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Group text messaging as a residency teaching tool in outpatient neurology and headache: A mixed‐methods observational study.

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Title: Group text messaging as a residency teaching tool in outpatient neurology and headache: A mixed‐methods observational study.
Authors: Song, Anjeli, Safdieh, Joseph E., Robbins, Matthew S.
Source: Headache: The Journal of Head & Face Pain. Apr2025, Vol. 65 Issue 4, p539-544. 6p.
Subjects: Health literacy, Medical education, Headache, Internship programs, Scientific observation, Facial pain, Outpatient medical care, Teaching methods, Descriptive statistics, Hospital medical staff, Surveys, Neurology, Research methodology, Clinical competence, Text messages
Abstract: Objective: To assess the feasibility and efficacy of group text messaging as a teaching tool to improve neurology resident knowledge and clinical pearl dissemination in an outpatient setting enriched with headache encounters, and to evaluate if learning points from this teaching method would influence resident care of subsequent patients. Background: Inpatient neurology teaching during training is most often accomplished in team settings during rounds or conferences such as morning report, but outpatient teaching where headache is more likely encountered may be less consistently performed in such a setting where learning points may be shared. Few studies have evaluated whether group text messaging can be an innovative tool for teaching in residency training. Methods: Neurology residents in a continuity clinic pod at New York Presbyterian‐Weill Cornell were included in this cohort from December 2020 through March 2024. Group text messages deidentified of any patient information were sent to the resident pod by their preceptor after each clinic session featuring one text message regarding a takeaway learning point pertaining to each patient encounter. Residents were surveyed on their satisfaction with this teaching method and whether these text messages improved their outpatient neurology knowledge. Results: A total of 230 text messages were sent to a cohort of 21 residents across 4 academic years. Text message topics covered a variety of neurological subspecialties, most commonly headache and facial pain (44.8%), general neurology (15.7%), and neuromuscular (14.3%). In our survey, 93% of resident respondents reported that receiving clinical pearls improved their outpatient neurology knowledge and changed how they cared for subsequent patients. Conclusion: Reinforcement of traditionally one‐on‐one learning points in a teaching outpatient setting to engage a group of residents was feasible across visit types. There was an overall very positive response to this teaching method, and residents reported improved knowledge, which influenced their care of subsequent patients. Plain Language Summary: Residency education in neurology has traditionally emphasized teaching in the inpatient setting, so there is a gap about how to teach residents about neurology in the outpatient setting, where common neurological conditions like headache are more commonly encountered. We implemented an education initiative in our institution's resident outpatient neurology clinic in which we used text messaging as a teaching tool to communicate clinical information for a group of 21 neurology residents over 4 academic years. In a follow‐up survey, residents reported that this initiative improved their outpatient neurology knowledge and changed how they cared for their future patients, suggesting that text messaging can be a valuable teaching tool in the outpatient setting. [ABSTRACT FROM AUTHOR]
Copyright of Headache: The Journal of Head & Face Pain is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Group text messaging as a residency teaching tool in outpatient neurology and headache: A mixed‐methods observational study.
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  Data: <searchLink fieldCode="AR" term="%22Song%2C+Anjeli%22">Song, Anjeli</searchLink><br /><searchLink fieldCode="AR" term="%22Safdieh%2C+Joseph+E%2E%22">Safdieh, Joseph E.</searchLink><br /><searchLink fieldCode="AR" term="%22Robbins%2C+Matthew+S%2E%22">Robbins, Matthew S.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Headache%3A+The+Journal+of+Head+%26+Face+Pain%22">Headache: The Journal of Head & Face Pain</searchLink>. Apr2025, Vol. 65 Issue 4, p539-544. 6p.
