Education based on publicly-available keyword data is associated with decreased stress and improved trajectory of in-training exam performance - 17/01/22
, Robert W. Lekowski, MD, MPH a , Sascha S. Beutler, MD, PhD a , Morana Lasic, MD, MEd a , Jason D. Walls, MD b , Justin T. Clapp, PhD, MPH b , Kara Fields, MS a , Angela S. Nichols, MD a , Darin J. Correll, MD a, Angela M. Bader, MD, MPH a, c , Alexander F. Arriaga, MD, MPH, ScD a, c, d 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% CI:1.7[1.5,1.9]), sense of study organization (3.8 ± 1.6 vs. 6.7 ± 1.3;95% CI:2.8[2.5,3.1]), willingness to educate colleagues (4.0 ± 1.7 vs. 5.7 ± 1.9;95% CI:1.7[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.
Le texte complet de cet article est disponible en PDF.Highlights |
• | Data-driven didactics may increase resident confidence on ABA topics. |
• | Data-driven didactics may improve factors related to wellness. |
• | Data-driven didactics is associated with a positive trend in ITE percentiles. |
• | Mixed-methods may be a helpful tool in evaluating educational initiatives. |
Keywords : Resident education, Anesthesiology, Didactics, Mixed-methods, In-training examination (ITE)
Plan
Vol 77
Article 110615- mai 2022 Retour au numéro
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