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Concussion Knowledge among Medical Students and Neurology/Neurosurgery Residents

Published online by Cambridge University Press:  02 December 2014

Miranda Boggild  and
Charles H. Tator
Miranda Boggild
Affiliation:
Toronto Western Hospital, University of Toronto, Toronto, Ontario, Canada
Charles H. Tator*
Affiliation:
Division of Neurosurgery, Toronto, Ontario, Canada Toronto Western Hospital, Toronto, Ontario, Canada
*
Toronto Western Hospital, 399 Bathurst Street, Ste. 4W-433, Toronto, Ontario, M5T 2S8, Canada. Email: [email protected]
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Abstract

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Background and Objectives:

Concussion is a prevalent brain injury in the community. While primary prevention strategies need to be enhanced, it is also important to diagnose and treat concussions expertly and expeditiously to prevent serious complications that may be life-threatening or long lasting. Therefore, physicians should be knowledgeable about the diagnosis and management of concussions. The present study assesses Ontario medical students’ and residents’ knowledge of concussion management.

Methods:

A survey to assess the knowledge and awareness of the diagnosis and treatment of concussions was developed and administered to graduating medical students (n= 222) and neurology and neurosurgery residents (n = 80) at the University of Toronto.

Results:

Residents answered correctly significantly more of the questions regarding the diagnosis and management of concussions than the medical students (mean = 5.8 vs 4.1, t= 4.48, p<0.01). Gender, participation in sports, and personal concussion history were not predictive of the number of questions answered correctly. Several knowledge gaps were identified in the sample population as a whole. Approximately half of the medical students and residents did not recognize chronic traumatic encephalopathy (n = 36) or the second impact syndrome (n = 44) as possible consequences of repetitive concussions. Twenty-four percent of the medical students (n = 18) did not think that “every concussed individual should see a physician” as part of management.

Conclusions:

A significant number of medical students and residents have incomplete knowledge about concussion diagnosis and management. This should be addressed by targeting this population during undergraduate medical education.

Type
Research Article
Information
Canadian Journal of Neurological Sciences , Volume 39 , Issue 3 , May 2012 , pp. 361 - 368
Copyright
Copyright © The Canadian Journal of Neurological 2012

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