Lemus Hernan Nicolas, Gutierrez Camilo, Fields Madeline, Ziemba Kristine, Landazuri Patrick, Shanker Vicki, Acosta Daniela Riveros, McCarthy Louise, Jadeja Neville, Bothwell Mia, Nagaraja Adithya, Patino Gustavo A, Karakis Ioannis, Milligan Tracey A, Tobochnik Steven
Department of Neurology, The University of Alabama at Birmingham, Birmingham, AL.
Department of Neurology, University of Maryland, Baltimore, MD.
J Clin Neurophysiol. 2024 Dec 13;42(5):400-407. doi: 10.1097/WNP.0000000000001135.
To investigate the utility of a 15-minute online module to improve the self-confidence and knowledge of neurology trainees when screening an EEG.
We developed a fast, convenient, and accessible 15-minute online module to teach basic concepts of EEG screening using a five-step approach. To assess the efficacy of the module among neurology trainees, three surveys were developed. The EEG module and surveys were distributed to neurology trainees at multiple institutions in the United States. Associations between continuous variables were evaluated using t-test and ANOVA test.
A total of 199 residents from 7 different adult neurology residency programs participated in the study. We obtained a response rate of 38% (76/199) for EEG survey 1 and 25% (49/199) for the demographic survey, among junior and senior residents; 22 senior residents completed EEG survey 2. The online EEG module improved confidence when interpreting an EEG among junior residents (1.67 vs. 2.56, p < 0.0001). Senior residents improved their EEG survey score after completing the online module (53.9 vs. 68.6%, p < 0.001). Most of the trainees would recommend the online module to other trainees (93.9%) and would consider including it in an introductory course (93.9%).
A brief and accessible online EEG module was easily implemented as an early introduction to EEG screening for junior neurology trainees and to improve EEG screening skills for senior trainees. These findings clarify specific areas where EEG learning may be optimized and reinforce the importance of implementing innovative curricula that are accessible and efficient for all neurology trainees.
探讨一个15分钟的在线模块在提高神经科住院医师脑电图（EEG）筛查时的自信心和知识水平方面的效用。
我们开发了一个快速、便捷且易于访问的15分钟在线模块，采用五步方法教授EEG筛查的基本概念。为评估该模块在神经科住院医师中的效果，我们设计了三项调查问卷。EEG模块和调查问卷分发给美国多个机构的神经科住院医师。使用t检验和方差分析评估连续变量之间的关联。
来自7个不同成人神经科住院医师培训项目的199名住院医师参与了该研究。在初级和高级住院医师中，EEG调查问卷1的回复率为38%（76/199），人口统计学调查问卷的回复率为25%（49/199）；22名高级住院医师完成了EEG调查问卷2。在线EEG模块提高了初级住院医师解读EEG时的自信心（1.67对2.56，p<0.0001）。高级住院医师在完成在线模块后提高了他们的EEG调查问卷分数（53.9%对68.6%，p<0.001）。大多数受训者会向其他受训者推荐该在线模块（93.9%），并会考虑将其纳入入门课程（93.9%）。
一个简短且易于访问的在线EEG模块可以轻松实施，作为初级神经科住院医师EEG筛查的早期入门，并提高高级受训者的EEG筛查技能。这些发现明确了EEG学习可优化的具体领域，并强化了实施对所有神经科住院医师都易于访问且高效的创新课程的重要性。
