology residency programs train residents to assess patients’ “care goals, including, when appropriate, end-of-life goals." The International Neuropalliative Care Society has developed a publicly available curriculum, ��ɫ�� in Palliative and End-of-Life Care-Neurology (EPEC-N),¹ addressing multiple domains of neuropalliative care.²

Design/Methods Participants included 30 adult neurology residents at all levels of training. Instructors were faculty and fellows recruited from multiple divisions within neurology. The curriculum consisted of 4 virtual sessions lasting 45-60 minutes each, in groups of 4-6 learners. Teaching techniques included interactive lecture, case-based discussion, and roleplay. Surveys about content knowledge were distributed to all participating residents before and after completion. Residents had the opportunity to provide anonymous feedback in the form of written comments. Verbal feedback was elicited from instructors.

Results The response to the curriculum was largely favorable. Residents reported subjectively increased confidence during serious illness conversations (92.8% vs. 75.8%), improvements in communication techniques and knowledge of Advanced Care Planning (100% of respondents). In open-ended feedback, residents highlighted the practical nature and interactive design of the modules as strengths. Several residents expressed a desire for more sessions. Instructors found the modules easy to use and adaptable.

Conclusions Neurology residents find virtual palliative care training acceptable and useful. The EPEC-N curriculum is an accessible, adaptable resource that was favorably received by both learners and instructors. Further studies are needed in order to fully characterize the needs of neurology residents and instructors in neuropalliative care training. Objective assessments of performance (I.e. simulations or observed encounters) are also needed to fully assess the efficacy of this curriculum.

Authors/Disclosures
Eileen Harrigan, MD (New York University-Langone) PRESENTER	Dr. Harrigan has nothing to disclose.
Laura Donovan, MD (New York Presbyterian Hospital, Columbia)	Dr. Donovan has nothing to disclose.
Alexander Frolov, MD (UT Southwestern Medical Center)	Dr. Frolov has nothing to disclose.
Tarini Goyal	Dr. Goyal has nothing to disclose.

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