Education Research: EEG Education in Child Neurology and Neurodevelopmental Disabilities Residencies: A Survey of US and Canadian Program Directors.

Autor:	Katyal R; From the Department of Neurology (R.K.), Louisiana State University Health Shreveport, LA; Department of Neurology (I.S.S.), Massachusetts General Hospital, Harvard Medical School, Boston, MA; Department of Neurology (A.H.), CHU Sainte-Justine, Universite de Montreal, Canada; Department of Neurology (C.B.A.), Boston Children's Hospital, Harvard Medical School, Boston, MA; Department of Neurology (E.C.W.), Mayo Clinic Rochester, MN; Department of Neurology (S.B.R.), Vanderbilt University Medical Center Nashville, TN; Department of Clinical Neurophysiology (S.B.), Danish Epilepsy Center, Dianalund and Aarhus University Hospital; Department of Clinical Medicine (S.B.), Aarhus University, Denmark; and Department of Neurology (F.A.N.), Washington University School of Medicine St. Louis, MO., Sheikh IS; From the Department of Neurology (R.K.), Louisiana State University Health Shreveport, LA; Department of Neurology (I.S.S.), Massachusetts General Hospital, Harvard Medical School, Boston, MA; Department of Neurology (A.H.), CHU Sainte-Justine, Universite de Montreal, Canada; Department of Neurology (C.B.A.), Boston Children's Hospital, Harvard Medical School, Boston, MA; Department of Neurology (E.C.W.), Mayo Clinic Rochester, MN; Department of Neurology (S.B.R.), Vanderbilt University Medical Center Nashville, TN; Department of Clinical Neurophysiology (S.B.), Danish Epilepsy Center, Dianalund and Aarhus University Hospital; Department of Clinical Medicine (S.B.), Aarhus University, Denmark; and Department of Neurology (F.A.N.), Washington University School of Medicine St. Louis, MO., Hadjinicolaou A; From the Department of Neurology (R.K.), Louisiana State University Health Shreveport, LA; Department of Neurology (I.S.S.), Massachusetts General Hospital, Harvard Medical School, Boston, MA; Department of Neurology (A.H.), CHU Sainte-Justine, Universite de Montreal, Canada; Department of Neurology (C.B.A.), Boston Children's Hospital, Harvard Medical School, Boston, MA; Department of Neurology (E.C.W.), Mayo Clinic Rochester, MN; Department of Neurology (S.B.R.), Vanderbilt University Medical Center Nashville, TN; Department of Clinical Neurophysiology (S.B.), Danish Epilepsy Center, Dianalund and Aarhus University Hospital; Department of Clinical Medicine (S.B.), Aarhus University, Denmark; and Department of Neurology (F.A.N.), Washington University School of Medicine St. Louis, MO., Abath CB; From the Department of Neurology (R.K.), Louisiana State University Health Shreveport, LA; Department of Neurology (I.S.S.), Massachusetts General Hospital, Harvard Medical School, Boston, MA; Department of Neurology (A.H.), CHU Sainte-Justine, Universite de Montreal, Canada; Department of Neurology (C.B.A.), Boston Children's Hospital, Harvard Medical School, Boston, MA; Department of Neurology (E.C.W.), Mayo Clinic Rochester, MN; Department of Neurology (S.B.R.), Vanderbilt University Medical Center Nashville, TN; Department of Clinical Neurophysiology (S.B.), Danish Epilepsy Center, Dianalund and Aarhus University Hospital; Department of Clinical Medicine (S.B.), Aarhus University, Denmark; and Department of Neurology (F.A.N.), Washington University School of Medicine St. Louis, MO., Wirrell EC; From the Department of Neurology (R.K.), Louisiana State University Health Shreveport, LA; Department of Neurology (I.S.S.), Massachusetts General Hospital, Harvard Medical School, Boston, MA; Department of Neurology (A.H.), CHU Sainte-Justine, Universite de Montreal, Canada; Department of Neurology (C.B.A.), Boston Children's Hospital, Harvard Medical School, Boston, MA; Department of Neurology (E.C.W.), Mayo Clinic Rochester, MN; Department of Neurology (S.B.R.), Vanderbilt University Medical Center Nashville, TN; Department of Clinical Neurophysiology (S.B.), Danish Epilepsy Center, Dianalund and Aarhus University Hospital; Department of Clinical Medicine (S.B.), Aarhus University, Denmark; and Department of Neurology (F.A.N.), Washington University School of Medicine St. Louis, MO., Reddy SB; From the Department of Neurology (R.K.), Louisiana State University Health Shreveport, LA; Department of Neurology (I.S.S.), Massachusetts General Hospital, Harvard Medical School, Boston, MA; Department of Neurology (A.H.), CHU Sainte-Justine, Universite de Montreal, Canada; Department of Neurology (C.B.A.), Boston Children's Hospital, Harvard Medical School, Boston, MA; Department of Neurology (E.C.W.), Mayo Clinic Rochester, MN; Department of Neurology (S.B.R.), Vanderbilt University Medical Center Nashville, TN; Department of Clinical