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      A Video-Based Introductory EEG Curriculum for Neurology Residents and Other EEG Learners

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          Abstract

          Introduction

          It is difficult to provide standardized formal education in EEG because of time limitations and the availability of expert teachers. Video-based miniature lectures are a useful way to standardize the foundational principles of EEG and support learning during EEG/epilepsy rotations.

          Methods

          A curriculum of 10 EEG teaching videos was developed based on concepts outlined in the Accreditation Council for Graduate Medical Education Neurology Milestones. The videos were short (6–17 minutes) and made available to residents rotating through an EEG/epilepsy rotation in two neurology residency programs. Residents were instructed to review the videos and then apply their newly learned skills during EEG reading sessions. A survey about the process was completed at the end of the year.

          Results

          Twenty-one residents participated in the curriculum, and 15 (71%) responded to the survey. Two-thirds of respondents (10/15) said that they watched all of the videos, and 87% (13/15) watched at least half of the videos. All of the respondents used the videos as introductions to EEG concepts, and approximately half of respondents returned to the videos as a refresher after the rotation was over. Nearly all respondents either agreed or strongly agreed that the curriculum was a useful component of the rotation and helped them to understand difficult concepts. All strongly agreed that they would recommend the curriculum to other residents.

          Discussion

          A video-based approach to EEG teaching could complement existing curricula and ensure that learners have access to foundational miniature lectures when and where they need them.

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          Most cited references14

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          Lecture halls without lectures--a proposal for medical education.

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            MEDICAL STUDENT CONCENTRATION DURING LECTURES

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              Errors in EEG Interpretation and Misdiagnosis of Epilepsy

              Background/Aims: The overinterpretation of EEGs is common and is an important contributor to the misdiagnosis of epilepsy. We reviewed our experience in order to clarify which EEG patterns are commonly overread as epileptiform. Methods: We identified patients who were seen at our epilepsy clinic and were ultimately diagnosed as having conditions other than epilepsy. We selected those who had previously had an EEG read as showing epileptiform discharges and whose EEG was available for our own re-review. Results: 37 patients met the above criteria. Eventual diagnoses were psychogenic nonepileptic seizures (10), syncope (7), other miscellaneous diagnoses (5) and unexplained nonspecific symptoms (15). None of the EEGs had epileptiform discharges. The descriptions of the abnormalities included ‘temporal sharp waves’ in 30, ‘frontal sharp waves’ in 2 and ‘generalized spike-wave complexes’ in 2. Three had no reports available to identify the alleged abnormality. The benign patterns mistaken for temporal (30) and frontal (2) sharp waves were simple fluctuations of background activity with temporal phase reversals. Conclusions: By far the most common patterns overread as epileptiform are nonspecific fluctuations of background in the temporal regions, which are misread as temporal sharp waves.
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                Author and article information

                Journal
                MedEdPORTAL
                MedEdPORTAL
                MEP
                MedEdPORTAL : the Journal of Teaching and Learning Resources
                Association of American Medical Colleges
                2374-8265
                2017
                17 April 2017
                : 13
                : 10570
                Affiliations
                [1 ]Assistant Professor and Residency Program Director, Department of Neurology, Yale School of Medicine
                [2 ]Assistant Professor, Department of Neurology, Yale School of Medicine
                [3 ]Epilepsy Fellowship Director, Department of Neurology, Yale School of Medicine
                [4 ]Associate Director for Technology Services, Teaching and Learning Center, Yale School of Medicine
                [5 ]Medical Student, Yale School of Medicine
                [6 ]Associate Professor of Neuroscience, Yale School of Medicine
                [7 ]Director of Medical Studies in Neurobiology, Yale School of Medicine
                [8 ]Associate Dean for Curriculum, Yale School of Medicine
                [9 ]Professor, Division of Neurology, Department of Medicine, Dalhousie University Faculty of Medicine
                Author notes
                *Corresponding author: jeremy.moeller@ 123456yale.edu
                Article
                10.15766/mep_2374-8265.10570
                6342517
                30800772
                68442131-3ab1-4f4f-8d98-8fe7259294ae
                Copyright © 2017 Moeller et al.

                This is an open-access publication distributed under the terms of the Creative Commons Attribution-NonCommercial-Share Alike license.

                History
                : 28 November 2016
                : 02 March 2017
                Page count
                Figures: 1, Tables: 2, References: 18, Pages: 7
                Categories
                Original Publication

                video,residency,neurology,flipped classroom,electroencephalography

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