Department of Neurology, Undergraduate Medical Education, Baylor College of Medicine, Houston, Texas, U.S.A.
Department of Neurology, Baylor College of Medicine, Houston, Texas, U.S.A.; and.
J Clin Neurophysiol. 2023 May 1;40(4):310-316. doi: 10.1097/WNP.0000000000000888. Epub 2021 Jul 26.
The COVID-19 pandemic impacted clinical practice, education, and research in Neurophysiology/Epilepsy. Although there is published literature on clinical impact, its educational impact is not well described. A national survey of Clinical Neurophysiology (CNP) and Epilepsy fellowship programs was conducted to assess the impact of COVID-19 on fellowship education.
A list of accredited Clinical Neurophysiology and Epilepsy fellowship programs was obtained from the Accreditation Council for Graduate Medical Education. Program directors at individual locations were contacted to complete a brief survey about the program and impact of COVID-19. Fellows from responding programs were subsequently invited to share their perceptions about the impact of the pandemic on their training.
From 176 programs, 40 PDs responded (22.7%). From these 40 programs, fellows from 26 completed surveys (65.0% response). There was a reduction in EEG and epilepsy monitoring unit volumes post-COVID-19, with a trend of change for EMG, whereas continuous EEG volumes were mostly unchanged. The impact of the pandemic on training was rated as moderate to severe (≥50%) by 30.0% of PDs and 49.0% of trainees. In remarkable agreement, 20.0% of PDs and 20.4% of fellows believed that additional fellowship training was needed before graduation. Lack of fellow satisfaction was correlated with the perceived impact of the pandemic on education ( p = 0.008).
This survey revealed a considerable impact on EEG/EMG clinical volume because of COVID-19, although continuous EEG was not as impacted. More fellows than PDs believed that training was considerably impacted by COVID-19, but a similar number thought that additional training was needed. It was unclear from this study whether the fellows' perception of educational impact was solely because of the pandemic or in addition to preexisting training deficiencies in the training programs.
COVID-19 大流行对神经生理学/癫痫的临床实践、教育和研究产生了影响。虽然有关于临床影响的已发表文献，但对其教育影响的描述并不完善。对临床神经生理学（CNP）和癫痫研究员课程进行了全国性调查，以评估 COVID-19 对研究员教育的影响。
从研究生医学教育认证委员会获得了认可的临床神经生理学和癫痫研究员课程的名单。联系各个地点的项目负责人完成了一项关于该课程和 COVID-19 影响的简短调查。来自回应课程的研究员随后被邀请分享他们对大流行对其培训的影响的看法。
在 176 个课程中，有 40 个 PD 做出了回应（22.7%）。在这 40 个课程中，有 26 个课程的研究员完成了调查（65.0%的回应率）。COVID-19 后 EEG 和癫痫监测单元的数量减少，EMG 的变化趋势，而连续 EEG 的数量基本保持不变。大流行对培训的影响被 30.0%的 PD 和 49.0%的研究员评为中度至重度（≥50%）。令人瞩目的是，20.0%的 PD 和 20.4%的研究员认为在毕业前需要额外的研究员培训。研究员的不满与他们对教育的大流行影响的看法相关（p=0.008）。
这项调查显示，由于 COVID-19，EEG/EMG 临床量受到了相当大的影响，尽管连续 EEG 没有受到那么大的影响。与 PD 相比，更多的研究员认为 COVID-19 对培训产生了相当大的影响，但有类似数量的人认为需要额外的培训。从这项研究中还不清楚研究员对教育影响的看法仅仅是因为大流行，还是除了培训计划中已经存在的培训缺陷之外。
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