Neurology residents’ education in functional seizures
We report a survey of neurology residency program directors (PDs) and recent neurology residency graduates about the education provided during residency on functional seizures (FS), a subtype of functional neurological disorder (FND). The purpose of our study was to assess the education gap for neur...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-01-01
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| Series: | Epilepsy & Behavior Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2589986421000915 |
| _version_ | 1828368319286083584 |
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| author | T.A. Milligan A. Yun W.C. LaFrance Jr G. Baslet B. Tolchin J. Szaflarski V.S.S. Wong S. Plioplys B.A. Dworetzky |
| author_facet | T.A. Milligan A. Yun W.C. LaFrance Jr G. Baslet B. Tolchin J. Szaflarski V.S.S. Wong S. Plioplys B.A. Dworetzky |
| author_sort | T.A. Milligan |
| collection | DOAJ |
| description | We report a survey of neurology residency program directors (PDs) and recent neurology residency graduates about the education provided during residency on functional seizures (FS), a subtype of functional neurological disorder (FND). The purpose of our study was to assess the education gap for neurology residents about FS since patients with FS are frequently seen by neurologists, who typically conduct the evaluation and share the findings with the patient. A survey was sent to 93 Neurology residency program directors and 71 recent graduates. We obtained a low response rate of 17%. Results of the survey revealed that the most frequent settings for education on FS were within a clinical rotation in the Epilepsy Monitoring Unit (68.8% of PDs and 88.7% of recent graduate respondents) and via a single didactic lecture (81.3% of PDs and 80.3% of recent graduate respondents). The majority of programs did not provide a curriculum for training and feedback on best practices in communicating the diagnosis or on evidence-based treatments. Eighteen percent of neurology residents reported not learning how to communicate the diagnosis of FS to patients, while 77% responded that they were not taught about treatment. These results illustrate a curriculum gap in what neurology residents are taught about diagnosis and management of FS (and FND). We propose a standardized model that can be adapted in residencies. |
| first_indexed | 2024-04-14T06:09:27Z |
| format | Article |
| id | doaj.art-78168e71b2d2402baee47c86789d6e05 |
| institution | Directory Open Access Journal |
| issn | 2589-9864 |
| language | English |
| last_indexed | 2024-04-14T06:09:27Z |
| publishDate | 2022-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Epilepsy & Behavior Reports |
| spelling | doaj.art-78168e71b2d2402baee47c86789d6e052022-12-22T02:08:25ZengElsevierEpilepsy & Behavior Reports2589-98642022-01-0118100517Neurology residents’ education in functional seizuresT.A. Milligan0A. Yun1W.C. LaFrance Jr2G. Baslet3B. Tolchin4J. Szaflarski5V.S.S. Wong6S. Plioplys7B.A. Dworetzky8Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, USA; Corresponding author at: Westchester Medical Center, New York Medical College, Valhalla, NY, USA.Rhode Island Hospital, Brown University, Providence, RI, USARhode Island Hospital, Brown University, Providence, RI, USABrigham and Women’s Hospital, Harvard Medical School, Boston, MA, USAYale School of Medicine, New Haven, CT, USAUniversity of Alabama at Birmingham, USAJohn A. Burns School of Medicine, University of Hawaii at Manoa, Department of Medicine, Honolulu, HI, USA; The Queen’s Medical Center, Neuroscience Institute, Honolulu, HI, USANorthwestern University, Chicago, IL, USABrigham and Women’s Hospital, Harvard Medical School, Boston, MA, USAWe report a survey of neurology residency program directors (PDs) and recent neurology residency graduates about the education provided during residency on functional seizures (FS), a subtype of functional neurological disorder (FND). The purpose of our study was to assess the education gap for neurology residents about FS since patients with FS are frequently seen by neurologists, who typically conduct the evaluation and share the findings with the patient. A survey was sent to 93 Neurology residency program directors and 71 recent graduates. We obtained a low response rate of 17%. Results of the survey revealed that the most frequent settings for education on FS were within a clinical rotation in the Epilepsy Monitoring Unit (68.8% of PDs and 88.7% of recent graduate respondents) and via a single didactic lecture (81.3% of PDs and 80.3% of recent graduate respondents). The majority of programs did not provide a curriculum for training and feedback on best practices in communicating the diagnosis or on evidence-based treatments. Eighteen percent of neurology residents reported not learning how to communicate the diagnosis of FS to patients, while 77% responded that they were not taught about treatment. These results illustrate a curriculum gap in what neurology residents are taught about diagnosis and management of FS (and FND). We propose a standardized model that can be adapted in residencies.http://www.sciencedirect.com/science/article/pii/S2589986421000915Functional seizuresPsychogenic nonepileptic seizuresFunctional neurological disorderEducation |
| spellingShingle | T.A. Milligan A. Yun W.C. LaFrance Jr G. Baslet B. Tolchin J. Szaflarski V.S.S. Wong S. Plioplys B.A. Dworetzky Neurology residents’ education in functional seizures Epilepsy & Behavior Reports Functional seizures Psychogenic nonepileptic seizures Functional neurological disorder Education |
| title | Neurology residents’ education in functional seizures |
| title_full | Neurology residents’ education in functional seizures |
| title_fullStr | Neurology residents’ education in functional seizures |
| title_full_unstemmed | Neurology residents’ education in functional seizures |
| title_short | Neurology residents’ education in functional seizures |
| title_sort | neurology residents education in functional seizures |
| topic | Functional seizures Psychogenic nonepileptic seizures Functional neurological disorder Education |
| url | http://www.sciencedirect.com/science/article/pii/S2589986421000915 |
| work_keys_str_mv | AT tamilligan neurologyresidentseducationinfunctionalseizures AT ayun neurologyresidentseducationinfunctionalseizures AT wclafrancejr neurologyresidentseducationinfunctionalseizures AT gbaslet neurologyresidentseducationinfunctionalseizures AT btolchin neurologyresidentseducationinfunctionalseizures AT jszaflarski neurologyresidentseducationinfunctionalseizures AT vsswong neurologyresidentseducationinfunctionalseizures AT splioplys neurologyresidentseducationinfunctionalseizures AT badworetzky neurologyresidentseducationinfunctionalseizures |