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Education Research Highlights 2012!. Douglas P. Larsen, M.D., M.Ed. Assistant Professor of Neurology & Pediatrics Department of Neurology Washington University in St. Louis School of Medicine Presented at the A.B. Baker Section of Neurologic Educators Meeting March 18, 2013. Sources. - PowerPoint PPT Presentation
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Education Research Highlights 2012!
Douglas P. Larsen, M.D., M.Ed.Assistant Professor of Neurology & Pediatrics
Department of Neurology Washington University in St. Louis School of Medicine
Presented at the A.B. Baker Section of Neurologic Educators Meeting March 18, 2013
Sources
Only from 2012
AAN annual meeting abstracts
Neurology education research papers
Research from AAN members in other sources
AAN annual meeting(total of 43 education research abstracts)
Assessing the efficiency of learning the neurologic exam with a visual tracking device
Gonzalez Castellon M, Phillips M, Blum C, Goldberg M, Noble J
Funded by an AAN education research grant
Using an infrared eye tracker
Analyze the efficiency of the neurological exam on patients with Parkinson Disease
How that efficiency changes after an educational intervention and by level of training
Survey of neurology resident attitudes towards teaching and awareness of student feedback
Tuck K, Kraakevik J
All residents agreed that teaching is an important part of their job
Only 35% consider themselves good teachers
Only 46% always or often would like student feedback on their teaching
Feedback (when given) changed residents approach to teaching
Evaluating neurology residents’ clinical skills: The setting matters!
Kelly A, Jozefowicz R
Comparison of “on the fly” evaluations of clinical skills versus an OSCE format
OSCE scores were lower than “on the fly” evaluations
Neither score correlated well with the RITE exam performance
Assessing the multiple mini interview (MMI) for use in selecting applicants to a neurology
residency programLubarsky S, Young M
Funded by an AAN education research grant
MMI consists of multiple focused interview stations directed at different attributes
Designed to give a broader and more standardized sampling of applicant attributes
Moderate reliability of 0.5
Analysis of correlations demonstrated that distinct attributes and skills were elicited
Predicting success in neurology residencyHalfman C, Bradshaw D
Correlations made between USMLE Step 1 scores, pre-residency interview scores, RITE scores, competency-based 360 evaluations, and attending evaluations
USMLE Step 1 scores correlated with RITE scores and measures of medical knowledge, patient care and professionalism
Interview scores correlated with professionalism
Neurology patient recognition of and satisfaction with their physicians
Zazulia A, Anderson T
Patients were asked to identify physicians caring for them from a sheet of photos and names
Median of 4 physicians involved with a patient’s care
Median of 1 physician identified by a patient
Patients very satisfied with their care could identify more physicians and were able to identify a physician who knows them best and who they believe to be in charge of their care
Stroke simulation enhances residents’ confidence in acute stroke/TIA managementUppal G, Sandhu D, Vellipuram A, Sanders C, Phillips F, Nanda A,
Lardizabal D, Singh N
Comparison of simulation with standardized patients versus a traditional classroom didactic teaching method
Simulation proved superior in all areas regarding the accuracy and timing of treatment decisions
Understanding the genesis of neurophobia: A mixed-methods study of trainees’ perceptions
of neurology educationFantaneanu T, Moreau K, Eady K, Clarkin C, De Meulemeester C,
MacLean H, Barrowman N, Doja A
Questionnaires followed by focus groups used to measure and then explore students’ perceptions of neurology
Neurophobia diminished (50% to 30%) between the first and second year of medical school
Did not change from the second to the third year (30% to 39%)
Students identified the difficulty and complexity of neurology as the source of their phobia with multiple barriers to learning identified
Student self assessment in a neurology clerkshipKlein J, Stankiewicz J
Correlations between self-assessment, faculty evaluation, shelf exam performance, and clinical skills exam
Student and faculty assessments were moderately correlated (r=.4)
All other correlations were not significant
Neurology papers
Neurology training reassessed: The 2011 American Academy of Neurology resident survey results
Johnson NE, Maas MB, Coleman M, Jozefowicz R, Engstrom J
49.8% response rate
59% rated faculty as excellent
90% rated clinical skills training as well or very well
71% felt the RITE helped with self-study
Majority of residents did not feel that residency adequately trained them for practice management
86% planned to enter fellowship
Student assessment by objective structured examination in a neurology clerkship
Lukas RV, Adesoye T, Smith S, Blood A, Brorson JR
OSCE scores in two standardized patient encounters were significantly correlated (r=.4)
Faculty clinical evaluations from two rotations were uncorrelated
OSCE scores were predictive of shelf exam performance and clinical evaluations
Standardized sign-out improves completeness and perceived accuracy of inpatient neurology handoffs
Moseley BD, Smith JH, Diaz-Medina GE, Paz Soldan MM, Wicklund M, Dhamija R, Reda H, Presti MF, Britton JW
Comparison between rotations using unstructured and structures sign-out
Structured sign-outs improved:
Sharing test results with patients prior to shift changesUpdating service listPerception that all important data were transmittedOverall satisfaction
An exploration of case-based learning in neuroscience grand rounds using Delphi technique
Rigby H, Shofield S, Mann K, Benstead T
Delphi technique (multiple rounds of questionnaires) used to explore perceptions of grand rounds
Most important aspects of grand rounds
Case-based roundsHigh level of audience interactionResident participation in case presentation and analysisFormal training for residents in presentationResident feedback and evaluation
Neurocritical care education during neurology residency: AAN survey of US program directors
Sheth KN, Drogan O, Manno E, Geocadin RG, Ziai W
74% response rate
56% of programs offered dedicated neuro-ICU rotations
From 2005-2010 number of residents going into neuro-ICU fellowships rose from 14% to 35%
Additional Sources
Name Topics Journals
Ann Poncelet LICs Medical Education (X2), Medical Teacher, Academic Medicine
Stuart Lubarsky
Clinical reasoning/script concordance testing
Medical Education, Journal of the American Geriatric Society
Imran Ali Medical student documentation in EMR
Teaching and Learning in Medicine
Douglas Larsen
Test-enhanced learning and simulation
Advances in Health Sciences Education