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  Data: <searchLink fieldCode="DE" term="%22Health+literacy%22">Health literacy</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+education%22">Medical education</searchLink><br /><searchLink fieldCode="DE" term="%22Headache%22">Headache</searchLink><br /><searchLink fieldCode="DE" term="%22Internship+programs%22">Internship programs</searchLink><br /><searchLink fieldCode="DE" term="%22Scientific+observation%22">Scientific observation</searchLink><br /><searchLink fieldCode="DE" term="%22Facial+pain%22">Facial pain</searchLink><br /><searchLink fieldCode="DE" term="%22Outpatient+medical+care%22">Outpatient medical care</searchLink><br /><searchLink fieldCode="DE" term="%22Teaching+methods%22">Teaching methods</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Hospital+medical+staff%22">Hospital medical staff</searchLink><br /><searchLink fieldCode="DE" term="%22Surveys%22">Surveys</searchLink><br /><searchLink fieldCode="DE" term="%22Neurology%22">Neurology</searchLink><br /><searchLink fieldCode="DE" term="%22Research+methodology%22">Research methodology</searchLink><br /><searchLink fieldCode="DE" term="%22Clinical+competence%22">Clinical competence</searchLink><br /><searchLink fieldCode="DE" term="%22Text+messages%22">Text messages</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: Objective: To assess the feasibility and efficacy of group text messaging as a teaching tool to improve neurology resident knowledge and clinical pearl dissemination in an outpatient setting enriched with headache encounters, and to evaluate if learning points from this teaching method would influence resident care of subsequent patients. Background: Inpatient neurology teaching during training is most often accomplished in team settings during rounds or conferences such as morning report, but outpatient teaching where headache is more likely encountered may be less consistently performed in such a setting where learning points may be shared. Few studies have evaluated whether group text messaging can be an innovative tool for teaching in residency training. Methods: Neurology residents in a continuity clinic pod at New York Presbyterian‐Weill Cornell were included in this cohort from December 2020 through March 2024. Group text messages deidentified of any patient information were sent to the resident pod by their preceptor after each clinic session featuring one text message regarding a takeaway learning point pertaining to each patient encounter. Residents were surveyed on their satisfaction with this teaching method and whether these text messages improved their outpatient neurology knowledge. Results: A total of 230 text messages were sent to a cohort of 21 residents across 4 academic years. Text message topics covered a variety of neurological subspecialties, most commonly headache and facial pain (44.8%), general neurology (15.7%), and neuromuscular (14.3%). In our survey, 93% of resident respondents reported that receiving clinical pearls improved their outpatient neurology knowledge and changed how they cared for subsequent patients. Conclusion: Reinforcement of traditionally one‐on‐one learning points in a teaching outpatient setting to engage a group of residents was feasible across visit types. There was an overall very positive response to this teaching method, and residents reported improved knowledge, which influenced their care of subsequent patients. Plain Language Summary: Residency education in neurology has traditionally emphasized teaching in the inpatient setting, so there is a gap about how to teach residents about neurology in the outpatient setting, where common neurological conditions like headache are more commonly encountered. We implemented an education initiative in our institution's resident outpatient neurology clinic in which we used text messaging as a teaching tool to communicate clinical information for a group of 21 neurology residents over 4 academic years. In a follow‐up survey, residents reported that this initiative improved their outpatient neurology knowledge and changed how they cared for their future patients, suggesting that text messaging can be a valuable teaching tool in the outpatient setting. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Headache: The Journal of Head & Face Pain is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=184143040
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        Value: 10.1111/head.14870
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      – Code: eng
        Text: English
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        PageCount: 6
        StartPage: 539
    Subjects:
      – SubjectFull: Health literacy
        Type: general
      – SubjectFull: Medical education
        Type: general
      – SubjectFull: Headache
        Type: general
      – SubjectFull: Internship programs
        Type: general
      – SubjectFull: Scientific observation
        Type: general
      – SubjectFull: Facial pain
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      – SubjectFull: Outpatient medical care
        Type: general
      – SubjectFull: Teaching methods
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      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Hospital medical staff
        Type: general
      – SubjectFull: Surveys
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      – SubjectFull: Neurology
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      – SubjectFull: Research methodology
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      – SubjectFull: Clinical competence
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      – SubjectFull: Text messages
        Type: general
    Titles:
      – TitleFull: Group text messaging as a residency teaching tool in outpatient neurology and headache: A mixed‐methods observational study.
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              M: 04
              Text: Apr2025
              Type: published
              Y: 2025
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