Curriculum Innovation: How Effective Is a Telementoring Virtual Epilepsy Curriculum in Postgraduate Medical Education?
Bibliographic record
Abstract
Background and Objectives: Epilepsy is a complex neurologic disorder requiring specialized knowledge for effective management. Poorly controlled seizures have a significant effect on people with epilepsy and health care systems. Project Extension for Community Healthcare Outcomes (ECHOs) is a telementoring model designed to extend specialized care through virtual teaching. This study aims to evaluate the effectiveness of an interinstitutional Project ECHO-based epilepsy curriculum on the knowledge (Kirkpatrick level 2) and self-assessed effect on practice (Kirkpatrick levels 3) of neurology trainees in Canada. Methods: This randomized controlled trial included neurology trainees across Canada enrolled in Royal College of Physicians and Surgeons-accredited programs during the 2024 and 2025 academic year. Participants were recruited through program directors and resident site leads. Consenting participants were randomized using computer-generated random numbers into 2 groups. The intervention consisted of ten 1-hour weekly sessions through Zoom, including didactic presentations and case-based discussions. The curriculum was built based on the Methodology of Thomas and Kern of curriculum development. The primary outcome was improvement in objective knowledge, measured by a 30 multiple-choice quiz. Secondary outcomes included self-perceived confidence and effect on clinical practice, assessed through precourse and postcourse surveys. Results: = 0.004, 95% CI 6.9-30.6), corresponding to a difference of 1.3 standard deviations. Postcourse surveys indicated high satisfaction with the educational program, with 88.9% agreeing or strongly agreeing that participation was worthwhile. Significant improvements were noted in self-perceived knowledge and confidence in assessing candidacy for nonmedication treatments. Discussion: This study demonstrates the efficacy of the interinstitutional Project ECHO-based epilepsy curriculum in enhancing knowledge and self-assessed effect on practice among neurology trainees. The positive outcomes provide valuable insights into the effectiveness and feasibility of interinstitutional interactive virtual learning platforms in postgraduate medical education. Future research should explore expanding this program to other health care providers who manage epilepsy.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.006 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.002 | 0.005 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".