ArticleNeurology. Clinical practice2018
Stroke code simulation benefits advanced practice providers similar to neurology residents.
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Article in Neurology. Clinical practice, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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3citing papers in PubMed
1.0field-weighted citation impact, top 24% of its field
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Who cites it
3 citing papers in PubMed, 12 citations in OpenAlex.
- BRAIN-SIM: Leveraging Simulation for Neurocritical Care Education with an Innovative Multidisciplinary Approach.Journal of intensive care medicine · 2025Article
- Improvement of Confidence and Knowledge Retention for Stroke Management Among Internal Medicine Trainees During an Institution-Specific, Protocol-Oriented Lecture Based Intervention.Journal of Brown hospital medicine · 2024Article
- Simulation-based team training improves door-to-needle time for intravenous thrombolysis.BMJ open quality · 2023Article
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Authors and funding
15 authors at 5 institutions in 1 country.
Muhib KhanDivision of Neurology, Neuroscience Institute (MK, OK, MDJ, JZ, RRC, WS, CH, TA, B Smith), Department of Accreditation and Regulations (TP), and Nursing Administration (TT), Spectrum Health, Grand Rapids; Department of Emergency Medicine (AO) and Department of Clinical Neuroscience, College of Human Medicine (MK, OK, MDJ, JZ, RRC, WS, CH, TA, B Smith), Michigan State University, East Lansing; Lifespan Biostatistics Core (GLB), Rhode Island Hospital; Department of Diagnostic Imaging (GLB), Warren Alpert School of Medicine, Brown University, Providence, RI; Emergency Care Specialists (RS), Grand Rapids, MI; and Department of Neurology (B Silver), University of Massachusetts Medical School, Worcester.
Grayson L BairdDivision of Neurology, Neuroscience Institute (MK, OK, MDJ, JZ, RRC, WS, CH, TA, B Smith), Department of Accreditation and Regulations (TP), and Nursing Administration (TT), Spectrum Health, Grand Rapids; Department of Emergency Medicine (AO) and Department of Clinical Neuroscience, College of Human Medicine (MK, OK, MDJ, JZ, RRC, WS, CH, TA, B Smith), Michigan State University, East Lansing; Lifespan Biostatistics Core (GLB), Rhode Island Hospital; Department of Diagnostic Imaging (GLB), Warren Alpert School of Medicine, Brown University, Providence, RI; Emergency Care Specialists (RS), Grand Rapids, MI; and Department of Neurology (B Silver), University of Massachusetts Medical School, Worcester.
Theresa PriceDivision of Neurology, Neuroscience Institute (MK, OK, MDJ, JZ, RRC, WS, CH, TA, B Smith), Department of Accreditation and Regulations (TP), and Nursing Administration (TT), Spectrum Health, Grand Rapids; Department of Emergency Medicine (AO) and Department of Clinical Neuroscience, College of Human Medicine (MK, OK, MDJ, JZ, RRC, WS, CH, TA, B Smith), Michigan State University, East Lansing; Lifespan Biostatistics Core (GLB), Rhode Island Hospital; Department of Diagnostic Imaging (GLB), Warren Alpert School of Medicine, Brown University, Providence, RI; Emergency Care Specialists (RS), Grand Rapids, MI; and Department of Neurology (B Silver), University of Massachusetts Medical School, Worcester.
Tricia TubergenDivision of Neurology, Neuroscience Institute (MK, OK, MDJ, JZ, RRC, WS, CH, TA, B Smith), Department of Accreditation and Regulations (TP), and Nursing Administration (TT), Spectrum Health, Grand Rapids; Department of Emergency Medicine (AO) and Department of Clinical Neuroscience, College of Human Medicine (MK, OK, MDJ, JZ, RRC, WS, CH, TA, B Smith), Michigan State University, East Lansing; Lifespan Biostatistics Core (GLB), Rhode Island Hospital; Department of Diagnostic Imaging (GLB), Warren Alpert School of Medicine, Brown University, Providence, RI; Emergency Care Specialists (RS), Grand Rapids, MI; and Department of Neurology (B Silver), University of Massachusetts Medical School, Worcester.
Omran KaskarDivision of Neurology, Neuroscience Institute (MK, OK, MDJ, JZ, RRC, WS, CH, TA, B Smith), Department of Accreditation and Regulations (TP), and Nursing Administration (TT), Spectrum Health, Grand Rapids; Department of Emergency Medicine (AO) and Department of Clinical Neuroscience, College of Human Medicine (MK, OK, MDJ, JZ, RRC, WS, CH, TA, B Smith), Michigan State University, East Lansing; Lifespan Biostatistics Core (GLB), Rhode Island Hospital; Department of Diagnostic Imaging (GLB), Warren Alpert School of Medicine, Brown University, Providence, RI; Emergency Care Specialists (RS), Grand Rapids, MI; and Department of Neurology (B Silver), University of Massachusetts Medical School, Worcester.
