Impact of Interactive e-Learning Modules on Appropriateness of Imaging Referrals: A Multicenter, Randomized, Crossover Study.
Purpose: Health care expenditure on diagnostic imaging investigations is increasing, and many tests are ordered inappropriately. Validated clinical decision rules (CDRs) for certain conditions are available to aid in assessing the need for imaging. However, awareness and utilization of CDRs are lack...
| Publicado en: | Journal of the American College of Radiology Vol. 12; no. 11; pp. 1207 - 1215 |
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| Autores principales: | , , , |
| Formato: | research randomized controlled trial Journal Article |
| Publicado: |
Elsevier B.V.
Nov2015
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=110533259&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 110533259 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15461440 EAO jtl: Journal of the American College of Radiology issn: 15461440 maglogo: N pubinfo: dt: Nov2015 vid: 12 iid: 11 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 110533259 110533259 NLM26421852 110533259 10.1016/j.jacr.2015.06.026 NLM26421852 110533259 ppf: 1207 ppct: 8 formats: tig: atl: Impact of Interactive e-Learning Modules on Appropriateness of Imaging Referrals: A Multicenter, Randomized, Crossover Study. aug: au: Velan, Gary M. Goergen, Stacy K. Grimm, Jane Shulruf, Boaz affil: Department of Pathology, School of Medical Sciences, The University of New South Wales, Sydney, Australia sug: subj: Diagnostic Imaging Methods Clinical Competence Referral and Consultation Standards Computer-Assisted Instruction Spinal Diseases Diagnosis Human Adult Educational Measurement Confidence Intervals Curriculum Academic Medical Centers Referral and Consultation Statistics and Numerical Data Australia Male Female Internship and Residency Statistics and Numerical Data Pulmonary Embolism Diagnosis Education, Medical Students, Medical Statistics and Numerical Data Crossover Design Validation Studies Comparative Studies Evaluation Research Multicenter Studies Randomized Controlled Trials Adult: 19-44 years Male Female ab: Purpose: Health care expenditure on diagnostic imaging investigations is increasing, and many tests are ordered inappropriately. Validated clinical decision rules (CDRs) for certain conditions are available to aid in assessing the need for imaging. However, awareness and utilization of CDRs are lacking. This study compared the efficacy and perceived impact of interactive e-learning modules versus static versions of CDRs, for learning about appropriate imaging referrals.Methods: A multicenter, randomized, crossover trial was performed; participants were volunteer medical students and recent graduates. In week 1, group 1 received an e-learning module on appropriate imaging referrals for pulmonary embolism; group 2 received PDF versions of relevant CDRs, and an online quiz with feedback. In week 2, the groups crossed over, focusing on imaging referrals for cervical spine trauma in adults. Online assessments were administered to both groups at the end of each week, and participants completed an online questionnaire at the end of the trial.Results: Group 1 (e-learning module) performed significantly better on the pulmonary embolism knowledge assessment. After the crossover, participants in group 2 (e-learning module) were significantly more likely to improve their scores in the assessment of cervical spine trauma knowledge. Both groups gave positive evaluations of the e-learning modules.Conclusions: Interactive e-learning was significantly more effective for learning in this cohort, compared with static CDRs. We believe that the authentic clinical scenarios, feedback, and integration provided by the e-learning modules contributed to their impact. This study has implications for implementation of e-learning tools to facilitate appropriate referrals for imaging investigations in clinical practice. pubtype: Academic Journal doctype: research randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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