E-Learning Module on Chronic Low Back Pain in Older Adults: Evidence of Effect on Medical Student Objective Structured Clinical Examination Performance.
The Institute of Medicine has highlighted the urgent need to close undergraduate and graduate educational gaps in treating pain. Chronic low back pain ( CLBP) is one of the most common pain conditions, and older adults are particularly vulnerable to potential morbidities associated with misinformed...
| Publicado en: | Journal of the American Geriatrics Society Vol. 62; no. 6; pp. 1161 - 1168 |
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| Autores principales: | , , , , , , , , |
| Formato: | Artículo |
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Wiley-Blackwell
Jun2014
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=96443084&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 96443084 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00028614 20Q jtl: Journal of the American Geriatrics Society issn: 00028614 maglogo: Y pubinfo: dt: Jun2014 vid: 62 iid: 6 pid: 480 pub: Wiley-Blackwell artinfo: ui: 96443084 10.1111/jgs.12871 ppf: 1161 ppct: 7 formats: tig: atl: E-Learning Module on Chronic Low Back Pain in Older Adults: Evidence of Effect on Medical Student Objective Structured Clinical Examination Performance. aug: au: Weiner, Debra K. Morone, Natalia E. Spallek, Heiko Karp, Jordan F. Schneider, Michael Washburn, Carol Dziabiak, Michael P. Hennon, John G. Elnicki, D. Michael affil: Geriatric Research, Education and Clinical Center, Veterans Affairs Pittsburgh Healthcare System, Pittsburgh Pennsylvania Division of Geriatric Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh Pennsylvania Department of Psychiatry, University of Pittsburgh, Pittsburgh Pennsylvania Department of Anesthesiology, University of Pittsburgh, Pittsburgh Pennsylvania Clinical and Translational Science Institute, University of Pittsburgh, Pittsburgh Pennsylvania Division of General Internal Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh Pennsylvania Department of Dental Public Health, School of Dental Medicine, University of Pittsburgh, Pittsburgh Pennsylvania School of Health and Rehabilitation Sciences, University of Pittsburgh, Pittsburgh Pennsylvania Center for Instructional Development and Distance Education, University of Pittsburgh, Pittsburgh Pennsylvania University Center for Social and Urban Research, University of Pittsburgh, Pittsburgh Pennsylvania su: Health education Old age Clinical competence Lumbar pain Chronic pain Confidence intervals Medical students T-test (Statistics) Continuing medical education Data analysis software Descriptive statistics Odds ratio sug: subj: Health education Old age Clinical competence Lumbar pain Chronic pain Confidence intervals Medical students T-test (Statistics) Continuing medical education Data analysis software Descriptive statistics Odds ratio keyword: low back pain medical student education objective structured clinical examination older adults low back pain medical student education objective structured clinical examination older adults ab: The Institute of Medicine has highlighted the urgent need to close undergraduate and graduate educational gaps in treating pain. Chronic low back pain ( CLBP) is one of the most common pain conditions, and older adults are particularly vulnerable to potential morbidities associated with misinformed treatment. An e-learning case-based interactive module was developed at the University of Pittsburgh Center of Excellence in Pain Education, one of 12 National Institutes of Health-designated centers, to teach students important principles for evaluating and managing CLBP in older adults. A team of six experts in education, information technology, pain management, and geriatrics developed the module. Teaching focused on common errors, interactivity, and expert modeling and feedback. The module mimicked a patient encounter using a standardized patient (the older adult with CLBP) and a pain expert (the patient provider). Twenty-eight medical students were not exposed to the module (Group 1) and 27 were exposed (Group 2). Their clinical skills in evaluating CLBP were assessed using an objective structured clinical examination ( OSCE). Mean scores were 62.0 ± 8.6 for Group 1 and 79.5 ± 10.4 for Group 2 ( P < .001). Using an OSCE pass-fail cutoff score of 60%, 17 of 28 Group 1 students (60.7%) and 26 of 27 Group 2 students (96.3%) passed. The CLBP OSCE was one of 10 OSCE stations in which students were tested at the end of a Combined Ambulatory Medicine and Pediatrics Clerkship. There were no between-group differences in performance on eight of the other nine OSCE stations. This module significantly improved medical student clinical skills in evaluating CLBP. Additional research is needed to ascertain the effect of e-learning modules on more-advanced learners and on improving the care of older adults with CLBP. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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