Michelle De JesusDivision of Neurology, Neuroscience Institute (MK, OK, MDJ, JZ, RRC, WS, CH, TA, B Smith), Department of Accreditation and Regulations (TP), and Nursing Administration (TT), Spectrum Health, Grand Rapids; Department of Emergency Medicine (AO) and Department of Clinical Neuroscience, College of Human Medicine (MK, OK, MDJ, JZ, RRC, WS, CH, TA, B Smith), Michigan State University, East Lansing; Lifespan Biostatistics Core (GLB), Rhode Island Hospital; Department of Diagnostic Imaging (GLB), Warren Alpert School of Medicine, Brown University, Providence, RI; Emergency Care Specialists (RS), Grand Rapids, MI; and Department of Neurology (B Silver), University of Massachusetts Medical School, Worcester.
Joseph ZachariahDivision of Neurology, Neuroscience Institute (MK, OK, MDJ, JZ, RRC, WS, CH, TA, B Smith), Department of Accreditation and Regulations (TP), and Nursing Administration (TT), Spectrum Health, Grand Rapids; Department of Emergency Medicine (AO) and Department of Clinical Neuroscience, College of Human Medicine (MK, OK, MDJ, JZ, RRC, WS, CH, TA, B Smith), Michigan State University, East Lansing; Lifespan Biostatistics Core (GLB), Rhode Island Hospital; Department of Diagnostic Imaging (GLB), Warren Alpert School of Medicine, Brown University, Providence, RI; Emergency Care Specialists (RS), Grand Rapids, MI; and Department of Neurology (B Silver), University of Massachusetts Medical School, Worcester.
Adam OostemaDivision of Neurology, Neuroscience Institute (MK, OK, MDJ, JZ, RRC, WS, CH, TA, B Smith), Department of Accreditation and Regulations (TP), and Nursing Administration (TT), Spectrum Health, Grand Rapids; Department of Emergency Medicine (AO) and Department of Clinical Neuroscience, College of Human Medicine (MK, OK, MDJ, JZ, RRC, WS, CH, TA, B Smith), Michigan State University, East Lansing; Lifespan Biostatistics Core (GLB), Rhode Island Hospital; Department of Diagnostic Imaging (GLB), Warren Alpert School of Medicine, Brown University, Providence, RI; Emergency Care Specialists (RS), Grand Rapids, MI; and Department of Neurology (B Silver), University of Massachusetts Medical School, Worcester.
Raymond ScurekDivision of Neurology, Neuroscience Institute (MK, OK, MDJ, JZ, RRC, WS, CH, TA, B Smith), Department of Accreditation and Regulations (TP), and Nursing Administration (TT), Spectrum Health, Grand Rapids; Department of Emergency Medicine (AO) and Department of Clinical Neuroscience, College of Human Medicine (MK, OK, MDJ, JZ, RRC, WS, CH, TA, B Smith), Michigan State University, East Lansing; Lifespan Biostatistics Core (GLB), Rhode Island Hospital; Department of Diagnostic Imaging (GLB), Warren Alpert School of Medicine, Brown University, Providence, RI; Emergency Care Specialists (RS), Grand Rapids, MI; and Department of Neurology (B Silver), University of Massachusetts Medical School, Worcester.
Robert R ColemanDivision of Neurology, Neuroscience Institute (MK, OK, MDJ, JZ, RRC, WS, CH, TA, B Smith), Department of Accreditation and Regulations (TP), and Nursing Administration (TT), Spectrum Health, Grand Rapids; Department of Emergency Medicine (AO) and Department of Clinical Neuroscience, College of Human Medicine (MK, OK, MDJ, JZ, RRC, WS, CH, TA, B Smith), Michigan State University, East Lansing; Lifespan Biostatistics Core (GLB), Rhode Island Hospital; Department of Diagnostic Imaging (GLB), Warren Alpert School of Medicine, Brown University, Providence, RI; Emergency Care Specialists (RS), Grand Rapids, MI; and Department of Neurology (B Silver), University of Massachusetts Medical School, Worcester.
Wendy ShermanDivision of Neurology, Neuroscience Institute (MK, OK, MDJ, JZ, RRC, WS, CH, TA, B Smith), Department of Accreditation and Regulations (TP), and Nursing Administration (TT), Spectrum Health, Grand Rapids; Department of Emergency Medicine (AO) and Department of Clinical Neuroscience, College of Human Medicine (MK, OK, MDJ, JZ, RRC, WS, CH, TA, B Smith), Michigan State University, East Lansing; Lifespan Biostatistics Core (GLB), Rhode Island Hospital; Department of Diagnostic Imaging (GLB), Warren Alpert School of Medicine, Brown University, Providence, RI; Emergency Care Specialists (RS), Grand Rapids, MI; and Department of Neurology (B Silver), University of Massachusetts Medical School, Worcester.
