移动和数字支持对神经外科住院医师教育中结构化、基于能力的课程的影响。

Effects of mobile and digital support for a structured, competency-based curriculum in neurosurgery residency education.

机构信息

Department of Neurosurgery, University of California Los Angeles David Geffen School of Medicine, Los Angeles, CA, USA.

出版信息

Neurosurgery. 2012 Jul;71(1):164-72. doi: 10.1227/NEU.0b013e318253571b.

DOI:10.1227/NEU.0b013e318253571b

PMID:22407073

Abstract

BACKGROUND

Changes in neurosurgical practice and graduate medical education impose new challenges for training programs.

OBJECTIVE

We present our experience providing neurosurgical residents with digital and mobile educational resources in support of the departmental academic activities.

METHODS

A weekly mandatory conference program for all clinical residents based on the Accreditation Council for Graduate Medical Education competencies, held in protected time, was introduced. Topics were taught through didactic sessions and case discussions. Faculty and residents prepare high-quality presentations, equivalent to peer-review leading papers or case reports. Presentations are videorecorded, stored in a digital library, and broadcasted through our Website and iTunes U. Residents received mobile tablet devices with remote access to the digital library, applications for document/video management, and interactive teaching tools.

RESULTS

Residents responded to an anonymous survey, and performances on the Self-Assessment in Neurological Surgery examination before and after the intervention were compared. Ninety-two percent reported increased time used to study outside the hospital and attributed the habit change to the introduction of mobile devices; 67% used the electronic tablets as the primary tool to access the digital library, followed by 17% hospital computers, 8% home computers, and 8% personal laptops. Forty-two percent have submitted operative videos, cases, and documents to the library. One year after introducing the program, results of the Congress of Neurological Surgeons-Self-Assessment in Neurological Surgery examination showed a statistically significant improvement in global scoring and improvement in 16 of the 18 individual areas evaluated, 6 of which reached statistical significance.

CONCLUSION

A structured, competency-based neurosurgical education program supported with digital and mobile resources improved reading habits among residents and performance on the Congress of Neurological Surgeons-Self-Assessment in Neurological Surgery examination.

摘要

背景

神经外科学实践和住院医师规范化培训的变化给培训项目带来了新的挑战。

目的

我们介绍了为神经外科住院医师提供数字和移动教育资源以支持部门学术活动的经验。

方法

为所有临床住院医师引入了每周一次的强制性会议计划，该计划基于住院医师规范化培训认证委员会的能力要求，在保护时间内举行。通过讲座和病例讨论来教授主题。教员和住院医师准备高质量的演示文稿，相当于同行评审的主要论文或病例报告。演示文稿被录像，存储在数字图书馆中，并通过我们的网站和 iTunes U 进行广播。住院医师配备了移动平板电脑，可远程访问数字图书馆、文档/视频管理应用程序和互动教学工具。

结果

住院医师对一项匿名调查做出了回应，并比较了干预前后神经外科技能自我评估考试的成绩。92%的人报告说，他们在医院外学习的时间增加了，并将习惯的改变归因于移动设备的引入；67%的人将电子平板电脑作为访问数字图书馆的主要工具，其次是 17%的医院电脑、8%的家庭电脑和 8%的个人笔记本电脑。42%的人已经将手术视频、病例和文件提交到图书馆。在引入该计划一年后，神经外科医师协会神经外科技能自我评估考试的结果显示，全球评分有统计学意义的提高，在评估的 18 个领域中的 16 个领域得到了改善，其中 6 个达到了统计学意义。