好色先生

好色先生

Explore the latest content from across our publications
Join The AAN

Log In

Forgot Password?
Create New Account

Loading... please wait

Abstract Details

Neurological Coma Examination Training in Medical 好色先生
好色先生, Research, and Methodology
P7 - Poster Session 7 (5:00 PM-6:00 PM)
5-012
We hypothesized that developing standardized training for the neurological coma examination will ensure medical trainees are effectively taught the necessary skills to perform and interpret physical examinations on comatose patients.
It has been shown that medical trainees lack confidence in their physical examination skills and understanding the significance of their findings.
Twenty-eight third and fourth-year medical students rotating in the Neuro-intensive care unit (NICU) participated in a one-hour coma examination training consisting of a lecture and skills demonstration led by a neurocritical care attending. Students completed an anonymous pre/post-session survey assessing their confidence and comfortability in performing a coma examination. Survey answer options were designed on a Likert scale from 1-5 with 1 being “strongly disagree” and 5 being “strongly agree.” Statistical analysis was performed using the Wilcoxon signed ranks test.
There were statistically significant increases in self-rated comfort level and clinical competency in all areas following the training. Question 9 (“I am able to teach another student how to complete a comprehensive neurological physical examination of a comatose patient”) and question 2 (“I am able to determine a Glasgow coma score for a comatose patient”) showed the greatest improvement from pre- to post-survey responses (p-value: <0.001, Wilcoxon signed ranks test).  Half of respondents answered 5 (“strongly agree”) to question 12 (“The coma clinical skills workshop increased my confidence in my ability to perform a comprehensive neurological physical examination on a comatose patient”).
Our results demonstrate that standardized neurological coma examination training in medical education is an effective teaching method. This approach should be further explored by expanding the training to include more students and learner types such as residents and nurses. Long-term efficacy may need to be determined through a follow-up survey of students at the end of their medical education after working in other ICU settings.
Authors/Disclosures
Emma Streveler, MD
PRESENTER 		Dr. Streveler has nothing to disclose.
Francis Lauzier, MD Ms. Lauzier has nothing to disclose.
Syeda Maria Muzammil, MD (RUMC-Neurology) Dr. Muzammil has nothing to disclose.
Wazim Mohamed, MD (Detroit Medical Center/Wayne State University) Dr. Mohamed has nothing to disclose.
Scott Millis Scott Millis has received personal compensation in the range of $500-$4,999 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for Taylor & Francis. The institution of Scott Millis has received research support from NIH & NIDILRR.
Deepti Zutshi, MD, FAAN (Wayne State University School of Medicine) Dr. Zutshi has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Xenon pharmaceuticals. An immediate family member of Dr. Zutshi has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Boston Scientific. Dr. Zutshi has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Aucta Pharmaceuticals. Dr. Zutshi has received personal compensation in the range of $500-$4,999 for serving on a Speakers Bureau for Aucta.