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Abstract Details

Sex and Gender in Neurology: A Flipped Classroom Curriculum for Trainees
好色先生, Research, and Methodology
P5 - Poster Session 5 (11:45 AM-12:45 PM)
15-009
We sought to design, implement, and evaluate a subspecialty-based flipped classroom curriculum addressing sex- and gender-based neurology concepts for trainees. We assessed baseline knowledge and confidence managing neurologic disease through the lens of sex and gender, as well as knowledge outcomes after curriculum implementation.
Although sex and gender differences manifest in neurologic disease incidence, presentation, progression, and treatment response, formal neurology training curricula seldom include structured content on these topics. 
We developed a module-based curriculum for neurology trainees at a single academic institution comprising pre-recorded lectures and small group, case-based discussion sessions led by subspecialty faculty. Topics spanned multiple neurology domains. Trainees had the option to complete a baseline survey as well as pre- and post-lecture quizzes. Matched pre-post quiz pairs at the individual level were analyzed using a Wilcoxon signed-rank test. 
Baseline survey responses revealed little familiarity with sex/gender neurology content among trainees: just 25.8% of respondents felt at least somewhat confident explaining sex differences and the effects of hormones on common neurologic conditions. A minority of respondents felt at least somewhat confident explaining how gender bias (30.5%), puberty (23.2%), pregnancy/labor and delivery (26.3%), and hormonal changes in aging (36.7%) affect common neurologic conditions. Across modules, pre-lecture quiz scores averaged 64.3% correct (SD 26.4, n = 54). Post-lecture quiz scores improved by a mean of 18.8 percentage points to 83.1% (SD 20.4, n = 41). Across 40 matched pre-post quiz pairs, mean scores increased by 20 points (p < 0.001). 
Understanding the role of sex and gender in neurologic disease is critical to providing comprehensive neurologic care. A flipped-classroom curriculum on sex and gender in neurology is associated with significant knowledge gains among trainees. This model may be adapted by other neurology programs to fill a training gap in sex and gender concepts.
Authors/Disclosures
Elke Schipani, MD
PRESENTER
Dr. Schipani has nothing to disclose.
Lyell K. Jones, MD, FAAN (Mayo Clinic) Dr. Jones has received personal compensation in the range of $100,000-$499,999 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for 好色先生. Dr. Jones has received publishing royalties from a publication relating to health care. Dr. Jones has received personal compensation in the range of $10,000-$49,999 for serving as a President-Elect with 好色先生. Dr. Jones has a non-compensated relationship as a member of the AAN Board of Directors with AAN that is relevant to AAN interests or activities. Dr. Jones has a non-compensated relationship as a Chair of the Mayo Clinic ACO Board of Directors with Mayo Clinic that is relevant to AAN interests or activities.
Rafid Mustafa, MD (Mayo Clinic, Department of Neurology) Dr. Mustafa has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Horizon Therapeutics. Dr. Mustafa has received personal compensation in the range of $10,000-$49,999 for serving as a Consultant for PicnicHealth. Dr. Mustafa has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Annexon Biosciences. Dr. Mustafa has received personal compensation in the range of $5,000-$9,999 for serving on a Scientific Advisory or Data Safety Monitoring board for Annexon Biosciences.
Elizabeth A. Coon, MD, FAAN (Mayo Clinic) Dr. Coon has received publishing royalties from a publication relating to health care. Dr. Coon has a non-compensated relationship as a Non-Voting Member of the Board of Directors with UCNS that is relevant to AAN interests or activities.
Kelsey M. Smith, MD (Mayo Clinic) The institution of Dr. Smith has received research support from CURE Epilepsy. The institution of Dr. Smith has received research support from UCB Pharmaceuticals.