Electroencephalography in Clinical Practice: Neurology Professionals' Views on Optimal Standards of Care.
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| Title: | Electroencephalography in Clinical Practice: Neurology Professionals' Views on Optimal Standards of Care. |
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| Authors: | Nascimento FA; Department of Neurology, Washington University School of Medicine, St. Louis, Missouri, U.S.A., Katyal R; Department of Neurology, Louisiana State University Health Shreveport, Shreveport, Louisiana, U.S.A., Kass NR; Baylor College of Medicine, Houston, Texas, U.S.A., Yuan D; Department of Neurology, University of Texas Southwestern Medical Center, Dallas, Texas, U.S.A., Sirven JI; Department of Neurology, Mayo Clinic Florida, Jacksonville, Florida, U.S.A., Westover MB; Department of Neurology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, U.S.A., Beniczky S; Department of Clinical Neurophysiology, Danish Epilepsy Center, Dianalund, Denmark ; and.; Department of Clinical Medicine, Aarhus University, Aarhus University Hospital, Aarhus, Denmark . |
| Source: | Journal of clinical neurophysiology : official publication of the American Electroencephalographic Society [J Clin Neurophysiol] 2025 Nov 01; Vol. 42 (7), pp. 639-642. Date of Electronic Publication: 2025 Jan 17. |
| Publication Type: | Journal Article |
| Language: | English |
| Journal Info: | Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 8506708 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1537-1603 (Electronic) Linking ISSN: 07360258 NLM ISO Abbreviation: J Clin Neurophysiol Subsets: MEDLINE |
| Imprint Name(s): | Publication: <2000->: Hagerstown, MD : Lippincott Williams & Wilkins Original Publication: [New York, N.Y.] : Raven Press, [1984- |
| MeSH Terms: | Electroencephalography*/standards , Electroencephalography*/methods , Neurologists*/standards , Epilepsy*/diagnosis , Standard of Care*/standards , Neurology*/standards , Attitude of Health Personnel*, Humans ; Female ; Male ; Surveys and Questionnaires ; Adult ; Middle Aged ; Clinical Competence |
| Abstract: | Purpose: Delivering optimal care to patients with seizures and epilepsy requires all EEGs to be interpreted accurately and reliably. This study investigated neurology professionals' opinions on the ideal standards for EEG in clinical care. Methods: We developed an anonymous e-survey targeting practicing and trainee neurologists focused on participants' demographics, clinical practice characteristics, and views on optimal EEG standards of care-including whether an EEG certification test is needed and whether postresidency/fellowship training in EEG/epilepsy is necessary for neurologists who interpret outpatient/routine EEGs in practice. The survey was hosted by the Neurology Clinical Practice-Practice Current, and it was distributed online through the American Academy of Neurology, American Epilepsy Society, American Clinical Neurophysiology Society, and International League Against Epilepsy, and through social media. Results: Two hundred eighty-three responses were included: 119 from EEG/epilepsy-trained neurologists, 83 from non-EEG/epilepsy-trained neurologists, 75 from trainees, and 6 from advanced care providers. Most participants (78%) agreed that "an objective certification test of ability to interpret EEGs is needed for all those who interpret EEGs in clinical practice." Most participants (71%) believed that outpatient/routine EEGs may be read only by neurologists with EEG/epilepsy training; this opinion was more prevalent among EEG/epilepsy-trained (83%) versus non-EEG/epilepsy-trained neurologists (55%). Conclusions: Our neurology community should discuss the need to develop and implement a certification test of ability for all neurologists who wish to interpret EEGs in clinical practice. In addition, it is imperative to improve in-residency EEG education to ensure that neurology graduates achieve EEG competence before entering the workforce. (Copyright © 2025 by the American Clinical Neurophysiology Society.) |
