A novel online didactic curriculum helps improve knowledge acquisition among non-emergency medicine rotating residents.

A novel online didactic curriculum helps improve knowledge acquisition among non-emergency medicine rotating residents.
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新颖的在线教学课程有助于提高非急诊医学轮转住院医师的知识获取。

DOI:
10.1111/j.1553-2712.2010.00951.x
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发表时间:
2011
期刊:
Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
影响因子:
--
通讯作者:
Courtney,DMark
Courtney,DMark
中科院分区:
--
文献类型:
--
作者:
Branzetti,JeremyB;Aldeen,AmerZ;Foster,AndrewW;Courtney,DMark

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学术急诊医学2011; 18:53-59 © 2011由学术急诊医学协会摘要目标:轮换住院医师代表了学术急诊部门(ED)的很大一部分家庭工作人员,但他们很少在急诊医学(EM)轮换期间接受有针对性的教学教育。本研究的目标是:1)以确定有效的在线教学课程,提高EM知识之间的旋转居民和2)评估旋转居民满意度与此course.Methods:作者创建了一个在线讲座系列的六个EM主题领域的旋转居民称为西北大学旋转居民课程(CIRRC)。研究中心的所有轮换住院医师均合格,获得了书面同意书,并且研究得到了机构审查委员会的批准。参与者通过42个问题的多项选择考试进行预测试,然后随机分为两组:一组在旋转的前2周内访问了ECORC(实验),另一组没有(对照)。 在轮换进行到一半时,所有参与者都接受了不同的多项选择考试的后测,然后控制组被授予了CNORC访问权限。主要结果是前测和后测分数之间的差异(分数增量)。使用t检验比较平均评分,并使用线性回归模型确定在调整预测类型和居民类型后,APRC访问与评分增量的相关性。在轮换结束时进行干预后调查,以评估满意度与CRARC和收集的改进recommendations for improvement.Results:54旋转居民入组:29在实验组和25在控制组。两组的前测成绩无显著差异。实验组和对照组的平均评分增量分别为17.3%和1.6%,绝对差异为15.7%(95%置信区间[CI]= 10%-22%)。  在调整居民类型和预测试类型后,与主要结局呈正相关的唯一变量是BURRC访问。第三年和第一年的内科(IM)居民表现出最大的绝对改善分数三角洲时,授予CARC访问。80%的参与者对满意度调查做出了回应。超过80%的调查受访者批准的每个组件讲座和的CNORC overall.Conclusions:暴露于在线教学课程后,轮换居民表现出显着增加EM知识,并报告了高水平的教学计划的满意度。
ACADEMIC EMERGENCY MEDICINE 2011; 18:53–59 © 2011 by the Society for Academic Emergency MedicineAbstractObjectives:Rotating residents represent a significant proportion of housestaff in academic emergency departments (EDs), yet they rarely receive targeted didactic education during their emergency medicine (EM) rotations. The goals of this study were: 1) to determine the effectiveness of an online didactic curriculum in improving EM knowledge among rotating residents and 2) to assess rotating resident satisfaction with this curriculum.Methods:The authors created an online lecture series of six EM subject areas targeted to rotating residents called the Northwestern University Rotating Resident Curriculum (NURRC). All rotating residents at the study site were eligible, written consent was obtained, and the study was approved by the institutional review board. Consenting participants were pretested with a 42‐question multiple‐choice examination and then randomized to two groups: one with access to the NURRC during the first 2 weeks of the rotation (experimental) and one without (control). Halfway through the rotation, all participants were posttested with a different multiple‐choice examination, and the controls were then granted NURRC access. The primary outcome was the difference between pretest and posttest scores (score delta). The t‐test was used to compare mean scores, and a linear regression model was used to determine the association of NURRC access on score delta after adjustment for pretest type and resident type. A postintervention survey was administered at the end of the rotation to assess satisfaction with the NURRC and collect suggestions for improvement.Results:Fifty‐four rotating residents were enrolled: 29 in the experimental group and 25 in the control group. There was no significant difference in pretest scores between the two groups. Mean score delta was 17.3% in the experimental group and 1.6% in the control group, an absolute difference of 15.7% (95% confidence interval [CI] = 10% to 22%). After adjustment for resident type and pretest type, the only variable positively associated with the primary outcome was NURRC access. Third‐year and preliminary‐year internal medicine (IM) residents demonstrated the greatest absolute improvement in score delta when granted NURRC access. Eighty percent of the participants responded to the satisfaction survey. Over 80% of the survey respondents approved of each component lecture and of the NURRC overall.Conclusions:After exposure to an online didactic curriculum, rotating residents demonstrated a significant increase in EM knowledge and reported a high level of satisfaction with the didactic program.
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