Novel interactive text-messaging curriculum for endocrinology board review.

Novel interactive text-messaging curriculum for endocrinology board review.
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DOI:
10.1016/j.jcte.2023.100326
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发表时间:
2023-12
影响因子:
3
通讯作者:
Freed, Jason A.
Freed, Jason A.
中科院分区:
其他
文献类型:
--
作者:
Majety, Priyanka;Ajayi, Ayodele;Modest, Anna M.;Vamvini, Maria;Freed, Jason A.

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基于短信的备考课程是可行的,可以提高内分泌学研究员的考试成绩。学习策略的组合,如检索练习和低风险的测验,是一种有效的教育方法。内分泌学研究员主要使用题库进行考试准备,但更喜欢使用基于移动的工具来更有效地学习。他们发现,每天通过短信收到一道选择题,对准备考试很有用。ABIM认证考试是确保医生拥有提供良好护理的临床技能的措施之一。ABIM内分泌学考试5年平均通过率为82%。2021年和2022年的通过率显著下降到74%的最低点,是所有医学子专业中最低的。评估研究员短信课程的可行性及其在提高考试成绩方面的效用。2021年,来自全国51个项目的内分泌研究员受邀参加我们的课程。他们完成了前测,通过提醒应用加入了短信群,每天收到1个选择题(总计n=478)。15周后,他们完成了一项后测和调查。比较测试前后的配对结果。共有来自27个项目的89名研究员做出了回应。在这些人中,82名研究员填写了预试,其中以女性为主(n=60%;73%)。平均每天有42名研究员(SD=1512)回答问题,其中57%的人在24小时内回答问题。30名研究员完成了后测。前测正确回答的中位数为5个(IQR3-6),而后测正确回答的中位数为8个(IQR6-9)。与干预后的前测相比,后测中研究员的表现有显著的提高(p值为0.0001)。基于短信的备考课程是可行的,可以提高考试成绩。研究人员发现,通过短信接收每天高收益的多项选择题是一种有用的备考工具。
A text-messaging-based curriculum for exam preparation is feasible and can improve test performance among endocrinology fellows. A combination of learning strategies like retrieval practices and low-stakes quizzes is an effective educational approach. Endocrinology fellows primarily use question banks for exam preparation but prefer mobile-based tools for more effective learning. They found receiving a daily multiple-choice question via text message, useful for exam preparation. The ABIM certification exam is one of the measures to ensure that physicians have the clinical skills for good care delivery. The 5-year average pass rate for ABIM Endocrinology exam is 82%. The pass rate significantly decreased to a nadir of 74% in 2021 and 2022, lowest of all medicine subspecialties. To assess the feasibility of text messaging curriculum for fellows and its utility in improving their test performance. In 2021, endocrinology fellows from 51 programs across the country were invited to participate in our curriculum. They completed a pre-test, joined a texting group via Remind application and received 1 multiple choice question daily (total n = 78). After 15 weeks, they completed a post-test and survey. Paired results from pre- and post-test were compared. A total of 89 fellows from 27 programs responded. Of these, 82 fellows, predominantly females (n = 60; 73 %), filled out the pre-test. On an average, 42 fellows (SD = 12) responded to the questions daily and 57 % of them answered the questions within 24 h. Thirty fellows completed the post-test. The median number of correct responses on the pre-test was 5 (IQR 3–6), compared to 8 (IQR 6–9) in the post-test. There was a significant improvement (p-value < 0.0001) in fellows’ performance in the post-test when compared with the pre-test following our intervention. Text-messaging based curriculum for exam preparation is feasible and can improve test performance. Fellows find receiving a daily high yield multiple choice question via text-message as a useful tool for exam preparation.
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