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Traumatic Brain Injury l: Introduction01:28

Traumatic Brain Injury l: Introduction

DefinitionTraumatic brain injury, or TBI, is a disturbance of normal brain function induced by an external mechanical force, such as a direct blow to the head or a penetrating injury. It can affect both brain structure and function, producing a wide range of clinical outcomes. TBI is a heterogeneous condition, meaning its effects may differ based on the type, location, and severity of the injury.Basis of ClassificationTBI is classified based on severity, injury mechanism, or pathophysiology. In...

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Related Experiment Video

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Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion
08:13

Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion

Published on: January 20, 2019

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Residency spiral concussion curriculum design.

Alice Sau Han Kam1,2,3,4, George Zhao5, Ching-Lung Huang5

  • 1Division of Physical Medicine and Rehabilitation, Department of Medicine, University of Toronto, Toronto, Ontario, Canada.

The Clinical Teacher
|November 30, 2023
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Summary

A new Spiral Integrated Concussion Curriculum (SICC) improved resident knowledge and confidence in concussion management. This novel curriculum design fostered sustained learning and positive behavioral changes six months post-intervention.

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Area of Science:

  • Medical Education
  • Neurology
  • Sports Medicine

Background:

  • Lack of resident-focused concussion curricula measuring learner behaviors.
  • Need for structured educational programs in concussion management for family medicine residents.

Purpose of the Study:

  • To develop and implement a Spiral Integrated Concussion Curriculum (SICC) for family medicine residents.
  • To evaluate the effectiveness of the SICC in improving knowledge, confidence, and behavior related to concussion management.

Main Methods:

  • Mixed-method evaluation with pre-/post-test design and interviews.
  • Utilized academic half-days and clinical sessions for first- and second-year residents.
  • Incorporated social cognitive learning principles and constructivism.

Main Results:

  • Statistically significant improvement in immediate post-intervention knowledge (p=0.042).
  • Sustained knowledge improvement in one resident cycle (11.6% increase) and increased confidence in both cycles (p<0.025).
  • Positive behavioral changes reported by 83% of residents at 6 months.

Conclusions:

  • The SICC effectively enhanced resident learning, knowledge retention, and behavioral changes.
  • The curriculum design provides a viable model for future competency-based medical education.
  • The SICC demonstrates potential for improving concussion care through structured resident training.