RT期刊文章SR电子T1代码中风模拟训练好处初级神经病学居民(P3.016)摩根富林明神经病学神经学乔FD Lippincott Williams &威尔金斯SP P3首页.016 VO 90 15补充A1琳达温德尔A1迈克尔Reznik A1大卫林奎斯特A1阿里Saad A1乔纳森•卡希尔A1蒂娜伯顿A1 (Shawna切割A1布莱恩Mac Grory A1阿里Mahta A1马修Siket A1 Shadi Yaghi A1 Mahesh Jayaraman A1布拉德福德·汤普森A1凯伦富里年2018 UL //www.ez-admanager.com/content/90/15_Supplement/P3.016.abstract AB目的:证明基于仿真的学习准备初级神经病学居民的效用为代码中风病例。背景:代码中风是一种常见的机制来评估患者的急诊急性神经症状。初级神经病学居民经常收到第一次调用来评首页估患者有急性缺血性中风(AIS)或脑出血(我);然而,他们可能有经验有限照顾这些病人。设计/方法:从2014年到2017年,神经病学居民在他们的第一个月的培首页训每个领导一个代码中风模拟,涉及一个AIS,需要评估静脉组织纤溶酶原(tPA)和栓子切除术或物一个我的例子。标准化病人和急诊护士被使用在所有情况下。急诊医学、血管神经,neurocritical保健和neu首页rointerventional放射学参加也积极参与。居民完成了调查之前和之后的仿真。结果:23居民参与。5分李克特量表基于(1 -真和5 -最真),居民报告显著增加信心主要代码中风(平均2.9 (SD±0.8)和3.9 (±0.5),p < 0.001),增加准备下一个代码中风[3.0(±0.6)和4.1 (±0.7),p < 0.001)。居民至少有信心管理患者的凝血障碍我;仿真还显著增加他们的信心在管理这些病人[2.4(±1.1)和3.5 (±0.8),p < 0.001)。 Post-simulations assessments also showed significantly increased confidence in assessing patients for tPA and embolectomy and working in a multidisciplinary environment. Overall, the simulation training increased the odds of residents being more comfortable with a Code Stroke (OR 8.2, 95% CI 5.8 – 11.6, p<0.001).Conclusions: Code Stroke simulation allows residents and faculty to identify areas where residents are least confident and allows residents to practice caring for acute stroke patients in a supervised environment. Given its benefits, programs should consider adding simulation training for junior neurology residents.Disclosure: Dr. Wendell has nothing to disclose. Dr. Reznik has nothing to disclose. Dr. Lindquist has nothing to disclose. Dr. Saad has nothing to disclose. Dr. Cahill has nothing to disclose. Dr. Burton has nothing to disclose. Dr. Cutting has nothing to disclose. Dr. Mac Grory has nothing to disclose. Dr. Mahta has nothing to disclose. Dr. Siket has nothing to disclose. Dr. Yaghi has nothing to disclose. Dr. Jayaraman has nothing to disclose. Dr. Thompson has nothing to disclose. Dr. Furie has nothing to disclose.