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Creating an Online Curriculum for Graduate Medical Education
Brad G. Olson, MD MS Department of Pediatrics SUNY Upstate Medical University
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Outline What problem did we need to fix? What we did?
Brief demonstration Outcomes
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The problem? Lack of trainee attendance at core lecture series
Pediatric residents have significant service obligations in both inpatient and outpatient settings limiting their ability to attend lectures 30% attendance rate ACGME citation for trainee attendance!!! Curriculum of convenience Individual lecturers decided what to lecture on. The scope of the curriculum was not designed to cover a defined content.
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What we did… Major curriculum reform effort initiated 2005
Created a comprehensive online core curriculum to supplant the previous face-to-face lecture series. 2 year project involving >50 faculty and 165 lectures Employed best practices for design and development of online lectures Majority of lectures 20 – 25 minutes total duration Each learning unit contains: Video lecture (brief <30 slides) Supplemental resource material (review article) Quiz (4 – 5 question multiple-choice quiz)
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What we did…
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What we did… Curriculum now covers a defined scope of content outlined by the American Board of Pediatrics for the certification exam Our previous noon conference series is now delivered during protected time every Thursday morning (8 AM – 12 PM) These sessions are case presentations that illustrate the core didactics housed in the online curriculum. The expectation is that trainees will review the core didactics online prior to the case presentation series promoting the formation of functionally relevant knowledge.
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Benefits of online curriculum…
We make information available in response to the learner’s immediate needs You can do your ICU lectures when you’re rotating through the ICU “Experts” can be brought to the learner at any time Resident's can review the local specialists approach to clinical problem Fulfills ACGME requirement for a structured didactic educational program with monitored attendance. We monitor curriculum completion throughout residency training program Jared Mott’s comment: You mean I could get a Scott Schurman’s approach to evaluating & treating a hyponatremic kid in the middle of the night?
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Outcomes Learner satisfaction is a high
What educational format is easier to use (face-to-face vs. online)? 73% prefer online lectures over face-to-face for the core lecture series Overall rating of online lecture series? 80% rate either “Outstanding” or “Very Good”
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Outcomes Online curriculum was presented during the Pediatric Academic Society national meetings – Toronto 2007 Now a shared curriculum between our institution and UCSF Department of Pediatrics Developed CME curriculum for pediatricians throughout Central New York (certified as type 2 MOC by the ABP)
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Outcomes Focus group study of 29 pediatric residents investigating perceptions of affordances and barriers to utilization of the online curriculum. Key factors for success… Assure quality Constrain length of online lectures (<25 minutes) Simplify user interface to maximize learner time with content Design curriculum to cover a full and defined scope of content International Jl. on E-Learning (2013) 12 (2),
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Outcomes Focus group study of 29 pediatric residents investigating perceptions of affordances and barriers to utilization of the online curriculum. Key factors for success… Intentionally integrate online curriculum with overall educational program Assure quality of online learner feedback (quizzes) Set expectations and actively monitor compliance with curriculum International Jl. on E-Learning (2013) 12 (2),
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Questions olsonb@upstate.edu
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