The Neurovascular Disease Management Course: a Medical Student Opportunity for Early Exposure and Technical Development in Vascular Neurosurgery.

Angiography Curriculum Education Medical Schools Microsurgery Neurosurgery

Journal

World neurosurgery
ISSN: 1878-8769
Titre abrégé: World Neurosurg
Pays: United States
ID NLM: 101528275

Informations de publication

Date de publication:
25 Jul 2024
Historique:
received: 12 03 2024
revised: 18 07 2024
accepted: 20 07 2024
medline: 28 7 2024
pubmed: 28 7 2024
entrez: 27 7 2024
Statut: aheadofprint

Résumé

As endovascular neurosurgery techniques continue to evolve, medical students in the United States have widely varying exposures to the field, particularly with respect to opportunities for hands-on experiences. Current medical school curricula could benefit from a novel and adaptive course on vascular neurosurgery to increase student exposure earlier in their training. We launched a yearly hands-on vascular neurosurgery course for medical students and residents. The day-long course is a combination of lectures focused on neurovascular disease and management accompanied by hands-on sessions where students practiced fundamental microsurgery and angiography techniques using real microscopes and angiography simulators. We surveyed the students before and after each of the two courses. The survey following the second annual course included quiz questions the students had not previously seen. Over two courses, we had 149 attendees, 71.8% of which were first and second-year medical students representing fifteen institutions. The average survey completion rate was 41.4% for the four surveys across the two courses. Attendees' interest in pursuing a surgical specialty (t= 1.815, p=0.039) along with their comfort with neuroanatomy (t= 8.780, p=< 0.001) and neurosurgical disease (t= 6.133, p=< 0.001) was significantly elevated after the completion of the second course. Responses to the post-survey showed a good grasp of the fundamentals with 68% of attendees answering 70% of the quiz questions correctly. An interactive course on vascular neurosurgery may be an effective vehicle to provide medical students with exposure to the field and the opportunity to learn the fundamentals.

Sections du résumé

BACKGROUND BACKGROUND
As endovascular neurosurgery techniques continue to evolve, medical students in the United States have widely varying exposures to the field, particularly with respect to opportunities for hands-on experiences. Current medical school curricula could benefit from a novel and adaptive course on vascular neurosurgery to increase student exposure earlier in their training.
METHODS METHODS
We launched a yearly hands-on vascular neurosurgery course for medical students and residents. The day-long course is a combination of lectures focused on neurovascular disease and management accompanied by hands-on sessions where students practiced fundamental microsurgery and angiography techniques using real microscopes and angiography simulators. We surveyed the students before and after each of the two courses. The survey following the second annual course included quiz questions the students had not previously seen.
RESULTS RESULTS
Over two courses, we had 149 attendees, 71.8% of which were first and second-year medical students representing fifteen institutions. The average survey completion rate was 41.4% for the four surveys across the two courses. Attendees' interest in pursuing a surgical specialty (t= 1.815, p=0.039) along with their comfort with neuroanatomy (t= 8.780, p=< 0.001) and neurosurgical disease (t= 6.133, p=< 0.001) was significantly elevated after the completion of the second course. Responses to the post-survey showed a good grasp of the fundamentals with 68% of attendees answering 70% of the quiz questions correctly.
CONCLUSION CONCLUSIONS
An interactive course on vascular neurosurgery may be an effective vehicle to provide medical students with exposure to the field and the opportunity to learn the fundamentals.

Identifiants

pubmed: 39067693
pii: S1878-8750(24)01286-5
doi: 10.1016/j.wneu.2024.07.146
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

Copyright © 2024 Elsevier Inc. All rights reserved.

Auteurs

Justin Gelman (J)

Neurosurgical Service, Harvard Medical School, Beth Isreal Deaconess Medical Center, Boston, Massachusetts, United States.

Jean Filo (J)

Neurosurgical Service, Harvard Medical School, Beth Isreal Deaconess Medical Center, Boston, Massachusetts, United States.

Felipe Ramirez Velandia (F)

Neurosurgical Service, Harvard Medical School, Beth Isreal Deaconess Medical Center, Boston, Massachusetts, United States.

Alejandro Enriquez-Marulanda (A)

Neurosurgical Service, Harvard Medical School, Beth Isreal Deaconess Medical Center, Boston, Massachusetts, United States.

Sarah Blitz (S)

Neurosurgical Service, Harvard Medical School, Beth Isreal Deaconess Medical Center, Boston, Massachusetts, United States.

Sandeep Muram (S)

Neurosurgical Service, Harvard Medical School, Beth Isreal Deaconess Medical Center, Boston, Massachusetts, United States.

Anirudh Penumaka (A)

Neurosurgical Service, Harvard Medical School, Beth Isreal Deaconess Medical Center, Boston, Massachusetts, United States.

Charles Mackel (C)

Neurosurgical Service, Harvard Medical School, Beth Isreal Deaconess Medical Center, Boston, Massachusetts, United States.

Michael Young (M)

Neurosurgical Service, Harvard Medical School, Beth Isreal Deaconess Medical Center, Boston, Massachusetts, United States.

Jonathan Pace (J)

Department of Neurosurgery, Lahey Hospital & Medical Center, Burlington, Massachusetts, United States.

Hormuzdiyar Dasenbrock (H)

Department of Neurosurgery, Boston University Chobanian and Avedisian School of Medicine, Boston Medical Center, Boston, Massachusetts, United States.

Adel Malek (A)

Department of Neurosurgery, Tufts Medical School, Tufts Medical Center, Boston, Massachusetts, United States.

Philipp Taussky (P)

Neurosurgical Service, Harvard Medical School, Beth Isreal Deaconess Medical Center, Boston, Massachusetts, United States.

Justin Granstein (J)

Neurosurgical Service, Harvard Medical School, Beth Isreal Deaconess Medical Center, Boston, Massachusetts, United States.

Christopher S Ogilvy (CS)

Neurosurgical Service, Harvard Medical School, Beth Isreal Deaconess Medical Center, Boston, Massachusetts, United States. Electronic address: cogilvy@bidmc.harvard.edu.

Classifications MeSH