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Abstract Details

Implementing and Assessing a Virtual Flipped Classroom Neurology Course for African Physicians
General Neurology
P6 - Poster Session 6 (11:45 AM-12:45 PM)
11-002
To assess and compare knowledge, confidence, and satisfaction among participants in a virtual lecture-based and a virtual flipped classroom neurology curriculum for physicians in Africa.

Despite a growing burden of neurologic disease, Africa has few neurologists, limiting access to neurologic education for front-line providers. Virtual learning offers a promising solution to improve knowledge; however, limited data exist on the efficacy of different virtual learning formats.
A virtual introductory neurology course consisting of recorded lectures and teaching cases was adapted from the Zambia neurology clerkship curriculum. Physicians across Africa were recruited to participate in the course and randomized to either a self-paced, asynchronous online lecture curriculum (traditional group) or a flipped classroom curriculum that included weekly synchronous Zoom case discussions (flipped group). Participants completed surveys before and after the course including a knowledge assessment and course evaluation.

122 physicians from 14 countries and 12 specialties completed the course (34 in flipped group; 88 in traditional group). Participants in the flipped cohort had a significantly higher average improvement in knowledge assessment scores compared to the traditional group (18% vs 8%, p = 0.009). Participants in both groups expressed greater confidence in managing neurologic conditions after the course (1.27-point improvement (flipped group) vs 1.04 (traditional group) on 5-point Likert scale, p = 0.31). Over 90% of participants in both groups expressed satisfaction with the course and agreed that it was relevant to their practice setting. Top barriers to participation included technical difficulties and time commitment.  
Participants in a virtual flipped classroom neurology course had significantly higher improvement in knowledge scores as compared to participants in a virtual lecture-based course. Participants in both courses expressed high satisfaction and relevance to their practice setting. The virtual flipped classroom is a promising tool to improve access to neurology education.
Authors/Disclosures
Annie McDonough, MD (UCSF)
PRESENTER 		Dr. McDonough has nothing to disclose.
Melody T. Asukile, MBBS (University Teaching Hospital) Dr. Asukile has received research support from Royal Society for Tropical Medicine and Hygiene. The institution of Dr. Asukile has received research support from Leverhulme Trust. Dr. Asukile has received personal compensation in the range of $0-$499 for serving as a meeting speaker with American Neurological Association.
Mashina Chomba, MBChB (University of Zambia) Dr. Chomba has nothing to disclose.
Dickson Munkombwe, MD (University Teaching Hospital - Adult Hospital) Dr. Munkombwe has nothing to disclose.
Lorraine Chishimba, MBChB, MMED (University Teaching Hospital) Dr. Chishimba has nothing to disclose.
Mataa Mataa, MD Mataa Mataa has nothing to disclose.
Meron Gebrewold, MD (Addis Ababa University) Dr. Gebrewold has nothing to disclose.
Alexandra Peloso, MD Dr. Peloso has nothing to disclose.
Faith Simushi, MD (University Teaching Hospital) Dr. Simushi has received research support from American Neurological Association - ANA.
Naluca Mwendaweli, MMED (University Teaching Hospital) NALUCA MWENDAWELI has nothing to disclose.
Sarah Braun, MD (University Teaching Hospital, Lusaka, Zambia) Sarah Braun has nothing to disclose.
Stanley Zimba, MBBS (University Teaching Hospital) Dr. Zimba has nothing to disclose.
Frighton B. Mutete, MBChB (Livingstone University Teaching Hospital) Dr. Mutete has nothing to disclose.
Kathryn Holroyd, MD The institution of Dr. Holroyd has received research support from NINDS.
Aaron L. Berkowitz, MD, PhD, FAAN Dr. Berkowitz has received personal compensation in the range of $500-$4,999 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for AAN. Dr. Berkowitz 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 McGraw-Hill 好色先生. Dr. Berkowitz has received personal compensation in the range of $10,000-$49,999 for serving as an Expert Witness for various law firms. Dr. Berkowitz has received publishing royalties from a publication relating to health care. Dr. Berkowitz has received publishing royalties from a publication relating to health care. Dr. Berkowitz has received publishing royalties from a publication relating to health care. Dr. Berkowitz has received publishing royalties from a publication relating to health care. Dr. Berkowitz has received publishing royalties from a publication relating to health care. Dr. Berkowitz has received personal compensation in the range of $500-$4,999 for serving as a Content creator with Clinical problem Solvers. Dr. Berkowitz has received personal compensation in the range of $5,000-$9,999 for serving as a Consultant with Thieme Publisher.
Deanna Saylor, MD, MHS (Johns Hopkins Hospital) Dr. Saylor has received personal compensation in the range of $500-$4,999 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for 好色先生. The institution of Dr. Saylor has received research support from National Institutes of Health. The institution of Dr. Saylor has received research support from 好色先生. Dr. Saylor has a non-compensated relationship as a Member of multiple committees and task forces focused on improving access to MS medications to people across the world with Multiple Sclerosis International Federation that is relevant to AAN interests or activities. Dr. Saylor has a non-compensated relationship as a Member of the Neurology and COVID19 committee with World Health Organization that is relevant to AAN interests or activities. Dr. Saylor has a non-compensated relationship as a Member of the International Outreach Committee, Junior and Early Career Membership Committee, and 好色先生al Innovation Commitees with American Neurological Association that is relevant to AAN interests or activities.