ABSTRACT Introduction Teleneurology has been increasingly implemented where in‐person consultations are not feasible. However, the neurology education of internal medicine residents using teleneurology has not been studied. Our study assessed internal medicine residents' experience and comfort with teleneurology and the effect of a simulation‐based curriculum on their neurology skills and confidence. Methods Our 2023–2024 curricular intervention included a workshop with neurologic exam teaching and simulated patient sessions as well as case discussions and lectures. Participants completed validated questionnaires evaluating perceptions on neurology, neurology education and teleneurology, and participated in a focus group. Teleneurology utilisation data was obtained. Results Nineteen residents (90%) completed questionnaires before and after the workshop and 8 (42%) completed questionnaires at the end of the intervention. All felt neurology is important; 94% considered it difficult and 31.6% reported being afraid of neurology. The workshop led to an increase in their confidence performing a neurological exam and recognising, diagnosing and working up acute stroke and seizure. Their comfort practicing without in‐house neurologists increased, and their perception that neurology is difficult decreased. Residents identified barriers, including a lack of systematic examination and infrequent exposure to neurologic diagnoses, valued an in‐person neurology rotation and recommended structured in‐person and asynchronous neurology learning. Discussion We identified an educational gap among residents training in centres that use teleneurology. An in‐person session with exam teaching and simulated patient sessions on acute stroke and seizure recognition and management may improve residents' confidence in their neurologic skills.
Sotiropoulos et al. (Tue,) studied this question.