Neurophysiology (S.B.), Danish Epilepsy Center, Dianalund and Aarhus University Hospital; Department of Clinical Medicine (S.B.), Aarhus University, Denmark; and Department of Neurology (F.A.N.), Washington University School of Medicine St. Louis, MO., Beniczky S; From the Department of Neurology (R.K.), Louisiana State University Health Shreveport, LA; Department of Neurology (I.S.S.), Massachusetts General Hospital, Harvard Medical School, Boston, MA; Department of Neurology (A.H.), CHU Sainte-Justine, Universite de Montreal, Canada; Department of Neurology (C.B.A.), Boston Children's Hospital, Harvard Medical School, Boston, MA; Department of Neurology (E.C.W.), Mayo Clinic Rochester, MN; Department of Neurology (S.B.R.), Vanderbilt University Medical Center Nashville, TN; Department of Clinical Neurophysiology (S.B.), Danish Epilepsy Center, Dianalund and Aarhus University Hospital; Department of Clinical Medicine (S.B.), Aarhus University, Denmark; and Department of Neurology (F.A.N.), Washington University School of Medicine St. Louis, MO., Nascimento FA; From the Department of Neurology (R.K.), Louisiana State University Health Shreveport, LA; Department of Neurology (I.S.S.), Massachusetts General Hospital, Harvard Medical School, Boston, MA; Department of Neurology (A.H.), CHU Sainte-Justine, Universite de Montreal, Canada; Department of Neurology (C.B.A.), Boston Children's Hospital, Harvard Medical School, Boston, MA; Department of Neurology (E.C.W.), Mayo Clinic Rochester, MN; Department of Neurology (S.B.R.), Vanderbilt University Medical Center Nashville, TN; Department of Clinical Neurophysiology (S.B.), Danish Epilepsy Center, Dianalund and Aarhus University Hospital; Department of Clinical Medicine (S.B.), Aarhus University, Denmark; and Department of Neurology (F.A.N.), Washington University School of Medicine St. Louis, MO.
Jazyk:	angličtina
Zdroj:	Neurology. Education [Neurol Educ] 2024 Jan 05; Vol. 3 (1), pp. e200112. Date of Electronic Publication: 2024 Jan 05 (Print Publication: 2024).
DOI:	10.1212/NE9.0000000000200112
Abstrakt:	Background and Objectives: In the United States, many child neurologists (CNs) and neurodevelopmental disability (NDD) specialists who read EEGs in clinical practice had no additional EEG training other than what was received during residency. This practice highlights the importance of ensuring that CN/NDD residents achieve EEG competence before graduation. However, prior survey-based evidence showed that roughly a third of graduating CN residents in the United States do not feel confident interpreting EEGs independently. As part of a needs assessment, we conducted a descriptive study characterizing EEG practices in CN and NDD residency programs in the United States and Canada. Methods: A 30-question e-survey focused on characteristics of residency programs and their EEG teaching practices was sent to all 88 CN and NDD residency program directors listed in the Accreditation Council for Graduate Medical Education, Child Neurology Society, and Canadian Residency Matching Service websites. Results: Twenty-nine (n = 29/88; 33%) residency programs completed the survey, most of which were CN (90%), academic (90%), and located in the United States (83%). The mean number of weeks dedicated to EEG training required to graduate was 7.3 ± 4 (mean ± SD). EEG rotations involved the clinic/outpatient setting (83%), epilepsy monitoring unit (EMU) (76%), and inpatient setting (excluding EMU) (72%). During a 4-week EEG rotation, residents typically read 16-45 EEGs (62%). The most common methods of EEG teaching in CN/NDD programs were teaching during EEG rotation and yearly didactics. The mean number of EEGs read per rotation had a significant positive correlation with the average percentage of residents who reportedly achieve EEG competence by graduation (coefficient 0.461; p = 0.007). Barriers to EEG education were reported by 28% of the programs; the most common barrier identified was insufficient EEG exposure. Possible solutions were primarily related to increasing quality and quantity of EEG exposure. Almost two-thirds of programs reported not using objective measures to assess EEG competence. Discussion: Our results characterize resident EEG education in a third of CN/NDD residency programs in the United States and Canada. We suggest that residency leaderships consider standardization of EEG learning along with establishment and implementation of objective measures in training requirements and competence assessment. Competing Interests: The authors report no relevant disclosures. Go to Neurology.org/NE for full disclosures. (© 2024 American Academy of Neurology.)
Databáze:	MEDLINE
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