Is current medical education adequately preparing future physicians to manage concussion: an initial evaluation

• Published in: The Physician and sportsmedicine Vol. 44; no. 1; p. 1
• Main Authors: Donaworth, Michael A, Grandhi, Ravi K, Logan, Kelsey, Gubanich, Paul J, Myer, Gregory D
• Format: Journal Article
• Language: English
• Published: England 01-01-2016
• Subjects: Athletic Injuries - diagnosis; Athletic Injuries - therapy; Brain Concussion - diagnosis; Brain Concussion - therapy; Clinical Competence - standards; Education, Medical - standards; Female; Humans; Male; Post-Concussion Syndrome - diagnosis; Post-Concussion Syndrome - therapy; Prognosis; Students, Medical; Surveys and Questionnaires; United States; United States; concussion; sports medicine; medical education; medical students
• ISSN: 2326-3660
• DOI: 10.1080/00913847.2016.1135039

In 2010, there were 2.5 million hospitalizations, emergency room visits, or deaths associated with concussions in the United States.[1] Knowledge deficits exist among physicians regarding concussion management, which can lead to severe repercussions, including poor patient outcomes, poor patient satisfaction, and potential medical-legal issues. While concussion is a prevalent condition evaluated in the medical field, medical students continue to have a knowledge deficit regarding concussion diagnosis, prognosis, medical management, and return to play guidelines.
Medical students from a mid-western medical school completed a survey on concussion diagnosis, prognosis, medical management, and return to play guidelines.
The response rate was 40%. The data suggests that the vast majority of medical students are able to define concussion; however, most reported never having a lecture dedicated to concussion during medical school and also lacked clinical experience with acute concussion and post-concussive syndrome. There are clear areas of deficiency as noted by the inability of students to correctly identify symptoms and appropriate management of concussion.
The current study indicates that at an individual, mid-western, top 50 medical school, current medical trainees may not be adequately educated to identify and manage concussion. Future research is warranted to determine the optimal guidelines to educate future physicians as it pertains to concussion diagnosis, management, prognosis, and return to play guidelines.