Objective:

To assess and improve knowledge and comfort for neurologic indications of BoNT using a hands-on injection workshop for neurology trainees.

Background:

BoNT is widely used across neurology sub-specialties, particularly in movement disorders. However, most neurology residents lack formal training in outpatient neurology and BoNT, which limits its potential use in their future practice. Incorporating formal BoNT curriculum into Neurology residency may improve knowledge and confidence in skill. It may also increase resident’s comfort level with BoNT in practice.

Design/Methods:

This was a prospective study involving UConn neurology trainees. Anonymous electronic surveys were administered before and after the workshop assessing participants’ confidence, knowledge, clinical skills, and satisfaction using Likert scales and multiple-choice questions. The workshop consisted of a didactic presentation and hands-on injection practice with mannequin models. All analysis were done using t-test.

Results:

Fifteen trainees ranging from PGY 2-4 participated in two separate workshops offered during the 2023-2024 academic year were included in the analysis. Confidence levels regarding neurologic indications (t(14) = 6.5; p < 0.0001), formulations (t(14) = 9.0; p < 0.0001), and administration of BoNT (t(14) = 5.9; p< 0.0001) significantly increased after the workshop. Confidence levels regarding clinical skills of BoNT injection for cervical dystonia (t(7) = 3.2; p <0.05), upper (t(7) = 3.8; p < 0.01), and lower limb dystonia (t(7) = 5.3; p < 0.05) in only one of two workshops similarly increased. Satisfaction with the workshop had an average rating significantly higher than “neutral” (assigned “0”) in terms of helpfulness for future practice (t(14) = 5.3; p < 0.0001) and workshop meeting expectations (t(14) = 8.6; p < 0.0001).

Conclusions:

Incorporation of a dedicated BoNT workshop for neurology trainees likely increases their confidence and knowledge. Follow up analysis is indicated to assess attendees’ long-term retention of knowledge, skills, and potential correlation in choosing sub-specialties with BoNT utilization.