Training doctors in basic EEG: analysis of a learning tool relevant to resource-limited settings

Area of Science:

• Neurology
• Medical Education
• Global Health

Background:

• Limited access to trained neurophysiologists and epileptologists in Africa.
• Significant disease burden and healthcare professional shortages impact specialist training priorities.
• Lack of region-specific educational guidelines for pediatric electroencephalogram (EEG) interpretation.

Purpose of the Study:

• To develop and assess a handbook for basic EEG interpretation tailored to the African context.
• To evaluate the handbook's efficacy in improving EEG reporting skills among clinicians managing children with epilepsy.
• To address the need for accessible EEG interpretation training in resource-limited settings.

Main Methods:

• Recruited 11 health practitioners from various African countries managing pediatric epilepsy.
• Participants analyzed EEGs before and after utilizing a training handbook.
• A survey assessed the perceived usefulness of the handbook.

Main Results:

• A trend towards improved EEG analysis ability was observed after handbook use (p<0.06).
• Clinicians receiving one-on-one tutoring alongside the handbook showed significantly better EEG reporting outcomes (p<0.01).
• The handbook was considered a viable tool for foundational EEG interpretation skills.

Conclusions:

• The handbook is a practical tool for enhancing basic EEG interpretation in Africa.
• Individual tutoring and ongoing support are crucial for optimal and sustained skill development.
• The approach aims to generate clinicians with essential EEG skills, maximizing patient care impact in the African setting.