Simulation Boot Camp For Neurology Residents: A Unique Experience From A Training Perspective (P1.307)

Abstract

OBJECTIVE:To test the efficacy of high fidelity simulation for teaching management of neurological emergencies to junior neurology residents BACKGROUND:Use of simulation based medical education methods in neurology is not well described in graduate medical education literature. DESIGN/METHODS:We organized two simulation experiences with 4 stations for each session. Two stations were dedicated to high-fidelity simulations with a focus on emergency neurology. Day 1 consisted of two stroke code scenarios (tPA and non-tPA cases). Day 2 comprised of herniation with brain death exam and management of refractory status epilepticus. A high fidelity mannequin, (Laerdal Sim Man 3G), as well as standardized patients were utilized. In addition, emergency medicine residents participated as confederates in the stroke code simulations. Pre and post simulation MCQs(based on Likert scale) were filled out by all residents. Debriefing sessions were lead by subspecialty attending physicians and senior residents for formative feedback to the residents following each scenario. RESULTS:Out of 13 participating neurology residents,84% to 100% of them agreed that these simulation sessions met the stated clinical objectives. All residents (100%) agreed that overall quality and utility of debriefing sessions were good. Approximately 84% agreed that the simulation experience was more useful than reading a chapter or attending a lecture about the designated topics. After completing the sessions, all surveyed residents agreed that they will be able to better manage future similar clinical situations as compared to before the training. For the stroke code simulation session, there was a remarkable improvement between pre and post simulation scores i.e. (increased from 33% to 87%) with regards to agreement in” feeling comfortable running a stroke code as a first responder from neurology service.” CONCLUSIONS:High fidelity simulations are effective tools for neurology residents, allowing them to manage neurological emergencies in a safe and reproducible environment. hence, may improve resident performance in actual patient care scenarios. Utilization for onboarding of rising PGY2 residents appears to provide a great benefit to the learners

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