| References: | Adornato BT, Drogan O, Thoresen P, et al. The practice of neurology, 2000-2010: report of the AAN Member Research Subcommittee. Neurology 2011;77:1921–1928. Nascimento FA, Gavvala JR, Tankisi H, Beniczky S. Neurology resident EEG training in Europe. Clin Neurophysiol Pract 2022;7:252–259. Nascimento FA, Maheshwari A, Chu J, Gavvala JR. EEG education in neurology residency: background knowledge and focal challenges. Epileptic Disord 2020;22:769–774. Daniello KM, Weber DJ. Education research: the current state of neurophysiology education in selected neurology residency programs. Neurology 2018;90:708–711. Mahajan A, Cahill C, Scharf E, et al. Neurology residency training in 2017: a survey of preparation, perspectives, and plans. Neurology 2019;92:76–83. Lourenco ES, Kowacs DP, Gavvala JR, Kowacs PA, Nascimento FA. EEG education in Brazil: a national survey of adult neurology residents. Arq Neuropsiquiatr 2022;80:43–47. Nascimento FA, Gavvala JR. Education research: neurology resident EEG education: a survey of US neurology residency program directors. Neurology 2021;96:821–824. Katyal R, Sheikh IS, Hadjinicolaou A, et al. Education research: EEG education in child neurology and neurodevelopmental disabilities residencies: a survey of US and Canadian program directors. Neurol Educ 2024;3:e200112. Oto MM. The misdiagnosis of epilepsy: appraising risks and managing uncertainty. Seizure 2017;44:143–146. Smith D, Defalla BA, Chadwick DW. The misdiagnosis of epilepsy and the management of refractory epilepsy in a specialist clinic. QJM 1999;92:15–23. Benbadis SR. “Just like EKGs!” Should EEGs undergo a confirmatory interpretation by a clinical neurophysiologist? Neurology 2013;80:S47–S51. Benbadis SR. Errors in EEGs and the misdiagnosis of epilepsy: importance, causes, consequences, and proposed remedies. Epilepsy Behav 2007;11:257–262. Benbadis SR, Lin K. Errors in EEG interpretation and misdiagnosis of epilepsy. Which EEG patterns are overread? Eur Neurol 2008;59:267–271. Benbadis SR, Tatum WO. Overintepretation of EEGs and misdiagnosis of epilepsy. J Clin Neurophysiol 2003;20:42–44. Kang PB, Bale JF Jr, Mintz M, et al. The child neurology clinical workforce in 2015: report of the AAP/CNS joint taskforce. Neurology 2016;87:1384–1392. Nascimento FA, Jing J, Strowd R, et al. Competency-based EEG education: a list of “must-know” EEG findings for adult and child neurology residents. Epileptic Disord 2022;24:979–982. Nascimento FA, Gao H, Katyal R, et al. Education research: competency-based EEG education: an online routine EEG examination for adult and child neurology residents. Neurol Educ 2023;2:e200094. |
| Contributed Indexing: | Keywords: Clinical practice; EEG; Electroencephalography; Epilepsy; Neurophysiology |
| Entry Date(s): | Date Created: 20250117 Date Completed: 20251104 Latest Revision: 20251104 |
| Update Code: | 20251104 |
| DOI: | 10.1097/WNP.0000000000001142 |
| PMID: | 39820182 |
| Database: | MEDLINE |
Nájsť tento článok vo Web of Science | Abstract: | Purpose: Delivering optimal care to patients with seizures and epilepsy requires all EEGs to be interpreted accurately and reliably. This study investigated neurology professionals' opinions on the ideal standards for EEG in clinical care.<br />Methods: We developed an anonymous e-survey targeting practicing and trainee neurologists focused on participants' demographics, clinical practice characteristics, and views on optimal EEG standards of care-including whether an EEG certification test is needed and whether postresidency/fellowship training in EEG/epilepsy is necessary for neurologists who interpret outpatient/routine EEGs in practice. The survey was hosted by the Neurology Clinical Practice-Practice Current, and it was distributed online through the American Academy of Neurology, American Epilepsy Society, American Clinical Neurophysiology Society, and International League Against Epilepsy, and through social media.<br />Results: Two hundred eighty-three responses were included: 119 from EEG/epilepsy-trained neurologists, 83 from non-EEG/epilepsy-trained neurologists, 75 from trainees, and 6 from advanced care providers. Most participants (78%) agreed that "an objective certification test of ability to interpret EEGs is needed for all those who interpret EEGs in clinical practice." Most participants (71%) believed that outpatient/routine EEGs may be read only by neurologists with EEG/epilepsy training; this opinion was more prevalent among EEG/epilepsy-trained (83%) versus non-EEG/epilepsy-trained neurologists (55%).<br />Conclusions: Our neurology community should discuss the need to develop and implement a certification test of ability for all neurologists who wish to interpret EEGs in clinical practice. In addition, it is imperative to improve in-residency EEG education to ensure that neurology graduates achieve EEG competence before entering the workforce.<br /> (Copyright © 2025 by the American Clinical Neurophysiology Society.) |
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| ISSN: | 1537-1603 |
| DOI: | 10.1097/WNP.0000000000001142 |