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Neurology Education for Critical Care Fellows Using High-Fidelity Simulation

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Abstract

Background

Simulation is becoming a more common modality in medical education. The data regarding effectiveness of simulation in critical care neurology education are limited.

Methods

We administered a three-scenario simulation course to critical care fellowship trainees at a large academic medical center as a part of their core curriculum requirement. Pre- and posttests assessing medical knowledge and trainee confidence in managing neurologic disease were completed by all trainees. Overall satisfaction and effectiveness were evaluated following the course. Change in trainee knowledge and confidence before and after the course was assessed for improvement.

Results

Sixteen trainees completed the simulation course. Prior to completion, medical knowledge was 5.2 ± 0.9 (of 8 possible correct answers) and following the course was 6.4 ± 1.3 (p = 0.002). Overall confidence improved from 15.4 ± 4.9 (of 30 possible points) to 20.7 ± 3.3 (p = <0.0001). Confidence was significantly improved for neurologic diseases directly assessed during the course (p = <0.0001) as well as for those not directly assessed (p = 0.004).

Conclusions

Simulation is an effective means of neurologic education for critical care trainees, with improvement in both medical knowledge and trainee confidence after completion of a three-scenario simulation experience. This course ensures the exposure of critical care trainees to neurologic diseases that are required curricular milestones to successfully complete the fellowship training program.

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Acknowledgments

The authors would like to thank Jay Mandrekar for assistance in statistical analysis of the data.

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Authors and Affiliations

  1. Department of Neurology, Division of Critical Care Neurology, Mayo Clinic, 200 First St SW, Rochester, MN, USA

    Sherri A. Braksick & Sara Hocker

  2. Department of Internal Medicine, Division of Critical Care Medicine, Mayo Clinic, Rochester, MN, USA

    Kianoush Kashani

Authors
  1. Sherri A. Braksick
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  2. Kianoush Kashani
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  3. Sara Hocker
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Corresponding author

Correspondence to Sara Hocker.

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The authors declare that they have no conflict of interest.

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Braksick, S.A., Kashani, K. & Hocker, S. Neurology Education for Critical Care Fellows Using High-Fidelity Simulation. Neurocrit Care 26, 96–102 (2017). https://doi.org/10.1007/s12028-016-0293-3

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  • DOI: https://doi.org/10.1007/s12028-016-0293-3

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