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Miming neurological syndromes improves medical student's long-term retention and delayed recall of neurology

  • Author Footnotes
    1 These authors contributed equally to the manuscript.
    Emmanuel Roze
    Correspondence
    Corresponding author at: Department of Neurology, Hôpital Pitié-Salpêtrière, AP-HP, 47, boulevard de l'Hôpital, 75013 Paris, France.
    Footnotes
    1 These authors contributed equally to the manuscript.
    Affiliations
    Faculty of Medicine of Sorbonne University, University Pierre-et-Marie-Curie (UPMC), 91, boulevard de l'Hôpital, 75013 Paris, France

    Department of Neurology, Hôpital Pitié-Salpêtrière, AP-HP, 47, boulevard de l'Hôpital, 75013 Paris, France
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  • Author Footnotes
    1 These authors contributed equally to the manuscript.
    Yulia Worbe
    Footnotes
    1 These authors contributed equally to the manuscript.
    Affiliations
    Faculty of Medicine of Sorbonne University, University Pierre-et-Marie-Curie (UPMC), 91, boulevard de l'Hôpital, 75013 Paris, France

    Neurophysiology Unit, hôpital Saint-Antoine, AP-HP, 184, rue du Faubourg-Saint-Antoine, 75012 Paris, France
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  • Céline Louapre
    Affiliations
    Faculty of Medicine of Sorbonne University, University Pierre-et-Marie-Curie (UPMC), 91, boulevard de l'Hôpital, 75013 Paris, France

    Department of Neurology, Hôpital Pitié-Salpêtrière, AP-HP, 47, boulevard de l'Hôpital, 75013 Paris, France
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  • Aurélie Méneret
    Affiliations
    Faculty of Medicine of Sorbonne University, University Pierre-et-Marie-Curie (UPMC), 91, boulevard de l'Hôpital, 75013 Paris, France

    Department of Neurology, Hôpital Pitié-Salpêtrière, AP-HP, 47, boulevard de l'Hôpital, 75013 Paris, France
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  • Cécile Delorme
    Affiliations
    Faculty of Medicine of Sorbonne University, University Pierre-et-Marie-Curie (UPMC), 91, boulevard de l'Hôpital, 75013 Paris, France

    Department of Neurology, Hôpital Pitié-Salpêtrière, AP-HP, 47, boulevard de l'Hôpital, 75013 Paris, France
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  • Eavan McGovern
    Affiliations
    Faculty of Medicine of Sorbonne University, University Pierre-et-Marie-Curie (UPMC), 91, boulevard de l'Hôpital, 75013 Paris, France

    Department of Neurology, Hôpital Pitié-Salpêtrière, AP-HP, 47, boulevard de l'Hôpital, 75013 Paris, France
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  • Marta Ruiz
    Affiliations
    Faculty of Medicine of Sorbonne University, University Pierre-et-Marie-Curie (UPMC), 91, boulevard de l'Hôpital, 75013 Paris, France

    Department of Neurology, Hôpital Pitié-Salpêtrière, AP-HP, 47, boulevard de l'Hôpital, 75013 Paris, France
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  • Jean Capron
    Affiliations
    Faculty of Medicine of Sorbonne University, University Pierre-et-Marie-Curie (UPMC), 91, boulevard de l'Hôpital, 75013 Paris, France

    Department of Neurology, hôpital Saint-Antoine, AP-HP, 184, rue du Faubourg-Saint-Antoine, 75012 Paris, France
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  • Raphaël Le Bouc
    Affiliations
    Faculty of Medicine of Sorbonne University, University Pierre-et-Marie-Curie (UPMC), 91, boulevard de l'Hôpital, 75013 Paris, France

    Department of Neurology, Hôpital Pitié-Salpêtrière, AP-HP, 47, boulevard de l'Hôpital, 75013 Paris, France
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  • Stéphane Epelbaum
    Affiliations
    Faculty of Medicine of Sorbonne University, University Pierre-et-Marie-Curie (UPMC), 91, boulevard de l'Hôpital, 75013 Paris, France

