The Effectiveness of a Simple Novel Approach on Electroencephalograph Instruction for Anesthesiology Residents

Fahy, Brenda G.; Chau, Destiny F.; Owen, Meriem Bensalem

doi:10.1213/01.ane.0000287666.72775.07

Cited by 14 publications

(10 citation statements)

References 4 publications

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“…In this pilot study, podcasting was incorporated into an established EEG curriculum developed by a neurophysiologist and a neurointensivist at the University of Kentucky (UKy). 4,5 The module was taught to anesthesiology residents, pulmonary critical care fellows, neurosurgery residents, and medical students during their neurocritical care rotation. This particular study was addressed to the anesthesiology residents.…”

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confidence: 99%

Education Research: Evaluating the use of podcasting for residents during EEG instruction

Bensalem‐Owen¹,

Chau²,

Sardam³

et al. 2011

Neurology

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Objective: Educational methods for residents are shifting toward greater learner independence aided by technological advances. A Web-based program using a podcast was created for resident EEG instruction, replacing conventional didactics. The EEG curriculum also consisted of EEG interpretations under the tutelage of a neurophysiologist. This pilot study aimed to objectively evaluate the effectiveness of the podcast as a new teaching tool. Methods:A podcast for resident EEG instruction was implemented on the Web, replacing the traditional lecture. After Institutional Review Board approval, consent was obtained from the participating residents. Using 25-question evaluation tools, participants were assessed at baseline before any EEG instruction, and reassessed after podcasting and after 10 clinical EEG exposures. Each 25-item evaluation tool contained tracings used for clinical EEG interpretations. Scores after podcast training were also compared to scores after traditional didactic training from a previous study among anesthesiology trainees. Results:Ten anesthesiology residents completed the study. The mean scores with standard deviations are 9.50 Ϯ 2.92 at baseline, 13.40 Ϯ 3.31 (p ϭ 0.034) after the podcast, and 16.20 Ϯ 1.87 (p ϭ 0.019) after interpreting 10 EEGs. No differences were noted between the mean educational tool scores for those who underwent podcasting training compared to those who had undergone traditional didactic training. Conclusion:In this pilot study, podcast training was as effective as the prior conventional lecture in meeting the curricular goals of increasing EEG knowledge after 10 EEG interpretations as measured by assessment tools. Neurology ® 2011;77:e42-e44 GLOSSARY CME ϭ continuing medical education; GME ϭ graduate medical education; IT ϭ Information Technology; UKy ϭ University of Kentucky.Podcasting technology is attractive in graduate medical education (GME) because of its educational potential, low implementation cost, and positive user experiences.1,2 The current technology-savvy millennial generation of residents are a driving force for its growth.3 Podcasting enables faculty to easily provide supplemental didactics in a video podcast format. In this pilot study, podcasting was incorporated into an established EEG curriculum developed by a neurophysiologist and a neurointensivist at the University of Kentucky (UKy). 4,5 The module was taught to anesthesiology residents, pulmonary critical care fellows, neurosurgery residents, and medical students during their neurocritical care rotation. This particular study was addressed to the anesthesiology residents. Conventional didactics were converted to a podcast including slides with lecturer audio, event videos during recordings, and EEG tracings. Topics included monitoring, physiologic basis, and clinical applications. The resident interpreted 10 EEGs with a neurophysiologist (1:1 or 1:2 faculty-to-resident ratio) and participated in video, continuous, and intraoperative EEG monitoring throughout the institution.This study ...

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confidence: 99%

Education Research: Evaluating the use of podcasting for residents during EEG instruction

Bensalem‐Owen¹,

Chau²,

Sardam³

et al. 2011

Neurology

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“…Recent studies have tried to implement formal learning modules in collaboration with neurologists to improve familiarity and success with electroencephalography use and interpretation. 16,17 Our data suggest that improved skills relevant to clinical practice may also be achieved in the field of anesthesiology.…”

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confidence: 74%

Estimation of the Bispectral Index by Anesthesiologists

et al. 2011

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“…Very few studies are present on the review of literature that evaluate educational methods for EEG instruction to non-neurology physicians/residents/fellows. In 2008, Fahy et al [9] published the results of an EEG learning module in anesthesiology residents, where 40 evaluations were performed on 33 residents. They found that collaborating with the department of neurology to set up an educational module significantly improved the EEG assessment scores among the anesthesiology residents.…”

Section: Discussionmentioning

confidence: 99%

Improving the ability of ED physicians to identify subclinical/electrographic seizures on EEG after a brief training module

Chari

Yadav

Nishijima³

et al. 2019

Int J Emerg Med

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Background Approximately 5% of emergency department (ED) patients with altered mental status (AMS) have non-convulsive seizures (NCS). Patients with NCS should be diagnosed with EEG as soon as possible to initiate antiepileptic treatment. Since ED physicians encounter such patients first in the ED, they should be familiar with general EEG principles as well as the EEG patterns of NCS/NCSE. We evaluated the utility of a brief training module in enhancing the ED physicians’ ability to identify seizures on EEG. Methods This was a randomized controlled trial conducted in three academic institutions. A slide presentation was developed describing the basic principles of EEG including EEG recording techniques, followed by characteristics of normal and abnormal patterns, the goal of which was to familiarize the participants with EEG seizure patterns. We enrolled board-certified emergency medicine physicians into the trial. Subjects were randomized to control or intervention groups. Participants allocated to the intervention group received a self-learning training module and were asked to take a quiz of EEG snapshots after reviewing the presentation, while the control group took the quiz without the training. Results A total of 30 emergency physicians were enrolled (10 per site, with 15 controls and 15 interventions). Participants were 52% male with median years of practice of 9.5 years (3, 14). The percentage of correct answers in the intervention group (65%, 63% and 75%) was significantly different ( p = 0.002) from that of control group (50%, 45% and 60%). Conclusions A brief self-learning training module improved the ability of emergency physicians in identifying EEG seizure patterns.

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The Effectiveness of a Simple Novel Approach on Electroencephalograph Instruction for Anesthesiology Residents

Abstract: This educational effort using the department of neurology expertise provided a significant improvement in EEG assessment tool scores.

Cited by 14 publications

References 4 publications

Education Research: Evaluating the use of podcasting for residents during EEG instruction

Education Research: Evaluating the use of podcasting for residents during EEG instruction

Estimation of the Bispectral Index by Anesthesiologists

Improving the ability of ED physicians to identify subclinical/electrographic seizures on EEG after a brief training module

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