Education Research: Virtual Patient Management Conference for Epilepsy Surgery in the Post–COVID-19 Era

Thomas Pecha, Sharonya Shetty, Abhishek Kengen, Jay Gavvala, Atul Maheshwari
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引用次数: 1

Abstract

Background and Objectives The primary objective of this study was to assess the potential educational value of a virtual patient management conference (PMC) with the introduction of inclusive anonymous polling at a comprehensive epilepsy center. The secondary objective was to evaluate differences between faculty and trainee polling results. Methods Two online surveys were sent 1 year apart seeking opinions about a transition to virtual PMC and completed by virtual PMC faculty participants (including representatives from neurology, neurosurgery, and neuropsychology). One online survey was sent to trainees (medical students, residents, and fellows) to assess the educational value of the conference. Anonymous electronic polls surveying treatment options were completed by both faculty and trainees after each virtual PMC presentation but before discussing the case. The results were collected and analyzed over 16 months, including over the course of 1 academic year. The degree of consensus was determined by the maximum percentage of votes that a single choice received. Results Eleven faculty and 22 trainees responded to their respective surveys. The initial faculty survey revealed that 60.0% of faculty had an “excellent” or “very good” experience with virtual PMC; 1 year later, this proportion increased to 100.0% while trainees reported 90.9%. Each virtual PMC component, including perceived standard of care, was found to be “excellent” or “very good” by most faculty and trainees, and most (91% faculty, 63.7% trainees) were equally comfortable or more comfortable expressing opinions during the virtual discussion. During virtual PMC polls, faculty members were significantly more likely to vote for vagus nerve stimulation as a treatment option, while trainees were more likely to opt for responsive neurostimulation. Linear regression over the course of the academic year showed stable consensus over time for both faculty and trainees; however, the match between faculty and trainee consensus significantly increased over the academic year. Discussion Our results demonstrate that the virtual PMC constitutes an effective educational experience as an alternative to in-person conferences for the management of patients with drug-resistant epilepsy.
教育研究:后新冠肺炎时代癫痫外科虚拟患者管理会议
背景和目的本研究的主要目的是评估在综合癫痫中心引入包容性匿名投票的虚拟患者管理会议(PMC)的潜在教育价值。第二个目标是评估教师和实习生投票结果之间的差异。方法两次在线调查间隔1年,由虚拟PMC的教师参与者(包括神经病学、神经外科和神经心理学的代表)完成。一份在线调查被发送给实习生(医学生、住院医师和研究员),以评估会议的教育价值。教师和受训者在每次虚拟PMC演示之后,但在讨论病例之前,都完成了匿名电子民意调查,调查治疗方案。结果收集和分析了16个月,包括1学年的课程。协商一致的程度由单一选择获得的最大票数百分比决定。结果11名教师和22名学员分别参与了问卷调查。最初的教师调查显示,60.0%的教师对虚拟PMC的体验“非常好”或“非常好”;一年后,这一比例上升到100.0%,而学员报告的比例为90.9%。每个虚拟PMC组件,包括感知到的护理标准,被大多数教师和学员认为是“优秀”或“非常好”,大多数(91%的教师,63.7%的学员)在虚拟讨论中同样舒适或更舒适地表达意见。在虚拟PMC投票中,教员更倾向于选择迷走神经刺激作为治疗方案,而学员更倾向于选择反应性神经刺激。在整个学年的线性回归中,教师和学员都表现出稳定的共识;然而,教员和实习生之间的一致意见在学年期间显著增加。我们的研究结果表明,虚拟PMC是一种有效的教育体验,可以替代面对面的会议来管理耐药癫痫患者。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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