Preparing Neurology Residents and Advanced Practice Providers for the COVID-19 ICU-A Neurocritical Care Led Intervention. Academic Article uri icon

Overview

abstract

  • BACKGROUND AND PURPOSE: With the surge of critically ill COVID-19 patients, neurology and neurosurgery residents and advanced practice providers (APPs) were deployed to intensive care units (ICU). These providers lacked relevant critical care training. We investigated whether a focused video-based learning curriculum could effectively teach high priority intensive care topics in this unprecedented setting to these neurology providers. METHODS: Neurocritical care clinicians led a multidisciplinary team in developing a 2.5-hour lecture series covering the critical care management of COVID-19 patients. We examined whether provider confidence, stress, and knowledge base improved after viewing the lectures. RESULTS: A total of 88 residents and APPs participated across 2 academic institutions. 64 participants (73%) had not spent time as an ICU provider. After viewing the lecture series, the proportion of providers who felt moderately, quite, or extremely confident increased from 11% to 72% (60% difference, 95% CI 49-72%) and the proportion of providers who felt nervous/stressed, very nervous/stressed, or extremely nervous/stressed decreased from 78% to 48% (38% difference, 95% CI 26-49%). Scores on knowledge base questions increased an average of 2.5 out of 12 points (SD 2.1; p < 0.001). CONCLUSION: A targeted, asynchronous curriculum on critical care COVID-19 management led to significantly increased confidence, decreased stress, and improved knowledge among resident trainees and APPs. This curriculum could serve as an effective didactic resource for neurology providers preparing for the COVID-19 ICU.

authors

  • Ch'ang, Judy
  • Ford, Jenna
  • Cifrese, Laura
  • Woodward, Elliott
  • Mears, Jennifer
  • Lowrie, Rachel
  • Holland, Chloe
  • Kaplan, Aaron
  • Zhang, Cenai
  • Guterman, Elan L

publication date

  • May 13, 2021

Identity

PubMed Central ID

  • PMC8442159

Scopus Document Identifier

  • 85105872672

Digital Object Identifier (DOI)

  • 10.1177/19418744211016220

PubMed ID

  • 34567395

Additional Document Info

volume

  • 11

issue

  • 4