Sherri A Braksick1, Kianoush Kashani2, Sara Hocker3. 1. Department of Neurology, Division of Critical Care Neurology, Mayo Clinic, 200 First St SW, Rochester, MN, USA. 2. Department of Internal Medicine, Division of Critical Care Medicine, Mayo Clinic, Rochester, MN, USA. 3. Department of Neurology, Division of Critical Care Neurology, Mayo Clinic, 200 First St SW, Rochester, MN, USA. hocker.sara@mayo.edu.
Abstract
BACKGROUND: Simulation is becoming a more common modality in medical education. The data regarding effectiveness of simulation in critical care neurology education are limited. METHODS: We administered a three-scenario simulation course to critical care fellowship trainees at a large academic medical center as a part of their core curriculum requirement. Pre- and posttests assessing medical knowledge and trainee confidence in managing neurologic disease were completed by all trainees. Overall satisfaction and effectiveness were evaluated following the course. Change in trainee knowledge and confidence before and after the course was assessed for improvement. RESULTS: Sixteen trainees completed the simulation course. Prior to completion, medical knowledge was 5.2 ± 0.9 (of 8 possible correct answers) and following the course was 6.4 ± 1.3 (p = 0.002). Overall confidence improved from 15.4 ± 4.9 (of 30 possible points) to 20.7 ± 3.3 (p = <0.0001). Confidence was significantly improved for neurologic diseases directly assessed during the course (p = <0.0001) as well as for those not directly assessed (p = 0.004). CONCLUSIONS: Simulation is an effective means of neurologic education for critical care trainees, with improvement in both medical knowledge and trainee confidence after completion of a three-scenario simulation experience. This course ensures the exposure of critical care trainees to neurologic diseases that are required curricular milestones to successfully complete the fellowship training program.
BACKGROUND: Simulation is becoming a more common modality in medical education. The data regarding effectiveness of simulation in critical care neurology education are limited. METHODS: We administered a three-scenario simulation course to critical care fellowship trainees at a large academic medical center as a part of their core curriculum requirement. Pre- and posttests assessing medical knowledge and trainee confidence in managing neurologic disease were completed by all trainees. Overall satisfaction and effectiveness were evaluated following the course. Change in trainee knowledge and confidence before and after the course was assessed for improvement. RESULTS: Sixteen trainees completed the simulation course. Prior to completion, medical knowledge was 5.2 ± 0.9 (of 8 possible correct answers) and following the course was 6.4 ± 1.3 (p = 0.002). Overall confidence improved from 15.4 ± 4.9 (of 30 possible points) to 20.7 ± 3.3 (p = <0.0001). Confidence was significantly improved for neurologic diseases directly assessed during the course (p = <0.0001) as well as for those not directly assessed (p = 0.004). CONCLUSIONS: Simulation is an effective means of neurologic education for critical care trainees, with improvement in both medical knowledge and trainee confidence after completion of a three-scenario simulation experience. This course ensures the exposure of critical care trainees to neurologic diseases that are required curricular milestones to successfully complete the fellowship training program.
Entities:
Keywords:
Critical care; Medical education; Neurologic emergency; Neurology; Simulation
Authors: Torrey A Laack; Yue Dong; Deepi G Goyal; Annie T Sadosty; Harpreet S Suri; William F Dunn Journal: Simul Healthc Date: 2014-08 Impact factor: 1.929
Authors: Benjamin J MacDougall; Jennifer D Robinson; Liana Kappus; Stephanie N Sudikoff; David M Greer Journal: Neurocrit Care Date: 2014-12 Impact factor: 3.210
Authors: Kiyoyuki W Miyasaka; Niels D Martin; Jose L Pascual; Joseph Buchholz; Rajesh Aggarwal Journal: J Surg Educ Date: 2015-04-23 Impact factor: 2.891
Authors: Sherri A Braksick; Christopher P Robinson; Gary S Gronseth; Sara Hocker; Eelco F M Wijdicks; Alejandro A Rabinstein Journal: Neurology Date: 2019-01-25 Impact factor: 9.910
Authors: Barbara Casolla; Maria Alonso de Leciñana; Raquel Neves; Waltraud Pfeilschifter; Veronica Svobodova; Simon Jung; André Kemmling; Robert Mikulik; Paola Santalucia Journal: Eur Stroke J Date: 2020-11-01
Authors: Victoria A McCredie; Gentle S Shrestha; Subhash Acharya; Antonio Bellini; Jeffrey M Singh; J Claude Hemphill; Alberto Goffi Journal: Int Health Date: 2018-03-01 Impact factor: 2.473
Authors: Paulina S C Kliem; Kai Tisljar; Sira M Baumann; Pascale Grzonka; Gian Marco De Marchis; Stefano Bassetti; Roland Bingisser; Sabina Hunziker; Stephan Marsch; Raoul Sutter Journal: J Clin Med Date: 2022-01-15 Impact factor: 4.241