Article

Neurological disorders are frequently being managed by general
practitioners. It is therefore critical that future physicians become comfortable
with neurological examination and physical diagnosis. Graduating medical students
often consider neurological examination as one of the clinical skills they are
least comfortable with, and they even tend to be neurophobic. One way to improve
the learning of neurological semiology is to design innovative learner-friendly
educational methods, including simulation training.
METHODS: The feasibility of
mime-based roleplaying was tested by a simulation training program in
neurological semiology called 'The Move'. The program was proposed to third-year
medical students at Pierre and Marie Curie University in Paris during their
neurology rotation. Students were trained to roleplay patients by miming various
neurological syndromes (pyramidal, vestibular, cerebellar, parkinsonian) as well
as distal axonopathy, chorea and tonic-clonic seizures. Using an anonymous
self-administered questionnaire, the students' and teachers' emotional experience
and views on the impact of the program were then investigated. RESULTS: A total
of 223/365 students (61%) chose to participate in the study. Both students and
teachers felt their participation was pleasant. Students stated that The Move
increased their motivation to learn neurological semiology (78%), and improved
both their understanding of the subject (77%) and their long-term memorization of
the teaching content (86%). Although only a minority thought The Move was likely
to improve their performance on their final medical examination (32%), a clear
majority (77%) thought it would be useful for their future clinical practice.
Both students (87%) and teachers (95%) thought The Move should be included in the
medical curriculum. CONCLUSION: Mime-based roleplaying simulation may be a
valuable tool for training medical students in neurological semiology, and may
also help them to overcome neurophobia.
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Langue : ANGLAIS