Curriculum Innovations: A Comprehensive Teleneurology Curriculum for Neurology Trainees

• Published in: Neurology. Education 2023-09, Vol.2 (3), p.e200084
• Main Authors: Han, Steve C., Stainman, Rebecca S., Busis, Neil A., Grossman, Scott N., Thawani, Sujata P., Kurzweil, Arielle M.
• Format: Article
• Language: English
• ISSN: 2771-9979; 2771-9979
• DOI: 10.1212/NE9.0000000000200084

As the role of teleneurology expands, it is important to prepare trainees to perform virtual encounters proficiently.Introduction and Problem StatementAs the role of teleneurology expands, it is important to prepare trainees to perform virtual encounters proficiently.We created a comprehensive multimodality teleneurology curriculum for residents to teach key aspects of telehealth encounters including the virtual examination and skill development across several environments.ObjectivesWe created a comprehensive multimodality teleneurology curriculum for residents to teach key aspects of telehealth encounters including the virtual examination and skill development across several environments.We developed and implemented a teleneurology curriculum focused on teaching the virtual neurologic examination, measuring teleneurology competency, and providing opportunities for trainees to perform telehealth encounters in multiple settings. Residents (N = 22) were first surveyed on what methods would be most helpful to learn teleneurology. Trainees observed a faculty member conducting a teleneurology visit with another faculty member playing a patient. Residents then practiced a teleneurology encounter during a 10-minute objective structured clinical examination (OSCE) at a simulation center. After positive feedback from the fall of 2020, we adapted the OSCE to be completely remote in the spring of 2021 for senior residents. Trainees then performed teleneurology visits during their continuity clinics and subspecialty clinic rotations.Methods and Curriculum DescriptionWe developed and implemented a teleneurology curriculum focused on teaching the virtual neurologic examination, measuring teleneurology competency, and providing opportunities for trainees to perform telehealth encounters in multiple settings. Residents (N = 22) were first surveyed on what methods would be most helpful to learn teleneurology. Trainees observed a faculty member conducting a teleneurology visit with another faculty member playing a patient. Residents then practiced a teleneurology encounter during a 10-minute objective structured clinical examination (OSCE) at a simulation center. After positive feedback from the fall of 2020, we adapted the OSCE to be completely remote in the spring of 2021 for senior residents. Trainees then performed teleneurology visits during their continuity clinics and subspecialty clinic rotations.All neurology residents from adult and child neurology and neuropsychi