PMID- 37437392
OWN - NLM
STAT- MEDLINE
DCOM- 20230807
LR  - 20230808
IS  - 1525-5069 (Electronic)
IS  - 1525-5050 (Linking)
VI  - 145
DP  - 2023 Aug
TI  - Creation of an advancing adult and pediatric neurology resident EEG curriculum.
PG  - 109351
LID - S1525-5050(23)00270-6 [pii]
LID - 10.1016/j.yebeh.2023.109351 [doi]
AB  - BACKGROUND: The Accreditation Council for Graduate Medical Education (ACGME) 
      milestones state that neurology residents should be able to "interpret common EEG 
      abnormalities, recognize normal EEG variants, and create a report." Yet, recent 
      studies have shown that only 43% of neurology residents express confidence in 
      interpreting EEG without supervision and can recognize less than half of normal 
      and abnormal EEG patterns. Our objective was to create a curriculum to improve 
      both confidence and competence in reading EEGs. METHODS: At Vanderbilt University 
      Medical Center (VUMC), adult and pediatric neurology residents have required EEG 
      rotations in their first and second years of neurology residency and can choose 
      an EEG elective in their third year. A curriculum consisting of specific learning 
      objectives, self-directed modules, EEG lectures, epilepsy-related conferences, 
      supplemental educational material, and tests was created for each of the three 
      years of training. RESULTS: Since the implementation of an EEG curriculum at VUMC 
      from September 2019 until November 2022, 12 adult and 21 pediatric neurology 
      residents completed pre- and post-rotation tests. Among the 33 residents, there 
      was a statistically significant improvement in post-rotation test scores, with a 
      mean score improvement of 17% (60.0 +/- 12.9 to 77.9 +/- 11.8, n = 33, p < 0.0001). 
      When differentiated by training, the mean improvement of 18.8% in the adult 
      cohort was slightly higher than in the pediatric cohort, 17.3%, though it was not 
      significantly different. Overall improvement was significantly increased in the 
      junior resident cohort with a 22.6% improvement in contrast to 11.5% in the 
      senior resident cohort (p = 0.0097 by Student's t-test, n = 14 junior residents 
      and 15 senior residents). DISCUSSION: With the creation of an EEG curriculum 
      specific to each year of neurology residency, adult and pediatric neurology 
      residents demonstrated a statistically significant mean improvement between pre- 
      and post-rotation test scores. The improvement was significantly higher in junior 
      residents in contrast to senior residents. Our structured and comprehensive EEG 
      curriculum objectively improved EEG knowledge in all neurology residents at our 
      institution. The findings may suggest a model which other neurology training 
      programs may consider for the implementation of a similar curriculum to both 
      standardize and address gaps in resident EEG education.
CI  - Copyright (c) 2023 Elsevier Inc. All rights reserved.
FAU - Passiak, Brittany S
AU  - Passiak BS
AD  - Vanderbilt University Medical Center, 2200 Children's Way, DOT 11242, Nashville, 
      TN 37232, USA.
FAU - Carozza, Richard B
AU  - Carozza RB
AD  - Vanderbilt University Medical Center, 2200 Children's Way, DOT 11242, Nashville, 
      TN 37232, USA.
FAU - Carson, Robert P
AU  - Carson RP
AD  - Vanderbilt University Medical Center, 2200 Children's Way, DOT 11242, Nashville, 
      TN 37232, USA.
FAU - Reddy, Shilpa B
AU  - Reddy SB
AD  - Vanderbilt University Medical Center, 2200 Children's Way, DOT 11242, Nashville, 
      TN 37232, USA. Electronic address: shilpa.b.reddy@vumc.org.
LA  - eng
PT  - Journal Article
DEP - 20230710
PL  - United States
TA  - Epilepsy Behav
JT  - Epilepsy & behavior : E&B
JID - 100892858
SB  - IM
MH  - Humans
MH  - Adult
MH  - Child
MH  - *Internship and Residency
MH  - Curriculum
MH  - Education, Medical, Graduate
MH  - *Neurology/education
MH  - Electroencephalography
MH  - Clinical Competence
OTO - NOTNLM
OT  - EEG (electroencephalography)
OT  - EMU (epilepsy monitoring unit)
OT  - Resident EEG curriculum
OT  - Resident EEG education
COIS- Declaration of Competing Interest The authors declare that they have no known 
      competing financial interests or personal relationships that could have appeared 
      to influence the work reported in this paper.
EDAT- 2023/07/12 19:07
MHDA- 2023/08/07 06:42
CRDT- 2023/07/12 18:03
PHST- 2023/05/15 00:00 [received]
PHST- 2023/06/27 00:00 [revised]
PHST- 2023/06/29 00:00 [accepted]
PHST- 2023/08/07 06:42 [medline]
PHST- 2023/07/12 19:07 [pubmed]
PHST- 2023/07/12 18:03 [entrez]
AID - S1525-5050(23)00270-6 [pii]
AID - 10.1016/j.yebeh.2023.109351 [doi]
PST - ppublish
SO  - Epilepsy Behav. 2023 Aug;145:109351. doi: 10.1016/j.yebeh.2023.109351. Epub 2023 
      Jul 10.