From the Department of PM&R, Spaulding Rehabilitation Hospital, Harvard Medical School (JD, MvdR, SS, SP); Department of Biostatistics, Boston University School of Public Health (ELM); and VA Boston Healthcare System (SP), Boston, Massachusetts.
Am J Phys Med Rehabil. 2018 Feb;97(2):134-140. doi: 10.1097/PHM.0000000000000828.
Electrodiagnostic medicine is a required component of Physical Medicine and Rehabilitation residency education, but limited resources exist to guide curriculum development. Our objective was to create a focused workshop to enhance our residency program's electrodiagnostic curriculum. We created two separate 1.5-day workshops, one basic and one advanced, for all residents. Each workshop included didactic sessions, case discussion, question and answer sessions, demonstrations, and hands-on participation with direct supervision and feedback. Presurveys and postsurveys were administered to evaluate the value of the workshops. We also assessed trends in electrodiagnostic self-assessment examination scores. Residents reported clinical electrodiagnostic rotations to be more valuable to their education than previous didactic sessions and independent learning. Self-reported knowledge of electrodiagnostic concepts, resident comfort level in planning, performing, and interpreting studies, and perceived value in independent learning of electrodiagnostic medicine improved after implementation of the workshops. There was a 7% improvement in the American Association of Neuromuscular and Electrodiagnostic Medicine electrodiagnostic self-assessment examination score compared with the previous year and a 15% improvement in the Physical Medicine and Rehabilitation self-assessment examination electrodiagnostic subscore compared with the previous 5 yrs. All participants recommended similar educational experience for other residents. This successful workshop may serve as a resource for other training programs.
电诊断医学是物理医学与康复住院医师教育的必修组成部分，但指导课程开发的资源有限。我们的目标是创建一个重点研讨会，以增强我们住院医师项目的电诊断课程。我们为所有住院医师创建了两个单独的为期 1.5 天的研讨会，一个基础研讨会和一个高级研讨会。每个研讨会都包括讲座、病例讨论、问答环节、演示以及在直接监督和反馈下的实践参与。我们进行了预调查和后调查，以评估研讨会的价值。我们还评估了电诊断自我评估考试成绩的趋势。住院医师报告说，临床电诊断轮转比以前的理论课和独立学习对他们的教育更有价值。在实施研讨会后，自我报告的电诊断概念知识、住院医师在规划、执行和解释研究方面的舒适程度以及独立学习电诊断医学的感知价值都有所提高。与前一年相比，美国神经肌肉与电诊断医学协会的电诊断自我评估考试成绩提高了 7%，与前 5 年相比，物理医学与康复自我评估考试电诊断子分数提高了 15%。所有参与者都推荐为其他住院医师提供类似的教育体验。这个成功的研讨会可以为其他培训计划提供资源。
