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Curriculum Innovations: High-Fidelity Simulation of Acute Neurology Enhances Rising Resident Confidence: Results From
Zahari N Tchopev1, Alexis E Nelson1, John C Hunninghake1
1From the Department of Neurology (Z.N.T., A.E.N., K.C., M.K.C., M.C.J.) and Department of Critical Care Medicine (J.C.H.), Brooke Army Medical Center, Ft. Sam-Houston, TX.
High-fidelity simulation training significantly boosts confidence and knowledge in new neurology residents managing acute neurologic emergencies. This program demonstrates high educational value and satisfaction, making it a recommended addition to residency curricula.
Area of Science:
- Medical Education
- Neurology Training
- Simulation-Based Learning
Background:
- Transitioning from internal medicine to neurology residency presents unique challenges.
- Effective strategies for resident education in acute neurology are needed.
- Simulation is a proven method for enhancing medical skills and confidence.
Purpose of the Study:
- To design and evaluate an annual acute neurology simulation program for incoming neurology residents.
- To assess improvements in resident confidence, technical knowledge, and perceived educational value.
- To determine the effectiveness of simulation in preparing residents for neurologic emergencies.
Main Methods:
- Developed three high-fidelity simulations: acute ischemic stroke, status epilepticus, and brain death evaluation.
- Utilized a military medical institution's simulation laboratory and staff.
- Administered pre- and post-assessments to measure changes in confidence and knowledge.
Main Results:
- Self-reported confidence in managing acute neurologic emergencies significantly improved across all simulations (p < 0.05).
- Technical knowledge improved in stroke and brain death simulations (p < 0.05), with high participant satisfaction.
- Residents reported high perceived educational value for all simulation scenarios.
Conclusions:
- High-fidelity simulation effectively enhances neurology residents' confidence and knowledge in managing acute neurologic emergencies.
- Simulation-based training is a valuable tool for residency programs seeking to improve acute care preparedness.
- Academic hospitals should consider integrating acute neurology simulations into their training programs.
