Joy Zhuo Ding1, Ranjeeta Mallick2, Josee Carpentier3, Kristin McBain4, Nicolas Gaspard5, M Brandon Westover6, Tadeu A Fantaneanu7. 1. Division of Neurology, The Ottawa Hospital, Canada. Electronic address: joy.ding@medportal.ca. 2. Ottawa Hospital Research Institute, University of Ottawa, Canada. Electronic address: rmallick@ohri.ca. 3. Department of Diagnostic Imaging, The Ottawa Hospital, Canada. Electronic address: jcarpentier@toh.ca. 4. Division of Neurology, The Hospital for Sick Kids, Canada. Electronic address: kristin.mcbain@sickkids.ca. 5. Department of Neurology, Yale School of Medicine, United States. Electronic address: Nicolas.Gaspard@erasme.ulb.ac.be. 6. Department of Neurology, Massachusetts General Hospital, United States. Electronic address: mwestover@mgh.harvard.edu. 7. Division of Neurology, The Ottawa Hospital, Canada. Electronic address: tfantaneanu@toh.ca.
Abstract
PURPOSE: Electroencephalography (EEG) remains the gold standard for identifying rhythmic and periodic patterns in critically ill patients. Residents have frequent exposures to EEG and critically ill patients during their training. Our study aimed to assess resident competency in the use of the American Clinical Neurophysiology Society (ACNS) critical care EEG terminology. METHODS: After self-guided reading and a 2-hour session reviewing the ACNS critical care EEG Terminology training slides, 16 adult neurology residents (PGY 2-4) completed the ACNS certification test. Performance scores were reported as average percent agreement (PA%) with a previously established 5-member expert panel. Interrater agreement was calculated to gauge consensus among peers within the resident cohort. Self-reported comfort levels using the terminology were also obtained. RESULTS: The overall pass rate for our cohort was 50% and the median score was 74%. The terms with the highest PA% were: seizures (86.4%), main term 1 (78%), main term 2 (74%). Interrater agreement scores (kappa values) were almost perfect for seizure, and substantial for main terms 1 and 2. CONCLUSIONS: Our data suggests that with minimal investment, adult neurology residents at various stages of training can effectively learn the ACNS critical care EEG Terminology.
PURPOSE: Electroencephalography (EEG) remains the gold standard for identifying rhythmic and periodic patterns in critically illpatients. Residents have frequent exposures to EEG and critically illpatients during their training. Our study aimed to assess resident competency in the use of the American Clinical Neurophysiology Society (ACNS) critical care EEG terminology. METHODS: After self-guided reading and a 2-hour session reviewing the ACNS critical care EEG Terminology training slides, 16 adult neurology residents (PGY 2-4) completed the ACNS certification test. Performance scores were reported as average percent agreement (PA%) with a previously established 5-member expert panel. Interrater agreement was calculated to gauge consensus among peers within the resident cohort. Self-reported comfort levels using the terminology were also obtained. RESULTS: The overall pass rate for our cohort was 50% and the median score was 74%. The terms with the highest PA% were: seizures (86.4%), main term 1 (78%), main term 2 (74%). Interrater agreement scores (kappa values) were almost perfect for seizure, and substantial for main terms 1 and 2. CONCLUSIONS: Our data suggests that with minimal investment, adult neurology residents at various stages of training can effectively learn the ACNS critical care EEG Terminology.
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