Cynthia HingtgenDivision of Neurology, Neuroscience Institute (MK, OK, MDJ, JZ, RRC, WS, CH, TA, B Smith), Department of Accreditation and Regulations (TP), and Nursing Administration (TT), Spectrum Health, Grand Rapids; Department of Emergency Medicine (AO) and Department of Clinical Neuroscience, College of Human Medicine (MK, OK, MDJ, JZ, RRC, WS, CH, TA, B Smith), Michigan State University, East Lansing; Lifespan Biostatistics Core (GLB), Rhode Island Hospital; Department of Diagnostic Imaging (GLB), Warren Alpert School of Medicine, Brown University, Providence, RI; Emergency Care Specialists (RS), Grand Rapids, MI; and Department of Neurology (B Silver), University of Massachusetts Medical School, Worcester.
Tamer AbdelhakDivision of Neurology, Neuroscience Institute (MK, OK, MDJ, JZ, RRC, WS, CH, TA, B Smith), Department of Accreditation and Regulations (TP), and Nursing Administration (TT), Spectrum Health, Grand Rapids; Department of Emergency Medicine (AO) and Department of Clinical Neuroscience, College of Human Medicine (MK, OK, MDJ, JZ, RRC, WS, CH, TA, B Smith), Michigan State University, East Lansing; Lifespan Biostatistics Core (GLB), Rhode Island Hospital; Department of Diagnostic Imaging (GLB), Warren Alpert School of Medicine, Brown University, Providence, RI; Emergency Care Specialists (RS), Grand Rapids, MI; and Department of Neurology (B Silver), University of Massachusetts Medical School, Worcester.
Brien SmithDivision of Neurology, Neuroscience Institute (MK, OK, MDJ, JZ, RRC, WS, CH, TA, B Smith), Department of Accreditation and Regulations (TP), and Nursing Administration (TT), Spectrum Health, Grand Rapids; Department of Emergency Medicine (AO) and Department of Clinical Neuroscience, College of Human Medicine (MK, OK, MDJ, JZ, RRC, WS, CH, TA, B Smith), Michigan State University, East Lansing; Lifespan Biostatistics Core (GLB), Rhode Island Hospital; Department of Diagnostic Imaging (GLB), Warren Alpert School of Medicine, Brown University, Providence, RI; Emergency Care Specialists (RS), Grand Rapids, MI; and Department of Neurology (B Silver), University of Massachusetts Medical School, Worcester.
Brian SilverDivision of Neurology, Neuroscience Institute (MK, OK, MDJ, JZ, RRC, WS, CH, TA, B Smith), Department of Accreditation and Regulations (TP), and Nursing Administration (TT), Spectrum Health, Grand Rapids; Department of Emergency Medicine (AO) and Department of Clinical Neuroscience, College of Human Medicine (MK, OK, MDJ, JZ, RRC, WS, CH, TA, B Smith), Michigan State University, East Lansing; Lifespan Biostatistics Core (GLB), Rhode Island Hospital; Department of Diagnostic Imaging (GLB), Warren Alpert School of Medicine, Brown University, Providence, RI; Emergency Care Specialists (RS), Grand Rapids, MI; and Department of Neurology (B Silver), University of Massachusetts Medical School, Worcester.
Lifespan · USMichigan State University · USRhode Island Hospital · USBrown University · USRetina Specialists of Michigan · US
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAdvanced practice providers (APPs) are important members of stroke teams. Stroke code simulations offer valuable experience in the evaluation and treatment of stroke patients without compromising patient care. We hypothesized that simulation training would increase APP confidence, comfort level, and preparedness in leading a stroke code similar to neurology residents.
methodsThis is a prospective quasi-experimental, pretest/posttest study. Nine APPs and 9 neurology residents participated in 3 standardized simulated cases to determine need for IV thrombolysis, thrombectomy, and blood pressure management for intracerebral hemorrhage. Emergency medicine physicians and neurologists were preceptors. APPs and residents completed a survey before and after the simulation. Generalized mixed modeling assuming a binomial distribution was used to evaluate change.
resultsOn a 5-point Likert scale (1 = strongly disagree and 5 = strongly agree), confidence in leading a stroke code increased from 2.4 to 4.2 (
conclusionSimulation training is a beneficial part of medical education for APPs and should be considered in addition to traditional didactics and clinical training. Further research is needed to determine whether simulation education of APPs results in improved treatment times and outcomes of acute stroke patients.
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