Department of Radiology, Beth Israel Deaconess Medical Center and Harvard Medical School, 330 Brookline Avenue, Boston, MA 02115, USA.
Acad Radiol. 2010 Feb;17(2):255-63. doi: 10.1016/j.acra.2009.07.028. Epub 2009 Nov 14.
Didactic lectures are an integral component of resident education, but many are missed because of postcall or away rotation status. The authors describe their pilot experience implementing an audiovisual recording program for didactic lectures and report residents' and faculty members' perceptions of this experience.
From July to October 2008, resident conference didactic lectures were recorded on a voluntary faculty basis and posted to a secure Web site using affordable ($500) commercially available equipment. After the trial period, surveys were administered to residents and faculty members. Questions addressed residents' use of the system and its perceived usefulness, as well as its impact on conference attendance, lecture quality, and preparation time.
The survey was completed by 32 of 37 residents (86%) and by 24 of 68 (35%) faculty. Median rankings of perceived usefulness of the system (1 = not useful, 5 = extremely useful) were 5 for residents and 3 for faculty members (P < .01, Wilcoxon's rank-sum test). The mean numbers of lectures viewed were 1.7 per week during regular rotations and 3.93 per week during away rotations or night float (P = .02, t test). A majority (21 of 32 [66%]) of residents stated that lecture quality had improved. A majority (21 of 24 [88%]) of faculty members reported no increases in lecture preparation time compared to before the pilot program.
On the basis of its affordability, perceived usefulness by residents, and minimal impact on faculty members' preparation time, a recording system for didactic lectures has the potential to enhance residents' learning at only minimal costs to radiology departments.
教学讲座是住院医师教育的一个组成部分,但由于值班后或外出轮转,许多讲座都被错过。作者描述了他们在试点中实施教学讲座视听记录计划的经验,并报告了住院医师和教师对该经验的看法。
2008 年 7 月至 10 月,以自愿的教员为基础,对住院医师会议的教学讲座进行录像,并使用价格合理(500 美元)的商业上可获得的设备将其发布到安全的网站上。在试验期结束后,向住院医师和教师发放了调查问卷。问题涉及住院医师对系统的使用及其感知的有用性,以及其对会议出席、讲座质量和准备时间的影响。
共有 37 名住院医师中的 32 名(86%)和 68 名教师中的 24 名(35%)完成了调查。系统感知有用性的中位数评分(1=无用处,5=非常有用)为住院医师的 5 分和教师的 3 分(P<0.01,Wilcoxon 秩和检验)。在常规轮转期间,每周观看的讲座平均数量为 1.7 次,而在外出轮转或夜间轮值期间为 3.93 次(P=0.02,t 检验)。大多数(32 名中的 21 名[66%])住院医师表示讲座质量有所提高。大多数(24 名中的 21 名[88%])教师报告与试点计划前相比,准备讲座的时间没有增加。
基于其价格合理、住院医师认为有用,以及对教师准备时间的影响最小,教学讲座的记录系统有可能以最小的成本提高放射科住院医师的学习效果。