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Using a Workshop Format for Physiatry Trainees in the Management of Acute Sports-Related Concussion

Lamm, Adam G., MD, MA; Babu, Ashwin, MD; Zafonte, Ross, DO; Iaccarino, Mary Alexis, MD

American Journal of Physical Medicine & Rehabilitation: April 2019 - Volume 98 - Issue 4 - p 319–324
doi: 10.1097/PHM.0000000000001059
Education & Administration
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Select residency and medical student training programs have developed and researched skill-based workshops, focusing on mastering a surgical or communication skill; however, they are less frequently studied in physiatry residency programs. Given the importance of concussion care in physiatric practice, this study sought to measure the effectiveness of a novel sports-related concussion workshop. Based on the 5th International Consensus Statement on Concussion in Sport, a 6-hr concussion workshop was developed. Participants were administered a preworkshop and postworkshop questionnaire to gauge level of comfort managing various aspects of concussion, case-based questions to assess participant knowledge, and questions regarding satisfaction with workshop-based training sessions. Sixteen participants, ranging from PGY-2 to PGY-5, were included in the analyses, with significant gains (P < 0.0001 to P = 0.0045) made in all measures of comfort managing sports-related concussion; the study was unable to detect a statistically significant improvement in knowledge as assessed by the patient vignettes (P = 0.17), but participants did report high levels of satisfaction with workshop-based training sessions. Thus, workshop-based physiatry trainee education sessions can be used to teach trainees certain skills or provide comprehensive training in the management of a specific condition. Participants demonstrated improved comfort managing concussion, a trend toward improved knowledge, and a high degree of satisfaction with the content's method delivery.

From the Department of Physical Medicine & Rehabilitation, Spaulding Rehabilitation Hospital/Harvard Medical School, Charlestown, Massachusetts (AGL, AB, RZ, MAI); Massachusetts General Hospital, Sports Medicine Service, Boston, Massachusetts (AB); Massachusetts General Hospital, Boston, Massachusetts (RZ, MAI); and Brigham & Women's Hospital, Boston, Massachusetts (RZ).

All correspondence should be addressed to: Mary Alexis Iaccarino, MD, 300 First Ave, Charlestown, MA 02129.

Adam G. Lamm is in training.

Financial disclosure statements have been obtained, and no conflicts of interest have been reported by the authors or by any individuals in control of the content of this article.

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