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Education based on publicly-available keyword data is associated with decreased stress and improved trajectory of in-training exam performance.
Chen, Yun-Yun K; Lekowski, Robert W; Beutler, Sascha S; Lasic, Morana; Walls, Jason D; Clapp, Justin T; Fields, Kara; Nichols, Angela S; Correll, Darin J; Bader, Angela M; Arriaga, Alexander F.
Afiliação
  • Chen YK; Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, CWN-L1, Boston, MA 02115, USA. Electronic address: ykchen@partners.org.
  • Lekowski RW; Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, CWN-L1, Boston, MA 02115, USA. Electronic address: rlekowski@bwh.harvard.edu.
  • Beutler SS; Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, CWN-L1, Boston, MA 02115, USA. Electronic address: sbeutler@bwh.harvard.edu.
  • Lasic M; Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, CWN-L1, Boston, MA 02115, USA. Electronic address: mlasic@bwh.harvard.edu.
  • Walls JD; Department of Anesthesiology and Critical Care, University of Pennsylvania Health System, Philadelphia, Perelman School of Medicine - University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104, USA. Electronic address: Jason.Walls@pennmedicine.upenn.edu.
  • Clapp JT; Department of Anesthesiology and Critical Care, University of Pennsylvania Health System, Philadelphia, Perelman School of Medicine - University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104, USA. Electronic address: Justin.Clapp@pennmedicine.upenn.edu.
  • Fields K; Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, CWN-L1, Boston, MA 02115, USA. Electronic address: kgfields@bwh.harvard.edu.
  • Nichols AS; Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, CWN-L1, Boston, MA 02115, USA. Electronic address: anichols5@bwh.harvard.edu.
  • Correll DJ; Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, CWN-L1, Boston, MA 02115, USA.
  • Bader AM; Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, CWN-L1, Boston, MA 02115, USA; Center for Surgery and Public Health, One Brigham Circle, 1620 Tremont Street, Boston, MA 02120, USA. Electronic address: abader@bwh.
  • Arriaga AF; Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, CWN-L1, Boston, MA 02115, USA; Center for Surgery and Public Health, One Brigham Circle, 1620 Tremont Street, Boston, MA 02120, USA; Ariadne Labs, 401 Park Drive, B
J Clin Anesth ; 77: 110615, 2022 05.
Article em En | MEDLINE | ID: mdl-34923227
ABSTRACT
STUDY

OBJECTIVE:

This study aimed to assess the impact of data-driven didactic sessions on metrics including fund of knowledge, resident confidence in clinical topics, and stress in addition to American Board of Anesthesiology In-Training Examination (ITE) percentiles.

DESIGN:

Observational mixed-methods study.

SETTING:

Classroom, video-recorded e-learning.

SUBJECTS:

Anesthesiology residents from two academic medical centers.

INTERVENTIONS:

Residents were offered a data-driven didactic session, focused on lifelong learning regarding frequently asked/missed topics based on publicly-available data. MEASUREMENTS Residents were surveyed regarding their confidence on exam topics, organization of study plan, willingness to educate others, and stress levels. Residents at one institution were interviewed post-ITE. The level and trend in ITE percentiles were compared before and after the start of this initiative using segmented regression analysis.

RESULTS:

Ninety-four residents participated in the survey. A comparison of pre-post responses showed an increased mean level of confidence (4.5 ± 1.6 vs. 6.2 ± 1.4; difference in means 95% CI1.7[1.5,1.9]), sense of study organization (3.8 ± 1.6 vs. 6.7 ± 1.3;95% CI2.8[2.5,3.1]), willingness to educate colleagues (4.0 ± 1.7 vs. 5.7 ± 1.9;95% CI1.7[1.4,2.0]), and reduced stress levels (5.9 ± 1.9 vs. 5.2 ± 1.7;95% CI-0.7[-1.0,-0.4]) (all p < 0.001). Thirty-one residents from one institution participated in the interviews. Interviews exhibited qualitative themes associated with increased fund of knowledge, accessibility of high-yield resources, and domains from the Kirkpatrick Classification of an educational intervention. In an assessment of 292 residents from 2012 to 2020 at one institution, there was a positive change in mean ITE percentile (adjusted intercept shift [95% CI] 11.0[3.6,18.5];p = 0.004) and trajectory over time after the introduction of data-driven didactics.

CONCLUSION:

Data-driven didactics was associated with improved resident confidence, stress, and factors related to wellness. It was also associated with a change from a negative to positive trend in ITE percentiles over time. Future assessment of data-driven didactics and impact on resident outcomes are needed.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Internato e Residência / Anestesiologia Tipo de estudo: Observational_studies / Qualitative_research / Risk_factors_studies Limite: Humans País como assunto: America do norte Idioma: En Ano de publicação: 2022 Tipo de documento: Article
Texto completo
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Internato e Residência / Anestesiologia Tipo de estudo: Observational_studies / Qualitative_research / Risk_factors_studies Limite: Humans País como assunto: America do norte Idioma: En Ano de publicação: 2022 Tipo de documento: Article