We created and incorporated an IIH case into our incoming neurology residents’ annual orientation simulation course. 21 residents in groups of 3 to 4 participated in a case with a facilitator and standardized patient (SP).

The case narrative for the SP included the headache description, associated features, headache triggers and simulated physical examination findings. There were five phases of the case 1) history-taking to identify the “red flag” symptoms of secondary headache 2) physical exam with images of papilledema projected on a computer screen 3) review of brain MRI with evidence of elevated intracranial pressure 4) identification of IIH diagnosis and patient education on treatment and 5) debrief.

After the simulation, resident satisfaction of the headache simulation along with five other case simulations was assessed using a Likhert scale from 1 (unsatisfied) to 5 (most satisfied).