Sutzko Danielle C, Goldman Matthew P, Boniakowski Anna E, Sandhu Gurjit, Velazquez-Ramirez Gabriela, Osborne Nicholas H, Corriere Matthew A
Section of Vascular Surgery, Department of Surgery, Michigan Medicine, Ann Arbor, MI.
Department of Vascular and Endovascular Surgery, Wake Forest School of Medicine, Winston-Salem, NC.
Ann Vasc Surg. 2019 Jul;58:309-316. doi: 10.1016/j.avsg.2018.11.004. Epub 2019 Feb 10.
Free digital platforms are smartphone-compatible and permit self-directed curriculum development based on learners' interests and educational needs. We developed a free mobile vascular surgery handbook initiated, authored, and edited by surgical house officers and surveyed on the content and users.
Using a free digital platform, house officers developed a vascular surgery handbook. Initiated by a single user for conference preparation and clinical care, the use expanded through sharing among residents. The handbook was then deployed at a second medical center, with free access granted to users after completing a survey. Handbook and content use were evaluated based on user ratings ≥4 on a Likert scale from 1 to 5, where 1 = "strongly disagree" and 5 = "completely agree." Domains assessed included handbook ease of use, content, and relevance to a variety of learning environments and goals (e.g., preparation for the operating room, rounds, clinic, teaching conferences, and examinations). Analytic methods included qualitative analysis, graphical evaluation, and categorical tests.
The handbook is organized into sections, with each consisting of multiple pages and/or posts related to the section topic. Sections with the most content included lower extremity arterial disease, endovascular aneurysm repair/thoracic endovascular aortic repair, venous disease, anticoagulation, and anatomy/exposures. Fifty-four users participated in the evaluation phase, including different types of surgical residents (35%), medical students (30%), and anesthesia residents (22%). Sixty-nine percent of participants were in their position for <2 years. The average age was 29.1 years, and 57% were women. Preferred learning styles among users at the time of enrollment primarily included question banks (52%), followed by slide-based lectures (15%) and "chalk talk" lectures (13%). Of the users who participated in the presurvey, 43 users participated in the postsurvey with a general agreement on the handbook being an easy-to-use resource that was useful for gaining overall knowledge and contained accurate information. Users generally agreed they would recommend the handbook to a colleague.
References customized to user needs can be developed through crowdsourcing and published with free digital resources. These approaches allow mobile access to useful information during conferences and clinical care. House officers' self-perceived educational needs can be targeted for tailored educational initiatives.
免费数字平台与智能手机兼容，允许根据学习者的兴趣和教育需求进行自主课程开发。我们开发了一本由外科住院医师发起、编写和编辑的免费移动血管外科学手册，并对其内容和用户进行了调查。
住院医师利用免费数字平台开发了一本血管外科学手册。该手册由一名用户发起用于会议准备和临床护理，通过住院医师之间的分享得以推广。随后，该手册在另一家医疗中心部署，用户完成调查后可免费访问。根据用户在1至5的李克特量表上给出的评分≥4来评估手册及内容的使用情况，其中1 = “强烈不同意”，5 = “完全同意”。评估的领域包括手册的易用性、内容以及与各种学习环境和目标（如手术室准备、查房、门诊、教学会议和考试）的相关性。分析方法包括定性分析、图形评估和分类测试。
该手册分为多个章节，每个章节由与该章节主题相关的多页和/或帖子组成。内容最多的章节包括下肢动脉疾病、血管内动脉瘤修复/胸主动脉腔内修复、静脉疾病、抗凝以及解剖学/手术暴露。54名用户参与了评估阶段，包括不同类型的外科住院医师（35%）、医学生（30%）和麻醉科住院医师（22%）。69%的参与者任职时间不到2年。平均年龄为29.1岁，57%为女性。注册时用户偏好的学习方式主要包括题库（52%），其次是基于幻灯片的讲座（15%）和“板书”讲座（13%）。参与预调查的用户中，43名用户参与了后调查，他们普遍认为该手册是一个易于使用的资源，有助于获取全面知识且包含准确信息。用户普遍表示会向同事推荐该手册。
可以通过众包方式开发满足用户需求的参考文献，并与免费数字资源一同发布。这些方法使人们在会议和临床护理期间能够通过移动设备获取有用信息。可以针对住院医师自我感知的教育需求开展定制化教育活动。
