Abstract Details

Title Improving Electroencephalogram (EEG) Reading and Interpretation Skills during Neurology Residency Training

Topic ��ɫ��, Research, and Methodology

Presentation(s) P6 - Poster Session 6 (11:45 AM-12:45 PM)

Poster/Presentation
Number 5-004

Objective Our objective is to determine if the redesign of an EEG rotation as well as the separation from the clinical Epilepsy rotation improves resident confidence and performance.

Background Traditionally, EEG interpretation is learned by apprenticeship, with a resident/fellow reading in-person side by side with an epileptologist. Since the start of the COVID19 pandemic, various aspects of medical education have changed to on-line platforms. This created a barrier to traditional EEG learning and a decline in the EEG competency amongst the residents in our program.

Design/Methods The study was conducted at a single Neurology residency program at Cooper University Hospital. During EEG blocks, residents meet virtually with an epileptologist to interpret EEGs in real time. During separate Epilepsy blocks, residents diagnose, counsel and treat patients with epilepsy or epilepsy related conditions. A six question Linkert survey was designed to determine current perceptions of EEG training. A six item competency questionnaire was designed based on the EEG milestones by ACGME. The baseline survey and competency questionnaire were completed by 91% of the Neurology residency cohort at the conclusion of the 2024 academic year, prior to the implementation of those changes. A repeat survey and competency questionnaire will be re-administered.

Results At baseline (n=11), 18% of residents felt strong in identifying generalized-tonic-clonic (GTC) seizure on EEG. At baseline, 50% residents correctly identified a GTC, 27% could identify the posterior dominant rhythm (PDR), and 50% identified lateralized periodic discharges (LPDs) on an epoch. Preliminary data shows that after our redesign of EEG and Epilepsy training, (n=6) 33% of residents feel strong in identifying a GTC seizure on EEG and that 100% of residents correctly identified a GTC, 91% identified the PDR and 83% identified LPDs on EEG.

Conclusions Re-introduction of dedicated time for synchronous EEG interpretation, even if virtually, seems to increase confidence and competency of EEG interpretation.

Authors/Disclosures
Estefania J. Alba-Rodriguez, MD (Brown University Health) PRESENTER	Dr. Alba-Rodriguez has nothing to disclose.
Eric Nagele, DO (Cooper Hospital- Department of Neurology)	Dr. Nagele has nothing to disclose.
Neda Jafri, DO (Cooper Hospital)	Dr. Jafri has nothing to disclose.
Jesse Thon, MD (Cooper University Hospital)	An immediate family member of Dr. Thon has received personal compensation in the range of $10,000-$49,999 for serving as a Consultant for Horizon. An immediate family member of Dr. Thon has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Genentech. An immediate family member of Dr. Thon has received personal compensation in the range of $500-$4,999 for serving on a Speakers Bureau for Genentech.
Evren Burakgazi, MD	Dr. Burakgazi has received personal compensation in the range of $500-$4,999 for serving on a Speakers Bureau for SK life Sciences. Dr. Burakgazi has received personal compensation in the range of $500-$4,999 for serving on a Speakers Bureau for Neurelis.
Melissa A. Carran, MD (Cooper University Med Center)	Dr. Carran has nothing to disclose.
Larisa Syrow, MD	Dr. Syrow has nothing to disclose.
Olga R. Thon, MD (Cooper Neurological Institute)	Dr. Thon has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Genentech. Dr. Thon has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Horizon. Dr. Thon has received personal compensation in the range of $5,000-$9,999 for serving on a Speakers Bureau for Horizon.

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