    Department of Neurology, Hôpital Pitié-Salpêtrière, AP-HP, 47, boulevard de l'Hôpital, 75013 Paris, France
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  • Sonia Alamowitch
    Affiliations
    Faculty of Medicine of Sorbonne University, University Pierre-et-Marie-Curie (UPMC), 91, boulevard de l'Hôpital, 75013 Paris, France

    Department of Neurology, hôpital Saint-Antoine, AP-HP, 184, rue du Faubourg-Saint-Antoine, 75012 Paris, France
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  • Alexandre Duguet
    Affiliations
    Faculty of Medicine of Sorbonne University, University Pierre-et-Marie-Curie (UPMC), 91, boulevard de l'Hôpital, 75013 Paris, France

    Department of Pneumology, hôpital Pitié-Salpêtrière, AP-HP, 47, boulevard de l'Hôpital, 75013 Paris, France
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  • Marie-Christine Renaud
    Affiliations
    Faculty of Medicine of Sorbonne University, University Pierre-et-Marie-Curie (UPMC), 91, boulevard de l'Hôpital, 75013 Paris, France
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  • Olivier Palombi
    Affiliations
    University of Grenoble Alpes, CNRS, LJK, LADAF, UNESS, F-38000 Grenoble, France
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  • Tamara M. Pringsheim
    Affiliations
    Department of Clinical Neurosciences, University of Calgary, Calgary, Canada
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  • Constance Flamand-Roze
    Affiliations
    IFPPC, Centre CAMKeys, 7, rue des Cordelières, 75013 Paris, France

    Department of Neurology, Centre Hospitalier Sud-Francilien, université Paris-Sud, 116, boulevard Jean-Jaurès, 91100 Corbeil-Essonnes, France
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  • Olivier Steichen
    Affiliations
    Faculty of Medicine of Sorbonne University, University Pierre-et-Marie-Curie (UPMC), 91, boulevard de l'Hôpital, 75013 Paris, France

    Department of Internal Medicine, Hôpital Tenon, AP-HP, 4, rue de la Chine, 75020 Paris, France
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  • Author Footnotes
    1 These authors contributed equally to the manuscript.

      Highlights

      • The Move programme is a learner friendly simulation based training program for medical students.
      • Students are trained to simulate a patient with a neurological syndrome or the examining physician.
      • The Move improves long-term retention and delayed recall of neurological semiology.

      Abstract

      Basic examination and diagnostic skills in neurology are important for every graduating medical student. However, a majority of medical students consider neurology as complex and difficult to master.
      We evaluate the impact a learner-friendly, innovative simulation-based training programme has on long-term retention and delayed recall of neurological semiology amongst third-year medical students from the University Pierre et Marie Curie in Paris, France. The 2013 class received standard teaching in neurological semiology. The 2015 class who received the same standard teaching in neurological semiology were also invited to voluntarily participate in The Move, a mime-based role-play training programme of neurological semiology. During the Move, students were trained to simulate a patient with a neurological syndrome or the physician examining the patient.
      Students were evaluated with an assessment thirty months after their neurological rotation, including 15 questions to evaluate long-term retention of neurological semiology, and 10 to test background knowledge in general semiology.
      The semiology test was performed by 366/377 students from the 2013 class (standard education group) and by 272/391 students from the 2015 class, among which 186 participated in The Move (The Move group) and 86 did not (standard education group). The mean neurological semiology score was higher in the 2015 class compared to the 2013 class (p = 0.007) and remained so after adjustment for the general semiology performance (p = 0.003). The adjusted mean neurological semiology score was 1.21/15 points higher [95% CI 0.66, 1.75] in The Move group compared to the standard education group, corresponding to a 14% better ranking.
      The Move programme improves medical student's long-term retention and delayed recall of neurological semiology. This learner-friendly interactive teaching may in turn enhance clinical proficiency of future physicians in neurological semiology.

      Keywords

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