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Neurology residents often lack palliative care training. A new simulation-based curriculum significantly improved their confidence in managing complex neurological patient needs.

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Area of Science:

  • Neurology
  • Palliative Care
  • Medical Education

Background:

  • Neurology residents frequently encounter patients with substantial palliative care needs, including symptom burden and prognostic uncertainty.
  • Current palliative care training within neurology residencies is often insufficient to address these complex patient requirements.
  • Neurologists require enhanced skills to effectively manage patients with neurological illnesses and their associated palliative care challenges.

Purpose of the Study:

  • To develop and implement an expanded neuropalliative curriculum for neurology residents.
  • To improve the delivery of palliative care to patients with neurological conditions.
  • To enhance neurology trainees' skills in addressing complex palliative needs.

Main Methods:

  • An educational needs assessment surveyed neurology residents' perceptions and confidence in palliative care topics.
  • A neuropalliative curriculum, including lectures and communication skills simulation, was designed based on the needs assessment.
  • Pre- and post-intervention surveys measured self-reported comfort levels using a five-point Likert scale, with statistical analysis to determine curriculum effectiveness.

Main Results:

  • The needs assessment revealed a significant gap between the perceived importance and trainees' confidence in palliative care topics.
  • Following curriculum implementation, neurology trainees reported an average improvement of 0.6 points in comfort across six palliative care domains.
  • 58 trainees completed pre-intervention surveys and 41 completed post-intervention surveys, demonstrating engagement with the educational program.

Conclusions:

  • Formal, simulation-based neuropalliative curriculum effectively enhances neurology trainees' self-reported comfort.
  • The developed curriculum addresses critical gaps in palliative care education for neurologists.
  • Simulation-based training is a valuable tool for improving primary palliative care delivery in neurology.