Abstract Details

Title Simulation-based Training for Neurology and Neurosurgery Residents in ICU Procedures

Topic Education, Research, and Methodology

Presentation(s) P4 - Poster Session 4 (11:45 AM-12:45 PM)

Poster/Presentation
Number 7-002

Background

Critically ill neurological patients require time-sensitive procedures. Neurology residents often feel under-prepared for emergency ICU procedures.

Objective The aim of this simulation-based training was to improve the knowledge, skillset, and confidence of neurology and neurosurgery junior residents.

Design/Methods

A 3-hour simulation session was held with a pretest and posttest study design. Prior to the training, trainees watched the New England Journal of Medicine procedural videos. Simulation stations for Arterial Line, Central venous line, Lumbar Puncture, and Intubation were arranged. The questionnaire was adapted from Michigan Standard Simulation Experience Scale and included 3 domains of simulation experience including knowledge, procedural skills, and quality of training. Questionnaire responses ranged as Very Poor, Poor, Average, Good, and Excellent which were respectively transformed into 1-5 for the analysis. The responses from pre- and post-simulation were compared using the sign test.

Results Of the 16 participants, 75% (n=12) were PGY 1, and 25% (n=4) were PGY 2. 87.5% were neurology and 12.5% neurosurgery residents with an average age of 29.3 years (SD: 3.81). 56.3%(n=9) were females. 56.3% (n=9) had prior experience performing procedures. There was a significant difference in the distribution of responses between the pre-simulation and the post-simulation responses for all questions. 75.1% of the participants post simulation showed better understanding of procedural related anatomical landmarks. Post-simulation responses consistently had a median response of 1 or 2 points greater. 12 (n%=75) responses were “Poor” or “Very Poor” for confidence in procedures pre-simulation. 11 (n%=73) responses were “Good” or “Excellent” for confidence in procedures post-simulation.

Conclusions Over 75% of trainees were not confident in performing ICU procedures pre-simulation, however, there was a significant improvement in confidence post-simulation. There were gaps in trainees' awareness despite watching the procedural videos. Implementing an innovative simulation training can improve knowledge and confidence in performing ICU procedures for residents.

Authors/Disclosures
Isha Snehal, MD PRESENTER	Dr. Snehal has nothing to disclose.
Daryl R. Gress, MD, FAAN (University of Nebraska Medical Center)	Dr. Gress has nothing to disclose.
Makayla Schissel	No disclosure on file
Subin Mathew, MD	Dr. Mathew has nothing to disclose.