Destiny Chau1, Meriem Bensalem-Owen2, Brenda G Fahy3. 1. Department of Pediatrics, Division of Pediatric Anesthesiology, The Children's Hospital of the King's Daughters, Eastern Virginia Medical School, Norfolk, VA. 2. Department of Neurology, University of Kentucky College of Medicine, Lexington, KY. 3. Department of Anesthesiology, Division of Critical Care Medicine, University of Florida College of Medicine, Gainesville, FL. Electronic address: bfahy@anest.ufl.edu.
Abstract
PURPOSE: The purpose of this study is to evaluate the effectiveness of an interdisciplinary electroencephalogram (EEG) educational module for critical care training. Electroencephalogram is increasingly used for diagnosis, monitoring, and treatment decisions in critically ill patients with neurologic and nonneurologic disorders. Continuous EEG monitoring has an expanded role in the intensive care unit as an additional evaluation tool for critically ill patients with altered mental status. MATERIALS AND METHODS: During a neurosurgical intensive care rotation, pulmonary critical care fellows participated in an EEG curriculum covering didactics, clinical exposure, and EEG interpretations. Using 25-question evaluation tools, including EEG interpretations, participants were assessed before EEG instruction and after curriculum completion. RESULTS: Nine fellows completed the pilot study. Evaluation scores increased from 7.56±2.24 to 16.67±2.96 (P<.001). CONCLUSIONS: An interdisciplinary approach was effective for increasing EEG knowledge in critical care fellows as measured by the assessment tools. As an added potential benefit, the pulmonary fellows also learned about sleep disorder-related EEG. This model can be replicated in other institutions for trainees of other specialties interested in critical care.
PURPOSE: The purpose of this study is to evaluate the effectiveness of an interdisciplinary electroencephalogram (EEG) educational module for critical care training. Electroencephalogram is increasingly used for diagnosis, monitoring, and treatment decisions in critically illpatients with neurologic and nonneurologic disorders. Continuous EEG monitoring has an expanded role in the intensive care unit as an additional evaluation tool for critically illpatients with altered mental status. MATERIALS AND METHODS: During a neurosurgical intensive care rotation, pulmonary critical care fellows participated in an EEG curriculum covering didactics, clinical exposure, and EEG interpretations. Using 25-question evaluation tools, including EEG interpretations, participants were assessed before EEG instruction and after curriculum completion. RESULTS: Nine fellows completed the pilot study. Evaluation scores increased from 7.56±2.24 to 16.67±2.96 (P<.001). CONCLUSIONS: An interdisciplinary approach was effective for increasing EEG knowledge in critical care fellows as measured by the assessment tools. As an added potential benefit, the pulmonary fellows also learned about sleep disorder-related EEG. This model can be replicated in other institutions for trainees of other specialties interested in critical care.
Authors: Brenda G Fahy; Samsun Lampotang; Jean E Cibula; W Travis Johnson; Lou Ann Cooper; David Lizdas; Nikolaus Gravenstein; Terrie Vasilopoulos Journal: Cureus Date: 2022-04-24
Authors: Jennita G Meinema; Nienke Buwalda; Faridi S van Etten-Jamaludin; Mechteld R M Visser; Nynke van Dijk Journal: Acad Med Date: 2019-02 Impact factor: 6.893