The adaptability of new trainees in pediatrics for the current epileptic seizure classification (ILAE-2017) with a modular education program

Abstract

Abstract Objective. To evaluate the adaptability of trainees in pediatrics for the current seizure classification of the International League Against Epilepsy (ILAE-2017) with a modular education program (MEP) to provide a common language between neurologists and pediatricians. Methods. An MEP consisting of five modules for the current version of the ILAE-2017 seizure classification and three modules for the older ILAE-1981 version were applied to new-generation trainees in pediatrics. The MEP consisted of 50 illustrative pediatric seizure videos and an instruction manual kit including a seizure determinator. A post-test with 58 new videos was performed during the three-month follow-up period. Results. The overall success rate of the participants was slightly higher for ILAE-2017 than for ILAE-1981 in the post-MEP test (42% vs. 38%). Within the ILAE-2017 modules, similar success rates were defined for focal seizures (44%) and generalized seizures (39%). However, the participants more easily classified focal non-motor seizures (56.3%) than focal motor seizures (34.9%). Contrary, the participants had significantly lower correct rates for generalized non-motor seizures (26%) compared to generalized non-motor seizures (46%). The most miss-matched seizure types (> 50%) were automatisms and myoclonic seizures in focal seizures and atypical absences in generalized seizures for ILAE 2017 classification modules. Conclusion. The presented MEP provided considerable yields for ILAE-2017 seizure classification in pediatric trainees. However, booster applications of the MEP are needed for a better seizure classification with ILAE-2017 seizure nomenclature in clinical practice.