Evidence map›Paper›PMID 41194110›Full record

ArticleBMC medical education2025

Acute neurology simulation-based training boosts confidence and reduces anxiety in novice neurology residents and nursing staff.

Sela Yarden, Cassuto Mai, Capua Tali, Dadbaeiv Luiza, Molad Jeremy, Hallevi Hen, Gadoth Avi, Sadan Ofer, Seyman Estelle

Abstract read
In one paragraph

Article in BMC medical education, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Sela Yarden *Medical Technology and Simulation Center, Tel Aviv Sourasky Medical Center, Ministry of Health, Tel Aviv, Israel.
Cassuto Mai *The Ruth and Bruce Rappaport Faculty of Medicine, Technion - Israel Institute of Technology, Haifa, Israel.
Capua TaliMedical Technology and Simulation Center, Tel Aviv Sourasky Medical Center, Ministry of Health, Tel Aviv, Israel.
Dadbaeiv LuizaStroke Department Division of Neurology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
Molad JeremyStroke Department Division of Neurology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
Hallevi HenStroke Department Division of Neurology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
Gadoth AviStroke Department Division of Neurology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
Sadan OferDepartment of Neurology and Neurosurgery, Division of Neurocritical Care, Emory University School of Medicine, Atlanta, GA, USA.
Seyman EstelleFaculty of Medicine, Tel Aviv University, Tel Aviv, Israel. e_seyman@rmc.gov.il.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNeurological emergencies pose a considerable challenge in emergency departments, with common misdiagnoses and delayed care. Given the growing role of neurology residents in emergency settings, targeted training is crucial. The Israeli-Neurological-Association(INA) has implemented a national Simulation-Based Medical Education(SBME) program for Post-Graduate-Year-2 neurology residents and nursing staff. This study aims to delineate the educational initiative and evaluate participant satisfaction, readiness, and anxiety levels.

methodsThis study included all individuals participating in the SBME training program from January2020- April2024. The curriculum involved five alternating scenarios(acute stroke, acute coma, meningoencephalitis, status epilepticus, and acute non-traumatic-weakness) using computer-enhanced mannequins and live actors. Following each scenario, a skilled instructor facilitated a debriefing session to consolidate knowledge acquisition. Participants used VAS scales and the validated State-Trait-Anxiety Inventory-6(STAI-6) questionnaires to assess satisfaction, general anxiety, and self-readiness before and after simulations.

results79 medical professionals across 11 medical centers in Israel participated in the training. The cohort comprised 75.9% PGY-2 neurology residents and 24.1% nurses with varying clinical experience (range 0.2–22 years), mean age 33.94 years, and 55.7% female. Wilcoxon signed-rank test showed participants’ self-assessed readiness levels to identify and manage neurological emergencies increased (Z=-5.24,Z=-5.63,p < 0.001,respectively). Participants’ anxiety levels, as measured by both general anxiety and the STAI-6questionnaire, decreased post-intervention (Z=-3.44,p = 0.001and Z=-5.13,p < 0.001,respectively).

conclusionThe multidisciplinary SBME training program for handling acute neurological emergencies enhanced participants’ self-readiness, confidence in managing such cases and reduced anxiety among medical staff. These results underscore the significance of integrating SBME into neurology training programs, with potential positive implications for physician well being, clinical performance and patient care.

Indexed as

AnxietyClinical CompetenceInternship and ResidencyNeurologyNursing Staff, HospitalSimulation TrainingAdultCurriculumFemaleHumansIsraelMaleManikinsAcute strokeNeurological emergenciesPost graduate medical educationSimulation-based training

Identifiers

PMID41194110
PMCPMC12587560

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.