NephroTalk Multimodal Conservative Care Curriculum for Nephrology Fellows
NephroTalk Multimodal Conservative Care Curriculum for Nephrology Fellows
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DOI：
10.2215/cjn.11770720
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发表时间：
2021-06-01
影响因子：
9.8
通讯作者：
Schell, Jane O.
中科院分区：
文献类型：
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作者：
Cohen, Robert A.;Bursic, Alexandra;Schell, Jane O.
保守治疗是晚期肾脏疾病的一种综合治疗途径，最适合不太可能从透析中获益的个体，但在美国未得到充分利用。原因之一是缺乏关于这种方法以及如何与潜在候选人讨论的强有力的教育。为了满足这一需求，我们开发了一个多模式的保守治疗课程，肾脏病学研究员。该课程包括四个在线模块，解决与保守护理相关的基本概念和沟通技巧。其次是一个人，互动，？翻转教室会议由参与研究生医学教育肾脏病学培训计划认证理事会的指定肾脏病学教育工作者主持。课程效果进行了评估，使用调查完成的参与研究员之前和之后的课程和参与肾脏学教育工作者翻转课堂教学; 148名肾脏学学员参加了19个项目，108完成前和课程后的调查。平均自我报告的准备（五点李克特量表测量）显着增加了所有十个概念教的课程。8个知识问题的平均正确率从69%提高到82%（P
Conservative care, a comprehensive treatment path for advanced kidney disease most suitable for individuals unlikely to benefit from dialysis, is underutilized in the United States. One reason is an absence of robust education about this approach and how to discuss it with potential candidates. To address this need, we developed a multimodal conservative care curriculum for nephrology fellows. This curriculum consists of four online modules that address essential concepts and communication skills related to conservative care. It is followed by an in-person, interactive, ?flipped classroom? session facilitated by designated nephrology educators at participating Accreditation Council for Graduate Medical Education nephrology training programs. Curriculum effect was assessed using surveys completed by participating fellows immediately before and following the curriculum and for participating nephrology educators following flipped classroom teaching; 148 nephrology trainees from 19 programs participated, with 108 completing both pre- and postcurriculum surveys. Mean self-reported preparedness (measured on a five-point Likert scale) increased significantly for all ten concepts taught in the curriculum. The mean correct score on eight knowledge questions increased from 69% to 82% following the curriculum ( P