OtherAmerican journal of physical medicine & rehabilitation2018

Implementation of a Multifaceted Interactive Electrodiagnostic Medicine Workshop in a Physical Medicine and Rehabilitation Residency Program.

Jayne Donovan, Marc van de Rijn, Elizabeth L McCabe and 2 others

PMID 28953032

WHAT IT FOUND

Physical medicine and rehabilitation residents reported better comfort with electrodiagnostic testing after a two-part workshop, and exam scores rose.

The study did not test whether this improves patient care.

Key findings

01Residents reported better knowledge and comfort with electrodiagnostic skills after both the basic and advanced workshops.

02The paper reports a 7% improvement in mean AANEM electrodiagnostic self-assessment exam scores compared with the previous year and a 15% improvement in mean PM&R electrodiagnostic subscores compared with the previous five-year mean.

03Residents rated the basic workshop 4.8 and the advanced workshop 3.9 for overall value on a 5-point scale, and 100% would recommend similar workshops.

STILL TO COME

How it was doneWhat they found

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What it does not show

The study was done at one teaching institution, so other residency programs may not get the same result. The sample was small, and a few residents did not complete the post-workshop surveys. Pre-workshop and post-workshop survey responses could not be linked to individual residents, so the researchers could not do statistical testing. The primary outcome was residents' own subjective rating of knowledge and comfort, not an objective measure of clinical competence. The workshop combined lectures, case discussion, question and answer sessions, demonstrations, supervised hands-on practice, peer teaching, and expert mentoring, so the contribution of any single component cannot be separated. The study did not test patient care, patient outcomes, or long-term skill retention.

Declared interests

The authors report no conflicts of interest. Five EMG machines were provided free of charge by a medical device service provider for the duration of each workshop.

The easy way to misread this

Do not conclude that this workshop makes residents competent electrodiagnostic clinicians or improves patient care. It combined lectures, case discussion, question and answer sessions, demonstrations, supervised hands-on practice, peer teaching, and expert mentoring, so no single component can be credited, and the study did not test patient outcomes.

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The study

Participants
21 residents were asked to attend; 18 attended the basic workshop and 16 attended the advanced workshop.
Certainty of evidence
Low

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    Cite

    Jayne Donovan, Marc van de Rijn, Elizabeth L McCabe, et al. Implementation of a Multifaceted Interactive Electrodiagnostic Medicine Workshop in a Physical Medicine and Rehabilitation Residency Program. American journal of physical medicine & rehabilitation. 2018.

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