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The Success Rate of Neurology Residents in EEG Interpretation After Formal Training

机译:正式培训后EEG解释中神经学居民的成功率

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EEG is an important tool for neurologists in both diagnosis and classification of seizures. It is not uncommon in clinical practice to see patients who were erroneously diagnosed as epileptic. Most of the time incorrect interpretation of EEG contributes significantly to this problem. In this study, we aimed to investigate the success rate of neurology residents in EEG interpretation after formal training. Eleven neurology residents were included in the study. Duration of EEG training (3 vs 4 months) and time since completion of EEG education were determined. Residents were randomly presented 30 different slides of representative EEG screenshots. They received 1 point for each correct response. The effect of training duration and time since training were investigated statistically. Besides, we looked at the success rate of each question to see whether certain patterns were more readily recognized than others. EEG training duration (P = .93) and time since completion of training (P = .16) did not influence the results. The success rate of residents for correct responses was between 17% and 50%. On the other hand, the success rate for each question varied between 0% and 91%. Overall, benign variants and focal ictal onset patterns were the most difficult to recognize. On 13 occasions (6.5%) nonepileptiform patterns were thought to represent epileptiform abnormalities. After formal training, neurology residents could identify 50% of the EEG patterns correctly. The wide variation in success rate among residents and also between questions implies that both personal characteristics and inherent EEG features influence successful EEG interpretation.
机译:脑电图是癫痫发作诊断和分类中神经泌素的重要工具。在临床实践中,看到被错误被诊断为癫痫的患者并不罕见。大多数时间对脑电图的解释不正确贡献了这一问题。在这项研究中,我们旨在调查正式培训后EEG解释中神经病学居民的成功率。研究中包含11个神经病学居民。确定了EEG培训的持续时间(3 vs 4个月)和自脑电格教育完成以来的时间。居民随机呈现30种不同的代表性脑梗塞截图。他们收到了每个正确响应的1点。自培训训练持续时间和时间的效果在统计上调查。此外,我们看着每个问题的成功率,以了解某些模式是否比其他模式更容易被识别。 EEG培训持续时间(P = .93)和自完成培训(P = .16)的时间没有影响结果。正确反应的居民的成功率达到17%和50%。另一方面,每个问题的成功率在0%和91%之间变化。总体而言,良性变体和焦急性发病模式最难以承认。在13场(6.5%)中被认为非渗成圆形图案来代表癫痫型异常。在正式培训之后,神经病学居民可以正确识别50%的EEG模式。居民之间的成功率和问题之间的广泛变化意味着个人特征和固有的EEG功能都会影响成功的EEG解释。

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