The online educational tool “Roadmap to EEGs” significantly improved trainee performance in recognizing EEG patterns

Author:

Sheikh Irfan S.12,Katyal Roohi3ORCID,Hadjinicolaou Aris4,Bibby Bo Martin5,Olandoski Marcia6,Nascimento Fábio A.7,Beniczky Sandor89ORCID

Affiliation:

1. Epilepsy Section, Department of Neurology University of Texas Southwestern Medical Center Dallas Texas USA

2. Peter O'Donnell Jr. Brain Institute University of Texas Southwestern Medical Center Dallas Texas USA

3. Department of Neurology Louisiana State University Health Shreveport Shreveport Louisiana USA

4. Department of Neurology CHU Sainte‐Justine, Universite de Montrel Montreal Quebec Canada

5. Department of Biostatistics Aarhus University Aarhus Denmark

6. School of Medicine Pontificia, Universidade Catolica do Parana Curitiba Brazil

7. Department of Neurology Washington University, School of Medicine St Louis Missouri USA

8. Department of Clinical Neurophysiology, Danish Epilepsy Centre Dinalund and Aarhus University Hospital Aarhus Denmark

9. Department of Clinical Medicine Aarhus University Aarhus Denmark

Abstract

AbstractObjectiveWe created a framework to assess the competency‐based EEG curriculum, outlined by the International League Against Epilepsy (ILAE) through a video‐based online educational resource (“Roadmap to EEGs”) and assessed its effectiveness and feasibility in improving trainees' knowledge.MethodsTen video‐based e‐learning modules addressed seven key topics in EEG and epileptology (normal EEG, normal variants, EEG artifacts, interictal epileptiform discharges (IED), focal seizures, idiopathic generalized epilepsy (IGE), and developmental and epileptic encephalopathies (DEE)). We posted the educational videos on YouTube for free access. Pre‐ and post‐tests, each comprising 20 multiple‐choice questions, were distributed to institution leadership and advertised on social media platforms to reach a global audience. The tests were administered online to assess the participants' knowledge. Pre‐ and post‐test questions showed different EEG samples to avoid memorization and immediate recall. After completing the post‐test, participants were asked to respond to 7 additional questions assessing their confidence levels and recommendations for improvement.ResultsA total of 52 complete and matched pre‐ and post‐test responses were collected. The probability of a correct response was 73% before teaching (95% CI: 70%–77%) and 81% after teaching (95% CI: 78%–84%). The odds of a correct response increased significantly by 59% (95% CI: 28%–98%, p < .001). For participants having >4 weeks of EEG training, the probability of a correct response was 76% (95% CI: .72–.79) and 81% after teaching (95% CI: .78–.84). The odds of answering correctly increased by 44% (95% CI: 15%–80%, p = .001). Participants felt completely confident in independently interpreting and identifying EEG findings after completing the teaching modules (17.1% before vs. 37.8% after, p‐value < .0001). 86.5% of participants expressed a high likelihood of recommending the module to other trainees.SignificanceThe video‐based online educational resource allows participants to acquire foundational knowledge in EEG/epilepsy, and participants to review previously learned EEG/epilepsy information.

Publisher

Wiley

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