Using Neurology Trainees as Standardized Patients in a Neurological Emergency Simulation Curriculum for Medical...

Area of Science:

• Medical Education
• Neurology
• Simulation-Based Learning

Background:

• Traditional simulation manikins have limitations in replicating complex neurological exam findings.
• This restricts their effectiveness in neurology education for medical students.

Purpose of the Study:

• To develop and evaluate a case-based simulation curriculum using neurology trainees as standardized patients (SPs).
• To assess the impact on medical students' confidence, clinical skills, and knowledge in neurology.

Main Methods:

• Monthly simulations featuring two cases (acute stroke, seizure) with resident/fellow SPs.
• Pre-/post-session surveys measured student confidence, clinical skills, and attitudes towards neurology.
• Quantitative data analyzed using paired t-tests; qualitative data underwent thematic analysis.

Main Results:

• Sixty-one students participated, reporting significant post-session increases in confidence across all assessed neurological skills and knowledge domains (p < 0.002).
• Over 95% of students agreed the session met learning objectives and recommended it.
• Resident/fellow SPs were identified as the most impactful educational component, increasing student interest in neurology careers.

Conclusions:

• A case-based simulation curriculum with neurology trainees as SPs enhances medical students' self-reported knowledge, skills, and confidence in managing neurological emergencies.
• This approach shows promise for improving neurology medical education and fostering career interest.
• Further research is recommended to objectively evaluate clinical skills acquisition.