Objective:

his study aims to emphasize the need for and evaluate the utility of a dedicated simulation lab focused on myasthenia gravis crisis scenarios for neurology residents. The primary objective is to assess whether simulation-based training can enhance clinical decision-making, communication, and crisis management skills in a safe, controlled environment. 

Background:

Myasthenia gravis (MG) is a rare autoimmune disorder characterized by fluctuating muscle weakness and fatigue, potentially leading to life-threatening respiratory crises requiring emergent intervention. Rapid diagnosis and management of a myasthenic crisis is critical in improving patient outcomes. However, despite the high-stakes nature of these crises, simulation training for myasthenic crisis management is not routinely incorporated into a neurology residency curricula. The infrequency of these crises means that many residents lack hands-on experience in managing such emergencies, highlighting the need for more structured educational interventions.

Design/Methods:

A multidisciplinary simulation lab was developed to simulate myasthenic crisis scenarios, including airway management, assessment of respiratory failure, and appropriate pharmacologic interventions (e.g., IVIG, plasmapheresis). Neurology residents participated in the simulation exercises, which were followed by debriefing sessions. Pre- and post-simulation assessments were conducted to measure the participants’ knowledge, skills, and confidence in managing MG crises.

Results:

Preliminary data from participating residents showed marked improvement in their ability to recognize signs of an impending myasthenic crisis, implement critical interventions, and work effectively with critical care teams. Notably, participants reported increased confidence in handling similar real-life situations. Despite the success of this training, it remains underutilized in residency programs.

Conclusions:

Simulation labs for MG crises are not routinely utilized but have proven to be invaluable educational tools for improving clinical competence. Incorporating such simulation training into neurology programs is essential to better prepare healthcare providers for the management of myasthenic crises, ultimately enhancing patient outcomes.