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Curriculum Innovations: A Comprehensive Teleneurology Curriculum for Neurology Trainees.

Steve C Han¹, Rebecca S Stainman¹, Neil A Busis¹

¹From the Department of Neurology (S.C.H., N.A.B., S.N.G., S.P.T., A.M.K.), New York University Grossman School of Medicine, New York; and Department of Neurology (R.S.S.), Johns Hopkins School of Medicine, Baltimore, MD.

Neurology. Education

|October 3, 2024

Summary

A new teleneurology curriculum effectively trains neurology residents in virtual patient encounters. Residents reported increased comfort and interest in teleneurology after participating in simulations and clinical rotations.

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Area of Science:

Neurology
Medical Education
Telehealth

Background:

The increasing prevalence of teleneurology necessitates specialized training for healthcare professionals.
Neurology trainees require proficiency in conducting virtual patient encounters.

Purpose of the Study:

To develop and implement a comprehensive, multimodal teleneurology curriculum for neurology residents.
To enhance residents' skills in virtual examinations and telehealth competency.

Main Methods:

A 3-year curriculum incorporating didactics, live demonstrations, and simulated Objective Structured Clinical Examinations (OSCEs).
Trainees participated in both on-site and remote simulations, followed by clinical teleneurology encounters.
Resident feedback was gathered to refine educational strategies.

Main Results:

Residents reported increased comfort and interest in teleneurology (p < 0.05) after simulation-based training.
Key areas for improvement identified include sensorimotor assessment and limb visualization in virtual settings.
68 trainees participated in the OSCE, with positive feedback on simulation modalities.

Conclusions:

A multimodal curriculum effectively prepares neurology residents for teleneurology practice.
Simulation and varied clinical experiences are crucial for developing teleneurology competency.
Ongoing curriculum development and skill tracking are planned to optimize training.