Needs-based novel digital curriculum for the neuromodulation training deficit: Pain Rounds

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dc.contributor.authorDurbhakula, Shravanien
dc.contributor.authorToy, Serkanen
dc.contributor.authorAcosta, Carlos A.en
dc.contributor.authorBarman, Ross A.en
dc.contributor.authorKelner, Andrew F.en
dc.contributor.authorIssa, Mohammad A.en
dc.contributor.authorBroachwala, Mustafa Y.en
dc.contributor.authorMarascalchi, Bryan J.en
dc.contributor.authorNavalgund, Yeshvant A.en
dc.contributor.authorPak, Daniel J.en
dc.contributor.authorPetersen, Erika A.en
dc.contributor.authorMehta, Neel D.en
dc.contributor.authorMoeschler, Susan M.en
dc.contributor.authorKohan, Lynn R.en
dc.date.accessioned2023-08-25T19:42:58Zen
dc.date.available2023-08-25T19:42:58Zen
dc.date.issued2023-04en
dc.description.abstractThis study reports the needs-based development, effectiveness and feasibility of a novel, comprehensive spinal cord stimulation (SCS) digital curriculum designed for pain medicine trainees. The curriculum aims to address the documented systematic variability in SCS education and empower physicians with SCS expertise, which has been linked to utilization patterns and patient outcomes. Following a needs assessment, the authors developed a three-part SCS e-learning video curriculum with baseline and postcourse knowledge tests. Best practices were used for educational video production and test-question development. The study period was from 1 February 2020 to 31 December 2020. A total of 202 US-based pain fellows across two cohorts (early-fellowship and late-fellowship) completed the baseline knowledge assessment, while 122, 96 and 88 participants completed all available post-tests for Part I (Fundamentals), Part II (Cadaver Lab) and Part III (Decision Making, The Literature and Critical Applications), respectively. Both cohorts significantly increased knowledge scores from baseline to immediate post-test in all curriculum parts (p<0.001). The early-fellowship cohort experienced a higher rate of knowledge gain for Parts I and II (p=0.045 and p=0.027, respectively). On average, participants viewed 6.4 out of 9.6 hours (67%) of video content. Self-reported prior SCS experience had low to moderate positive correlations with Part I and Part III pretest scores (r=0.25, p=0.006; r=0.37, p<0.001, respectively). Initial evidence suggests that Pain Rounds provides an innovative and effective solution to the SCS curriculum deficit. A future controlled study should examine this digital curriculum's long-term impact on SCS practice and treatment outcomes.en
dc.description.notesAn unrestricted educational grant to Johns Hopkins University (Principal Investigator: Shravani Durbhakula) from Nevro Corp provided funding for Pain Rounds video production. Shravani Durbhakula's effort for manuscript preparation and writing was funded by National Institutes of Health 5T32GM075774-17.en
dc.description.sponsorshipNevro Corp; National Institutes of Health [5T32GM075774-17]en
dc.description.versionPublished versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.doihttps://doi.org/10.1136/rapm-2023-104480en
dc.identifier.eissn1532-8651en
dc.identifier.issn1098-7339en
dc.identifier.pmid37055185en
dc.identifier.urihttp://hdl.handle.net/10919/116136en
dc.language.isoenen
dc.publisherBmj Publishing Groupen
dc.rightsCreative Commons Attribution-NonCommercial 4.0 Internationalen
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/en
dc.subjectpain managementen
dc.subjectchronic painen
dc.subjecteducationen
dc.subjectspinal cord stimulationen
dc.titleNeeds-based novel digital curriculum for the neuromodulation training deficit: Pain Roundsen
dc.title.serialRegional Anesthesia and Pain Medicineen
dc.typeArticle - Refereeden
dc.type.dcmitypeTexten

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