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December 11, 2020Article

Education Research: Neurology Resident EEG Education: A Survey of US Neurology Residency Program Directors

View ORCID ProfileFábio A. Nascimento, Jay R. Gavvala
First published December 11, 2020, DOI: https://doi.org/10.1212/WNL.0000000000011354
Fábio A. Nascimento
Department of Neurology, Baylor College of Medicine, Houston, Texas, USA.
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  • ORCID record for Fábio A. Nascimento
Jay R. Gavvala
Department of Neurology, Baylor College of Medicine, Houston, Texas, USA.
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Education Research: Neurology Resident EEG Education: A Survey of US Neurology Residency Program Directors
Fábio A. Nascimento, Jay R. Gavvala
Neurology Dec 2020, 10.1212/WNL.0000000000011354; DOI: 10.1212/WNL.0000000000011354

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Abstract

Objective: To better understand the EEG education provided to adult neurology residents by surveying program directors (PDs) of adult neurology residency programs in the US.

Methods: An online survey focused on characteristics of neurology residency programs and their EEG teaching systems was distributed to the 161 adult neurology residency PDs listed in the ACGME website at the time of the study.

Results: Forty-seven (29%) out of the 161 PDs completed the survey – most of the participating programs (89%) were academic. The mean number of 1-month EEG rotation(s) required to graduate was 1.7 (range 0-4, median 1.75). EEG rotations involved the inpatient and outpatient setting in 91% and 70% of programs, respectively. The average number of EEGs read during a typical EEG rotation varied from more than 40, in about one-third of programs, to 0-10, in about 14% of programs. There was significant variability in the requirements for successful completion of EEG rotations, and most PDs (64%) reported not utilizing objective measures to assess EEG milestones. The most commonly used educational methods were didactics throughout the year (95%) and EEG teaching during EEG rotations (93%). The most commonly reported barriers to EEG education were insufficient EEG exposure (32%) and ineffective didactics (11%); possible solutions are summarized in table 1.

Conclusion: Our study identified a lack of consistency in teaching and evaluating residents during residency and presented EEG education barriers alongside possible solutions. We encourage PDs across the country to re-evaluate their EEG teaching systems in order to optimize EEG education.

  • Received July 13, 2020.
  • Accepted in final form November 18, 2020.
  • © 2020 American Academy of Neurology

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  • Reader response: Education Research: Neurology Resident EEG Education: A Survey of US Neurology Residency Program Directors
    • Nitin K. Sethi, Associate Professor of Neurology, New York-Presbyterian Hospital, Weill Cornell Medical Center, New York, NY U.S.A.
    Submitted December 27, 2020
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