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Abstract Details

A Longitudinal Experience and Annual “Check-Ins” to Increase Resident EEG and EMG Milestone Attainment and Improve Milestone Rating Accuracy
Education, Research, and Methodology
P1 - Poster Session 1 (8:00 AM-9:00 AM)
By graduation, neurology residents are expected to achieve Level 4 ACGME Milestone proficiency at EEG and EMG interpretation. Surveys on EEG/EMG education in neurology residency reveal a wide range of exposure to these topics, approaches to assessment, and discrepancies between programs’ assessments of competence versus residents’ confidence in these skills.
To determine if a longitudinal approach to EEG and EMG education with annual individual formative “check-ins” resulted in meaningful changes in quality and quantity of resident Milestone assessments.
Starting in 2020, residents in our program underwent annual individual “check-ins” with faculty to review a standard set of EEG and EMG studies. Anonymized semi-annual Milestone scores from 2014 to 2022 were reviewed, and scores were compared before and after initiation of the “check-ins.” Outcomes included the number of assessment points submitted (an indicator of how often these Milestones were recorded earlier in residency) and the proportion of graduating residents attaining the Level 4 Milestone.
Before the initiation of “check-ins,” there were missing Milestone scores for 17% (49/290) and 21% (60/290) of assessment points in EEG and EMG, respectively, mainly from PGY2 reports. Post-intervention, this significantly decreased to 1% (1/150, p<0.001) for EEG, but not for EMG (20% [30/150], p = 0.865). Pre-intervention, resident Milestone achievement of at least Level 4 by graduation was 63% (26/41) for EEG and 17% (7/41) for EMG; this increased to 81% (25/31) for EEG (p = 0.111), and 52% (16/31) for EMG (p = 0.002).
A longitudinal curriculum with annual “check-ins” significantly improved ability to track EEG Milestone progress. The proportion of graduating residents achieving Milestone goals for EMG increased significantly, and there was a trend toward higher attainment levels for EEG. We propose that these “check-ins” provide residents and programs with more accurate individualized feedback to better target future learning and program improvement.
Harry William Sutherland, MD
Dr. Sutherland has received personal compensation in the range of $0-$499 for serving as a Consultant for McGraw-Hill.
Aaron Stephen Bower, MD Dr. Bower has nothing to disclose.
Kathryn Zuchowski, MD Dr. Zuchowski has nothing to disclose.
Jeffrey Dewey, MD (Yale School of Medicine, Department of Neurology) Dr. Dewey has received personal compensation in the range of $5,000-$9,999 for serving as an Expert Witness for United States.
Jeremy Moeller, MD, FAAN (Yale University) Dr. Moeller has received publishing royalties from a publication relating to health care.