Association of a Pediatric Gynecology eLearning Module With Resident Knowledge and Clinical Skills: A Randomized Controlled Trial.
Objective: To assess whether a pediatric and adolescent gynecology electronic learning (eLearning) module improves knowledge and clinical performance among obstetrics and gynecology residents.Methods: We conducted a multi-institutional, single-blinded, randomized controlled trial across four univers...
| Publicado en: | Obstetrics & Gynecology Vol. 136; no. 5; pp. 987 - 995 |
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| Autores principales: | , , , , , , , , , |
| Formato: | research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
Nov2020
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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=147139012&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 147139012 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00297844 22Z jtl: Obstetrics & Gynecology issn: 00297844 maglogo: N pubinfo: dt: Nov2020 vid: 136 iid: 5 pid: 433 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 147139012 147139012 NLM33030868 147139012 10.1097/AOG.0000000000004098 NLM33030868 147139012 ppf: 987 ppct: 8 formats: tig: atl: Association of a Pediatric Gynecology eLearning Module With Resident Knowledge and Clinical Skills: A Randomized Controlled Trial. aug: au: Huguelet, Patricia S. Abraham, Margaret Alaniz, Veronica I. Dolinko, Andrey V. Dumont, Tania Karjane, Nicole Pearce, Janina V. Ruder, Kara Wheeler, Carol Guiahi, Maryam affil: Department of Obstetrics and Gynecology, University of Colorado School of Medicine, Aurora, Colorado sug: subj: Internship and Residency Statistics and Numerical Data Clinical Competence Statistics and Numerical Data Pediatrics Education Gynecology Education Educational Measurement Human Internship and Residency Training Support, Financial Statistics and Numerical Data Female Adult Pediatrics Methods Gynecology Methods Training Support, Financial Methods Single-Blind Studies Child Adolescence Reproducibility of Results Curriculum Validation Studies Comparative Studies Evaluation Research Multicenter Studies Adult: 19-44 years Child: 6-12 years Adolescent: 13-18 years Female ab: Objective: To assess whether a pediatric and adolescent gynecology electronic learning (eLearning) module improves knowledge and clinical performance among obstetrics and gynecology residents.Methods: We conducted a multi-institutional, single-blinded, randomized controlled trial across four university programs; three had pediatric and adolescent gynecology rotations, and two had pediatric and adolescent gynecology fellowship-trained faculty. Applying permutated block randomization, residents were randomized to no intervention or completion of a validated eLearning module on prepubertal bleeding. All residents subsequently completed a pediatric and adolescent gynecology-related knowledge assessment that queried understanding of prepubertal bleeding and an objective structured clinical examination that assessed history collection, performance of a prepubertal genital examination, vaginal culture, and vaginoscopy for a pediatric patient. Objective structured clinical examinations were videotaped and reviewed by two faculty, blinded to randomization group; interrater reliability score was 97%. We calculated descriptive frequencies and compared randomization groups using χ analyses and Fisher exact tests for categorical variables, and median tests for continuous variables; a value of P<.05 was considered significant.Results: From July 2018 to June 2019, we invited 115 residents to participate; 97 (83%) completed both objective structured clinical examination and follow-up knowledge assessments. Most were female (91%) and the majority reported limited pediatric and adolescent gynecology didactic or clinical experience, with 36% reporting prior didactics on prepubertal vaginal bleeding and 33% reporting prior exposure to the prepubertal genital examination. Forty-five participants (46%) were randomized to the module and groups were similar across training levels. Residents assigned to the module scored significantly higher on the knowledge assessment (4/5 vs 2/5, P<.001) and objective structured clinical examination (13/16 vs 7/16, P<.001) and were more likely to avoid a speculum in the examination of a pediatric patient (95.6% vs 57.7%, P<.001).Conclusion: Our pediatric and adolescent gynecology eLearning module resulted in improved short-term resident knowledge and simulated clinical skills among obstetrics and gynecology residents. Applying this learning technique in other programs may help address deficiencies in pediatric and adolescent gynecology education and training. pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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