An E-learning Module on Chronic Low Back Pain in Older Adults: Effect on Medical Resident Attitudes, Confidence, Knowledge, and Clinical Skills.
Objective. To determine 1) the feasibility of implementing an e-learning module on chronic low back pain (CLBP) in an older adult into an existing internal medicine residency curriculum and 2) the impact of this module on resident attitudes, confidence, knowledge, and clinical skills relating to CLB...
| Publicado en: | Pain Medicine Vol. 19; no. 6; pp. 1112 - 1121 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
Jun2018
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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=130206263&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 130206263 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15262375 FRX jtl: Pain Medicine issn: 15262375 maglogo: N pubinfo: dt: Jun2018 vid: 19 iid: 6 pid: 10398 pub: Oxford University Press / USA artinfo: ui: 130206263 130206263 130206263 10.1093/pm/pnx333 130206263 ppf: 1112 ppct: 9 formats: tig: atl: An E-learning Module on Chronic Low Back Pain in Older Adults: Effect on Medical Resident Attitudes, Confidence, Knowledge, and Clinical Skills. aug: au: Jacobs, Zachary G. Elnicki, D. Michael Perera, Subashan Weiner, Debra K. affil: Division of Geriatric Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania sug: subj: Low Back Pain Education Chronic Pain Education Interns and Residents Psychosocial Factors Confidence Professional Knowledge Clinical Competence Learning Methods Curriculum Program Evaluation Human Surveys Retrospective Design Record Review Physical Examination Leg Length Inequality Internal Medicine Pain Management Aged Aged: 65+ years ab: Objective. To determine 1) the feasibility of implementing an e-learning module on chronic low back pain (CLBP) in an older adult into an existing internal medicine residency curriculum and 2) the impact of this module on resident attitudes, confidence, knowledge, and clinical skills relating to CLBP. Methods. Participants were assigned to complete either the online module (N573) or the Yale Office-based curriculum on CLBP (N570). Attitudes, confidence, and knowledge were evaluated pre- and postintervention via survey. A retrospective blinded chart review of resident clinic encounters was conducted, wherein diagnosis codes and physical exam documentation were rated as basic or advanced. Results. There was no improvement in overall knowledge scores in either group (60% average on both metrics). There were tendencies for greater improvements in the intervention group compared with controls for confidence in managing fibromyalgia (2.4 to 2.9 vs 2.5 to 2.5, P=0.06) and leg length discrepancy (1.8 to 2.5 vs 1.5 to 1.9, P=0.05). Those exposed to the online module also showed an increase in the percentage of physical exam documentation rated as advanced following the intervention (13% to 32%, P=0.006), whereas the control group showed no change (14% to 12%, P=0.68). Conclusions. An online module on CLBP in the older adult was a feasible addition to an existing curriculum for internal medicine residents. The module positively and substantively impacted resident clinical behaviors, as evidenced by enhanced sophistication in physical exam documentation; it also was associated with improved confidence in certain aspects of chronic pain management pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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