Abstracts

Rationale: Epilepsy research is a rapidly evolving area. There is an emerging need to prepare neurology residents in an evidence-based approach in order to equip them for future practice and in order to apply new research in a clinical setting. Given the need for evidence-based problem solving, a curriculum has been developed to train neurology residents in such a manner. The objective of this research is to illustrate an evidence-based epilepsy curriculum. Methods: As part of the evidence-based curriculum established in 2001, neurology residents and epileptologists identify clinical cases that will serve as a basis for development of a clinical question for further discussion. The most current literature is identified for review in a learner-directed setting. Clinical epidemiology, biostatistics and critical appraisal skills are enhanced through analysis of the most relevant literature. In this cooperative setting, attending neurologists and epileptologists serve as group facilitators and resource assistance for the participants. A total of 14 evidence-based epilepsy clinical assessment tools (out of 130) have been produced. Results: Epilepsy topics are incorporated into monthly evidence-based tutorials for neurology residents and varied topics are addressed over the five-year duration of the residency program. The completed critical appraisal of the relevant literature is summarized in a Clinical Appraisal Tool (CAT), which is then available for future reference in an electronic and portable format. Conclusions: Using an evidence-based approach, neurology residents are equipped with the skills required for managing clinical dilemmas and furthering patient care.