Article Text

PDF
003
THE ESSENTIAL NEUROLOGICAL EXAMINATION: AN EVIDENCE-BASED, YOUTUBE APPROACH?
  1. Ghaniah Hassan-Smith1,2,
  2. David Nicholl1,2,3
  1. 1University of Birmingham
  2. 2University Hospitals Birmingham
  3. 3Sandwell and West Birmingham Hospitals NHS Trust

Abstract

Objective The neurological examination is frequently perceived to be overly complex by non-neurologists and this may explain poor performance in junior doctors (eg TOS,NASH2 &NCEPOD). To demonstrate consensus of opinion regarding an essential neurological examination based on an established model (Moore et al., Neurology, 2012), a professionally-filmed video was prepared and linked to YouTube for review.

Methods Using the Delphi technique, questionnaires were sent to national and internationally-based neurologists, to report on the execution and validity of the video.

Results 25/49 questionnaires were returned via SurveyMonkey. The median time post-registration/post-entry onto Specialist Register was 24 years and 17 years respectively, representing an experienced cohort. 88% of respondents felt an abbreviated neurological examination was useful; 79% felt the specific, 22-point routine outlined by Moore et al represented adequate assessment in this context. The majority of respondents felt the signs were elicited satisfactorily in the demonstration. There was frequent convergence of expert opinion on selected technical aspects and this will be taken into account when filming the final version.

Conclusion This short neurological examination is a useful introduction when teaching students, with further elaboration prompted by relevant history. Based on this feedback, a final ‘3-minute Neurological Exam’ video will be filmed and launched via the @TOSStudyGroup twitter feed.

Statistics from Altmetric.com

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.