title: Improving the Identification of Neonatal Encephalopathy: Utility of a Web-Based Video Tool.
abstract: ObjectiveThis study tested the effectiveness of a video teaching tool in improving identification and classification of encephalopathy in infants.Study DesignWe developed an innovative video teaching tool to help clinicians improve their skills in interpreting the neonatal neurological examination for grading encephalopathy. Pediatric residents were shown 1-minute video clips demonstrating exam findings in normal neonates and neonates with various degrees of encephalopathy. Findings from five domains were demonstrated: spontaneous activity, level of alertness, posture/tone, reflexes, and autonomic responses. After each clip, subjects were asked to identify whether the exam finding was normal or consistent with mild, moderate, or severe abnormality. Subjects were then directed to a web-based teaching toolkit, containing a compilation of videos demonstrating normal and abnormal findings on the neonatal neurological examination. Immediately after training, subjects underwent posttesting, again identifying exam findings as normal, mild, moderate, or severe abnormality.ResultsResidents improved in their overall ability to identify and classify neonatal encephalopathy after viewing the teaching tool. In particular, the identification of abnormal spontaneous activity, reflexes, and autonomic responses were most improved.ConclusionThis pretest/posttest evaluation of an educational tool demonstrates that after viewing our toolkit, pediatric residents were able to improve their overall ability to detect neonatal encephalopathy.
authors: Division of Child Neurology, Lucile Packard Children's Hospital, Stanford University School of Medicine, Stanford, California.
authors: Autumn S
authors: AS
authors: Ivy
authors: Division of Child Neurology, Lucile Packard Children's Hospital, Stanford University School of Medicine, Stanford, California.
authors: Catherine L
authors: CL
authors: Clark
authors: Department of Pediatrics, Lucile Packard Children's Hospital, Stanford University School of Medicine, Stanford, California.
authors: Sarah M
authors: SM
authors: Bahm
authors: Division of Neonatology, Lucile Packard Children's Hospital, Stanford University School of Medicine, Stanford, California.
authors: Krisa P Van
authors: KP
authors: Meurs
authors: Division of Child Neurology, Lucile Packard Children's Hospital, Stanford University School of Medicine, Stanford, California.
authors: Courtney J
authors: CJ
authors: Wusthoff
mesh_terms: D001927:Brain Diseases / Q000145:classification / Q000175:diagnosis*; D006801:Humans; D007231:Infant, Newborn; D020407:Internet; D007396:Internship and Residency; D009460:Neurologic Examination; D010372:Pediatrics / Q000193:education*; D013664:Teaching Materials; D014741:Video Recording