How Well Are We Preparing Pediatricians to Manage Seizures and Epilepsy? A Single-Center Questionnaire-Based Pilot Study

Agarwal, Rashmi; Agarwal, Roshani; Sivaswamy, Lalitha

doi:10.1177/0009922814528280

Cited by 5 publications

(4 citation statements)

References 26 publications

(28 reference statements)

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“…Previous studies have identified deficits in paediatric resident knowledge regarding seizures and epilepsy, and reduced practitioner knowledge and confidence in managing epilepsy at the primary care level . Limited overall knowledge of neurology compared with other subspecialties has been emphasised along with a corresponding reduction in confidence when dealing with neurological presentations …”

Section: Discussionmentioning

confidence: 99%

Evaluation of an E‐learning resource on approach to the first unprovoked seizure

Marne

McGinness

Slade

et al. 2016

J Paediatrics Child Health

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Section: Discussionmentioning

confidence: 99%

Evaluation of an E‐learning resource on approach to the first unprovoked seizure

Marne

McGinness

Slade

et al. 2016

J Paediatrics Child Health

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Section: Introductionmentioning

confidence: 99%

“…6 A survey of pediatric residents assessing knowledge of seizures and epilepsy demonstrated significant gaps; less than half of senior residents correctly answered questions on febrile seizures and mechanism of a common antiepileptic drug. 7 Due to the national shortage of pediatric neurologists, 63% of pediatricians report at least a 5-week delay when referring to neurology. 5 This shortage is only expected to worsen, with estimates of a 20% shortfall of child neurologists by 2025.…”

Section: Introductionmentioning

confidence: 99%

Education on the Brain: A Partnership Between a Pediatric Primary Care Center and Neurology Residency

Zwemer

Bernson-Leung

Rea

et al. 2017

Clin Pediatr (Phila)

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The national shortage of pediatric neurologists is worsening, yet referral rates by pediatricians are high. Suboptimal training of pediatric residents in care of patients with neurologic disease may be a contributing factor. We formed a partnership between the Boston Children's Primary Care at Longwood clinic and Child Neurology Residency Training Program. The educational intervention included lectures, observed neurologic examinations, in-person and virtual triage, and an electronic medical record-based consult system. Residents in other primary care clinics served as the comparison group. Intervention-group residents reported significantly improved confidence in diagnosis of chronic/recurrent headache, attention deficit hyperactivity disorder (ADHD), and developmental delay; initial management of ADHD and developmental delay; and secondary management of ADHD, developmental delay, and concussion/traumatic brain injury. Comparison-group residents reported significantly improved confidence only in diagnosis of developmental delay. Our multipronged intervention is a promising approach to improving pediatric resident training in pediatric neurology and may be generalizable to subspecialty collaborations for other residency programs.

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“…The 1993 report of the American Epilepsy Society Committee on medical student epilepsy education states the latter is fragmentary and incomplete, with most interns lacking basic knowledge of seizure classification and diagnosis 6 . Results from a cross‐sectional study undertaken in the USA, indicated only 50% of junior and senior residents could appropriately offer counselling advice for patients with epilepsy 7 . Limited medical education around first seizure is also applicable to Australia.…”

mentioning

confidence: 99%

Evaluation of an educational video providing key messages for doctors to counsel families following a first afebrile seizure

Marne

Sinclair

et al. 2020

J Paediatrics Child Health

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Aim The aim was to evaluate an educational video in educating doctors on the key messages and follow‐up pathways following a first afebrile seizure presentation. A multidisciplinary expert team developed the video (http://www.pennsw.org.au/families/resources/first-seizure-pack-and-video) based on available evidence and best‐practice. It contains a role‐play between the parent/child and physician. It addresses: key messages to impart following a first seizure, seizure first aid, safety messages including necessary precautions post‐discharge, contents of the First Seizure Pack for families, follow‐up pathway and issues for discussion with the paediatrician at a later appointment. Methods Paediatric/Emergency department (ED) trainees across three Australian sites were recruited during terms 1 and 2, 2019. A repeated measures design was used. Multilevel modelling analyses were performed. The primary outcome was clinician knowledge. Secondary outcomes were confidence in answering questions and counselling families. Qualitative data on the utility, strengths and weaknesses of the video were evaluated. Results A total of 127 participants consented, one withdrew prior to commencing. A total of 126 baseline surveys, 115 follow‐up surveys and 45 1‐month follow‐up surveys were returned. Viewing the video significantly improved knowledge of key messages at immediate follow‐up (P < 0.001) and 1‐month follow‐up (P = 0.048). Likewise, confidence was significantly improved; 96.5% of responders found the video useful, 90.3% were likely to use the resource in the future and 82% would change their approach to counselling. Most liked aspects of the resource were clarity/conciseness of the information (n = 70) and comprehensiveness (n = 38). Conclusion This education video significantly improved clinician knowledge and confidence in counselling families following first seizure.

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How Well Are We Preparing Pediatricians to Manage Seizures and Epilepsy? A Single-Center Questionnaire-Based Pilot Study

Abstract: Deficiencies exist in pediatric residents' knowledge of seizures and epilepsy, especially with respect to febrile seizures and pharmacology of antiepileptic medications. Improved mechanisms to promote understanding in these areas are needed during pediatric training.

Cited by 5 publications

References 26 publications

Evaluation of an E‐learning resource on approach to the first unprovoked seizure

Evaluation of an E‐learning resource on approach to the first unprovoked seizure

Education on the Brain: A Partnership Between a Pediatric Primary Care Center and Neurology Residency

Evaluation of an educational video providing key messages for doctors to counsel families following a first afebrile seizure

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