Using a Chat-Based Trivia Activity to Foster Community in Residency.

OBJECTIVES: For residency programs rotating at multiple sites, building a strong community can be challenging when house staff are geographically separated. Medical educators have had widespread use of technology to create virtual classrooms, discussion boards, and other activities. Less is known, however, about smaller-scale use of technology such as longitudinal use of chat to engage learners. We developed a chat-based trivia activity using social media tools to promote learning, community, and belonging in a large multisite residency program. METHODS: Residents in our large academic program were invited to participate in a question-based activity called Internal Medicine Trivia Thursdays (IMTT) via the chat application GroupMe. Three to five questions were asked of all of the participants using a multimedia format. Question content included topics from the residency didactic curriculum and trivia about program leadership. A voluntary, anonymous survey on the effect of the activity on learning and belonging was sent to all of the residents at the end of the academic year. RESULTS: Of the 224 residents, there were 48 survey respondents (21.4% response rate). When asked about overall satisfaction with the program, 43.8% (21/48) of all of the respondents reported feeling "somewhat satisfied" or "very satisfied." Residents who frequently participated in Internal Medicine Trivia Thursdays experienced greater excitement about learning and a greater sense of community compared with those with infrequent to no participation. CONCLUSIONS: Our intervention used a theoretical framework of connectivism to design a virtual learning activity to engage residents, as well as to foster community among residents and between residents and program leadership. We believe this virtual learning experience is low cost and feasible, requiring mostly facilitator time. This study also contributes to the literature by evaluating outcomes related to social belonging and engagement. Future iterations should aim to optimize the methods of delivery by considering user-friendliness and the ability to opt out of the activity.

Hospitalization characteristics and outcomes of patients with cancer and COVID-19 at a comprehensive cancer center.

PURPOSE: Several studies have confirmed increased mortality among patients with both COVID-19 and cancer. It remains important to continue to report observations of morbidity and mortality from COVID-19 in this vulnerable population. The purpose of this study is to describe the hospitalization characteristics and outcomes of patients with both cancer and COVID-19 admitted to our comprehensive cancer center. METHODS: This was a descriptive study of the first COVID-19-related hospitalization among adult patients with cancer admitted to our institution. Descriptive statistics were used to summarize patient demographics, clinical as well as hospitalization characteristics. Overall survival (OS) was estimated using the Kaplan-Meier method. RESULTS: A total of 212 patients were included in our cohort with a mean age of 59 years. Fifty-four percent of patients had history of solid tumor malignancy and 46% had hematologic malignancies. Eighty-five percent of our cohort had active malignancy. The mean length of stay (LOS) for hospitalization was 11.2 days (median LOS of 6 days). Twenty-five percent had severe disease and 10.8% died during their initial hospitalization. Those who had severe disease had worse survival at the end of the observation period. CONCLUSIONS: COVID-19 among cancer patients causes significant morbidity and mortality as well as repeat hospitalizations. Continued study of COVID-19 in this vulnerable population is essential in order to better inform evolving treatment algorithms, public health policies, and infection control protocols, especially for institutions caring for patients with cancer.