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<a href="http://doi.org/10.1111/j.1553-2712.2009.00598.x" target="_blank" rel="noreferrer noopener">http://doi.org/10.1111/j.1553-2712.2009.00598.x</a>
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Pages
S46-S50
Issue
12
Volume
16
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Title
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Evaluation of a Web-based Asynchronous Pediatric Emergency Medicine Learning Tool for Residents and Medical Students
Publisher
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Academic Emergency Medicine
Date
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2009
2009-12
Subject
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education; Emergency Medicine; curriculum; Pediatric; asynchronous learning; web-based learning
Creator
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Burnette K; Ramundo M; Stevenson M; Beeson M S
Description
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Objectives: To examine the effectiveness of an asynchronous learning tool consisting of web-based lectures for trainees covering major topics pertinent to pediatric emergency medicine (PEM) and to assess resident and student evaluation of this mode of education. Methods: PEM faculty and fellows created a 21-lecture, web-based curriculum. These 20-minute online lectures used Microsoft PowerPoint with the voice-over feature. A 75-question test was created to assess the effectiveness of the web-based learning model, administered online before and after the rotation in the pediatric emergency department (PED). All fourth-year medical students and residents (across all specialties) rotating through the PED were required to complete 10 of the 21 lectures during their 1-month rotation. The main outcome variable was difference in score between pre- and post-rotation tests of participants who viewed no lectures and those who viewed at least one lecture. Evaluation of the program was assessed by anonymous survey using 5-point discrete visual analog scales. Responses of 4 or 5 were considered positive for analysis. Results: One hundred eleven residents and fourth-year medical students participated in the program. An initial 32 completed testing before implementation of the on-line lectures (March 2007-August 2007), and another five did not complete the on-line lectures after implementation (September 2007-February 2008). Seventy-one completed testing and on-line lectures, and all but three completed at least 10 on-line lectures during their rotation. Fourteen of 111 trainees did not complete the pre- or post-test (including two who viewed the lectures). The mean change in score was a 1% improvement from pre-test to post-test for trainees who viewed no lectures and a 6.2% improvement for those who viewed the lectures (mean difference = 5.2%, 95% confidence interval = 2.5% to 7.9%). In the linear regression model, the estimate of the coefficient was 0.43 (p < 0.001), meaning that, for each lecture viewed, post-test score rose by 0.43%. Sixty-nine of 75 test items (92%) had a point biserial correlation greater than 0.15. Thirty of the 72 trainees who completed the online lectures and testing (42%) returned surveys. All were comfortable using the Internet, and 87% (26/30) found the web-site easy to use. All felt that their educational goals were met, and 100% felt that the format would be useful in other areas of education. Conclusions: Although not a replacement for traditional bedside teaching, the use of web-based lectures as an asynchronous learning tool has a positive effect on medical knowledge test scores. Trainees were able to view online lectures on their own schedules, in the location of their choice. This is helpful in a field with shift work, in which trainees rarely work together, making it difficult to synchronously provide lectures to all trainees. Academic Emergency Medicine 2009; 16:S46-S50 (C) 2009 by the Society for Academic Emergency Medicine.
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<a href="http://doi.org/10.1111/j.1553-2712.2009.00598.x" target="_blank" rel="noreferrer noopener">10.1111/j.1553-2712.2009.00598.x</a>
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Journal Article or Conference Abstract Publication
2009
Academic Emergency Medicine
asynchronous learning
Beeson M S
Burnette K
Curriculum
Education
Emergency Medicine
Journal Article or Conference Abstract Publication
Pediatric
Ramundo M
Stevenson M
web-based learning