A Scoping Review: Mapping the Evidence for Undergraduate Concussion Education and Proposing the Content for Medical Student Concussion Teaching

Int J Environ Res Public Health. 2022 Apr 4;19(7):4328. doi: 10.3390/ijerph19074328.

Abstract

Introduction: Concussion is a common yet complex condition, with each new case requiring assessment by a medical doctor. Recent research has shown that doctors working in the UK have significant knowledge deficits regarding concussion diagnosis and management.

Aim: The aim of this scoping review was to map out the evidence about how undergraduate medical students are being educated about concussion.

Method: This scoping review involved seven research papers identified by searching five online databases in October 2020. Search terms relevant to concussion included: brain injuries, post-concussion syndrome, brain concussion and concussion, combined with search criteria for undergraduate education: medical students, undergraduate medical education, or curriculum.

Results: All seven papers were published in North America, with five papers recruiting medical students from single institutions (n = 590) and two papers surveying universities. Canadian medical schools have shown an upward trend in the quantity of teaching about concussion-specific teaching: from 0.57 to 2.65 h between 2012 and 2018. Lectures were the commonest mode of delivery of teaching, followed by problem-based learning and clinical rotations. The studies reach a common conclusion that medical students are not being adequately prepared for diagnosing and managing concussion, with insufficient undergraduate teaching, particularly exposure during clinical rotations, cited as the cause.

Conclusions: Concussion: education of medical students is inadequate in North America. Medical schools should help address this by providing lectures and clinical presentations on concussion to learn from, particularly via problem-based learning. There is a paucity of evidence about concussion education in other geographical areas.

Keywords: concussion; education; knowledge; medical student; scoping review.

Publication types

  • Review
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Brain Concussion* / diagnosis
  • Canada
  • Curriculum
  • Education, Medical, Undergraduate*
  • Humans
  • Students, Medical*
  • Teaching