Neurocritical Care EEG Rounds: optimization of a neurology resident electroencephalogram (EEG) education model
Marco Malaga Julca1, Jordan Long2, Ellen Sanchez Mas4, Mitchell Powell5, Corey Goldsmith1, Rahul Damani3, Lu Lin2
1Department of Neurology, 2Section of Neurophysiology and Epilepsy, 3Section of Neurocritical Care and Vascular Neurology, Baylor College of Medicine, 4Department of Neurology, Columbia University, 5Neurology Associates of Long Island
Objective:
To optimize and advance an existing neurology resident electroencephalogram (EEG) education model.
Background:
EEG is an important monitoring tool in the intensive care unit (ICU). To improve neurology resident ICU EEG education, we initiated “neurocritical care EEG rounds” at Baylor College of Medicine and previously showed its efficacy in improving neurology residents’ comfort level and knowledge about ICU EEG. One year after its implementation, we now present additional data about the progress and optimization of this model.
Design/Methods:
At the end of last academic year, an anonymous survey was sent to residents and faculty to gather feedback. We continued to hold a daily 30-minute virtual conference involving neurocritical care (NCC) team and EEG readers to review ongoing EEG studies of patients under NCC care. Residents' knowledge and comfort level towards EEG interpretation before and after 4-week NCC rotation were assessed using a self-designed questionnaire. For senior residents, the questionnaire was modified to include several advanced ICU EEG concepts.
Results:
Survey results showed that most participants (N=13) either agreed or strongly agreed that the model was useful in both learning and patient care. Pilot data from current academic year (July to September 2025) included 9 junior residents, 7 (77.8%) reported increase in overall comfort level of EEG interpretation. Improvement in correct answer percentage on post-test was seen for diffuse suppression (77.8% vs. 33.3%; p=0.046), burst suppression (55.6% vs. 22.2%; p=0.083) and lateralized periodic discharges (77.8% vs 33.8%; p=0.102). Results for senior residents are being collected and analyzed.
Conclusions:
Neurocritical care EEG rounds was considered by residents and faculty to be useful in both education and patient care. Pilot data for current year’s junior residents continued to show improvement in subjective comfort level and EEG pattern recognition after participation. Tailored education based on training and baseline knowledge level is underway.
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