TEACHING HEADACHE MANAGEMENT TO MEDICINE RESIDENTS

Background.-To evaluate the effect of teaching headache management to PG-1 medicine residents. Design.-Observational study using prerotation and postrotation ratings by residents of improvement in their knowled ge of etiology, diagnosis, appropriate use of narcotics, and treatment of headache. Setting.-Veterans Affairs Outpatient Clinic. Participant s.-Twenty-two medicine residents. Measurements and Results.-There was small but significant improvement in the total knowledge score (P=.03) and in areas of etiology of headache (P=.02) and appropriate use of n arcotics (P=.001). Conclusion.-We found there were substantial increas es in residents' subjective levels of understanding, history-taking an d in the diagnosis and treatment of headache (P<.0001) in contrast to the objective knowledge test.