Kim Hyun, Malatesta Theresa M, Anné Pramila R, McAna John, Bar-Ad Voichita, Dicker Adam P, Den Robert B
Department of Radiation Oncology, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, Pennsylvania.
Jefferson College of Population Health, Thomas Jefferson University, Philadelphia, Pennsylvania.
Pract Radiat Oncol. 2017 Jul-Aug;7(4):241-245. doi: 10.1016/j.prro.2016.12.003. Epub 2016 Dec 16.
PURPOSE/OBJECTIVE(S): Board certified radiation oncologists and medical physicists are required to earn self-assessment module (SAM) continuing medical education (CME) credit, which may require travel costs or usage fees. Data indicate that faculty participation in resident teaching activities is beneficial to resident education. Our hypothesis was that providing the opportunity to earn SAM credit in resident didactics would increase faculty participation in and improve resident education.
SAM applications, comprising CME certified category 1 resident didactic lectures and faculty-generated questions with respective answers, rationales, and references, were submitted to the American Board of Radiology for formal review. Surveys were distributed to assess main academic campus physician, affiliate campus physician, physicist, and radiation oncology resident impressions regarding the quality of the lectures. Survey responses were designed in Likert-scale format. Sign-test was performed with P < .05 considered statistically different from neutral.
First submission SAM approval was obtained for 9 of 9 lectures to date. A total of 52 SAM credits have been awarded to 4 physicists and 7 attending physicians. Main academic campus physician and affiliate campus physician attendance increased from 20% and 0%, respectively, over the 12 months preceding CME/SAM lectures, to 55.6% and 20%, respectively. Survey results indicated that the change to SAM lectures increased the quality of resident lectures (P = .001), attending physician participation in resident education (P < .0001), physicist involvement in medical resident education (P = .0006), and faculty motivation to attend resident didactics (P = .004). Residents reported an increased amount of time required to prepare lectures (P = .008).
We are the first department, to our knowledge, to offer SAM credit to clinical faculty for participation in resident-generated didactics. Offering SAM credit at resident lectures is a cost-effective alternative to purchasing SAM resources, increases faculty attendance, and may improve the quality of radiation oncology resident education.
获得委员会认证的放射肿瘤学家和医学物理学家需要获得自我评估模块(SAM)继续医学教育(CME)学分,这可能需要差旅费或使用费。数据表明,教员参与住院医师教学活动对住院医师教育有益。我们的假设是,在住院医师教学中提供获得SAM学分的机会将增加教员的参与度并改善住院医师教育。
SAM申请,包括CME认证的1类住院医师教学讲座以及教员提出的问题及相应答案、原理和参考文献,已提交给美国放射学会进行正式审核。发放调查问卷以评估主要学术校区医生、附属校区医生、物理学家和放射肿瘤学住院医师对讲座质量的看法。调查问卷的回答采用李克特量表形式。进行符号检验,P <.05被认为与中性有统计学差异。
截至目前,9场讲座中有9场首次提交的SAM申请获得批准。共有52个SAM学分授予了4名物理学家和7名主治医师。在CME/SAM讲座前的12个月里,主要学术校区医生和附属校区医生的出席率分别从20%和0%,提高到了55.6%和20%。调查结果表明,改为SAM讲座提高了住院医师讲座的质量(P =.001)、主治医师参与住院医师教育的程度(P <.0001)、物理学家参与医学住院医师教育的程度(P =.0006)以及教员参加住院医师教学的积极性(P =.004)。住院医师报告准备讲座所需的时间增加了(P =.008)。
据我们所知,我们是第一个为临床教员参与住院医师主导的教学提供SAM学分的科室。在住院医师讲座中提供SAM学分是购买SAM资源的一种经济有效的替代方案,提高了教员的出席率,并可能改善放射肿瘤学住院医师教育的质量。