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Clinic teaching made easy: A prospective study of the American Academy of Dermatology core curriculum in primary care learners - 17/07/13

Doi : 10.1016/j.jaad.2012.12.955 
Patrick E. McCleskey, MajUSAF, MC
Uniformed Services University of the Health Sciences, Bethesda, Maryland, and Department of Dermatology, David Grant Medical Center, Travis Air Force Base, California 

Reprint requests: Maj Patrick E. McCleskey, USAF, MC, Dermatology, David Grant Medical Center, 101 Bodin Circle, Travis Air Force Base, CA 94535.

Abstract

Background

Dermatology instruction for primary care learners is limited, and the American Academy of Dermatology (AAD) has developed a new core curriculum for dermatology.

Objective

This study sought to prospectively evaluate short-term knowledge acquisition and long-term knowledge retention after using the AAD core curriculum during a clinical dermatology clerkship.

Methods

Resident physicians and physician assistant students performing clerkships at military dermatology clinics were given access to the AAD core curriculum teaching modules before their public availability. Knowledge acquisition was measured with pretests and posttests, and a follow-up quiz was given up to a year after the dermatology rotation to assess knowledge retention.

Results

In all, 82 primary care learners met inclusion criteria. Knowledge improved significantly from pretest to posttest (60.1 vs 77.4, P < .01). Of the 10 factors evaluated, only high use of the World Wide Web site was significantly associated with improved posttest scores (70.8 vs 82.2, P = .003). Long-term follow-up scores available from 38 participants were only slightly lower than their posttest scores (70.5 vs 78.9, P < .01) at a median time of 6.8 months after the clerkship. Students found the online modules clear, engaging, and worth their time and preferred them to other teaching methods such as textbook reading and lectures.

Limitations

The nonrandomized study was voluntary, so individual performance may be influenced by selection bias.

Conclusion

The more learners used the online curriculum, the better they scored on the posttest. This demonstrates the efficacy of the AAD core curriculum in teaching its goals and objectives for primary care learners performing a dermatology clerkship.

Le texte complet de cet article est disponible en PDF.

Key words : curriculum, dermatology/education, education/medical, family practice/education, graduate medical education, internal medicine/education, internship and residency, medical students/standards, physician assistants/standards, problem-based learning, teaching, undergraduate/standards

Abbreviations used : AAD, CAL, PA, PGY


Plan


 Funding sources: None.
 Conflicts of interest: None declared.
 This study was performed under US Air Force Surgeon General–approved clinical investigation No. FDG20110032E, but no monetary funding was received.
 The views expressed in this material are those of the author, and do not reflect the official policy or position of the US Government, the Department of Defense, or the Department of the Air Force.


© 2012  American Academy of Dermatology, Inc.. Publié par Elsevier Masson SAS. Tous droits réservés.
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Vol 69 - N° 2

P. 273 - août 2013 Retour au numéro
Article précédent Article précédent
  • Online learning in a dermatology clerkship: Piloting the new American Academy of Dermatology Medical Student Core Curriculum
  • Sarah D. Cipriano, Eric Dybbro, Christy K. Boscardin, Kanade Shinkai, Timothy G. Berger
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