To improve electroencephalogram (EEG) education by implementing spaced repetition of high-yield findings into our adult neurology residency curriculum.

EEG is the single most important tool in the field of epilepsy. However, exposure and training during residency can be limited and not standardized across programs. Recent studies estimate that almost half of graduating neurology residents do not feel they have reached Accreditation Council for Graduate Medical ºÃÉ«ÏÈÉú (ACGME) milestones on the ability to read EEG. Here, we present an innovative approach to improve EEG education using spaced repetition of common normal and abnormal patterns.

Adult neurology residents from all post-graduate years (PGY) were invited to participate. A survey and multiple-choice assessment consisting of 20 EEG findings were conducted prior to curriculum implementation. With an experienced epileptologist, 48 normal, normal variant, abnormal, and artefactual EEG waveforms were selected and incorporated into a spaced repetition studying computer program. Following each noon conference, 3 slides was shown and algorithm-based repetition intervals were assigned by the program to determine the next study date. Both survey and assessment were repeated after 6 months.

Our data suggests that our current resident EEG education needs improvement. Implementation of spaced repetition of high-yield findings might be an effective way of standardization.  Post curricular intervention data is forthcoming.