El Examen NeuroLógico: A Spanish Language Version of the NeuroLogic Exam Website

Eric Carlson, Jose Mendoza, Aaron Kamauu, Suzanne S. Stensaas, Paul Larsen and Paul Burrows

University of Utah and University of Nebraska, School of Medicine, Salt Lake City, and Omaha, USA

ABSTRACT:

Neuroanatomical localization is an essential first step in the diagnosis of neurological disease. It requires a systematic thought process based on the interpretation of the neurological examination using anatomical levels and systems. We have developed a web-based tutorial, NeuroLogic Exam: An Anatomical Approach, to teach this way of thinking.

· Phase one of the authoring process consisted of the English version of the anatomical localization tutorial, demonstrated at the Munich 2001 workshop.

· Phase two of the authoring process consisted of a case format that assessed mastery of neuroanatomical localization, demonstrated at the Toronto 2002 workshop.

· Phase three of the authoring process has consisted of generating a Spanish language version of the NeuroLogic Exam tutorial, also available on the web. Each video clip can be viewed with any combination of English/Spanish subtitles or English/Spanish Audio.

The structure of the Spanish version of the tutorial is the same as the English version except the quizzes have not been translated.

The tutorial is divided into 7 modules:

1. Anatomical localization on the neuraxis
2. Mental Status Exam - evaluates cortical function
3. Cranial nerves - examines the brain stem
4. Coordination - examines the cerebellum
5. Somatic Sensation - examines ascending body and facial sensation
6. Motor - examines the corticospinal system and motor unit
7. Gait- recognizing patterns of neurological abnormal gaits

Each module is organized in the following format:

1. A schematic review of the anatomical pathway(s) being examined.
2. A video demonstration of that portion of the exam uses a normal patient.
3. Video of patients with lesions of structures being tested in the module. During this part, the method of anatomical localization will be demonstrated using several video clips from the Fundación Stern collection.

Although the web pages that have text are duplicated – one page for the English version and one page for the Spanish version – the video clips are not. Using the QuickTime architecture, Cleaner “event streams” and LiveStage Pro software, we were able to create video clips that contain English audio, English captions, Spanish audio, and Spanish captions in a single movie. The viewer may turn any of these four choices on or off.

BENEFIT TO PARTICIPANTS ATTENDING SESSION:

This demonstration presents Bilingual versions of a tutorial that combines the use of anatomical diagrams, live patient exam, and video patient cases. In addition to teaching neurological skills the program can be used to learn practical conversational medical Spanish or by Spanish speakers to practice listening to and correlating written and spoken English. It also repurposes clinical video patient cases on streaming video for use in the tutorial as well as being available for use on demand. These video clips contain user-selectable audio and caption tracks for both languages in a single movie file.

Website: http://library.med.utah.edu/neurologicexam/

AUTHORS

Eric Carlson

Paul E. Burrows

Media Solutions (Paul & Eric)

101 South Wasatch Drive

Room 215

Salt Lake City, UT 84112

USA

Phone: SSS: 801-585-1281

PEB: 801-581-7908

EC: 801-581-8675