Abstract Details

Title Can a Single Acute Ischemic Stroke Simulation Course Facilitate Mastery?

Topic �鶹��ýӳ��, Research, and Methodology

Presentation(s) P9 - Poster Session 9 (5:30 PM-6:30 PM)

Poster/Presentation
Number 15-001

Objective

To assess the impact of an acute ischemic stroke (AIS) simulation course on residents’ performance, confidence, and knowledge.

Background

Previous studies have demonstrated that simulation can promote mastery learning in non-stroke neurological emergencies.

Design/Methods

We designed an AIS simulation course with three independent scenarios based on previously reported consensus. For each scenario a Minimum Passing Score (MPS) and Mastery Score (MS) was determined by the Angoff method. Thirteen junior neurology residents completed a 20-point knowledge test and 7-point Likert scale confidence survey about AIS before the course and after didactic teaching. A week later, each resident participated in a scored AIS case and then practiced stroke care in second unscored case. Residents again completed the knowledge and confidence assessments. Several weeks later, without notice, each resident was evaluated in a third AIS scenario.

For comparison, eight senior residents completed the knowledge test, confidence survey, and the third acute stroke case.

Pre-post and between groups comparisons were conducted using paired t-tests and independent t-tests, respectively.

Results

Junior residents scored better on the knowledge test after the didactic session (mean score pre: 40% to post: 52.2%, p<0.05), but only 3 (23%) initially achieved the MPS score in the first AIS simulation. After the simulation course, 9 junior residents (69%) achieved the MPS threshold. Although none achieved Mastery, junior residents’ mean score in the simulation improved (10.3 (SD=2.8) vs 15.7 (SD=2.6), p<0.001) and their confidence increased (pre mean=3.3 (SD=1.9) vs. post mean =4.9 (SD=1.2), p< 0.001).

Eight seniors completed the simulation: five reached MPS (63%) and one achieved Mastery. The simulation scores of the post-course juniors and seniors were similar (mean=15.7 (SD=2.6) vs mean=16.0 (SD=2.5), p=0.793).

Conclusions

This pilot study suggests that a brief AIS simulation course may improves junior residents’ performance and confidence to a level similar to senior residents, but not to mastery.

Authors/Disclosures
Casey S. Albin, MD, F�鶹��ýӳ�� (Emory Healthcare) PRESENTER	Dr. Albin has received personal compensation in the range of $0-$499 for serving as a Consultant for Azurity Pharmaceutical. Dr. Albin has received personal compensation in the range of $10,000-$49,999 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for Continuum: Life Long Learning in Neurology. Dr. Albin has received research support from �鶹��ýӳ��. Dr. Albin has received publishing royalties from a publication relating to health care.
Erika Sigman, MD	Dr. Sigman has received personal compensation in the range of $500-$4,999 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for Journal of Clinical Neuroscience.
Melissa B. Pergakis, MD	Dr. Pergakis has nothing to disclose.
Nirav Bhatt, MD (University of Pittsburgh)	Dr. Bhatt has nothing to disclose.
Spencer Hutto, MD (Emory University: Neurology Residency Program)	Dr. Hutto has nothing to disclose.
Sitara Koneru, MD	Dr. Koneru has nothing to disclose.
Ehizele Osehobo, MD, MSc	Dr. Osehobo has nothing to disclose.
Joaquin A. Vizcarra, MD (University of Pennsylvania)	Dr. Vizcarra has nothing to disclose.
Nicholas A. Morris, MD, F�鶹��ýӳ�� (University of Maryland Medical Center)	The institution of Dr. Morris has received research support from National Institute of Neurological Disorders and Stroke. The institution of Dr. Morris has received research support from �鶹��ýӳ��. The institution of Dr. Morris has received research support from National Institute of Neurological Disorders and Stroke. Dr. Morris has received personal compensation in the range of $500-$4,999 for serving as a Webinar Speaker with Kreg Therapeutics. Dr. Morris has a non-compensated relationship as a Editorial Board Member with �鶹��ýӳ�� that is relevant to �鶹��ýӳ�� interests or activities. Dr. Morris has a non-compensated relationship as a Editorial Board Member with Neurocritical Care Society that is relevant to �鶹��ýӳ�� interests or activities.