University of Florida, Gainesville, Florida.
Division of General Internal Medicine, Medical University of South Carolina, Charleston, South Carolina.
Am J Med Sci. 2020 Oct;360(4):342-347. doi: 10.1016/j.amjms.2020.05.013. Epub 2020 May 14.
The academic half day (AHD) has emerged in recent years as an alternative to the traditional noon conference model of didactic teaching in graduate medical education. However, the effects of this change on learners are not fully understood. This study aimed to assess the effects of the AHD on attendance, satisfaction, perceived value and wellness of resident physicians.
A survey aimed to assess housestaff satisfaction, perceived value and relevance to medical literature of the core educational curriculum was developed and validated. This, along with a wellness assessment survey, was distributed to residents electronically prior to the implementation of the AHD and again at the end of the academic year. Attendance was tracked for all conferences.
The survey was administered to residents before and after implementation of the AHD (response rates were 100% and 83%, respectively at these time points [n = 95]). Implementation of the AHD lead to a significant increase in average time spent in the core conference series per week (29.7 versus 64.8 minutes). It additionally led to a statistically significant improvement of resident satisfaction with the core curriculum, perceived value of the core conference series, understanding of medical literature and promotion of reading outside of work.
The AHD significantly improved resident time in conference, resident satisfaction and perceived educational value of the core conference series compared to a noon conference model. While challenges will exist with any educational conference model, the AHD appears to be a highly attractive approach to medical resident education.
近年来,学术半天(AHD)作为研究生医学教育中传统中午会议教学模式的替代方案出现。然而,这种变化对学习者的影响尚不完全清楚。本研究旨在评估 AHD 对住院医师出勤率、满意度、感知价值和健康的影响。
设计并验证了一项旨在评估住院医师对核心教育课程满意度、感知价值和与医学文献相关性的调查。在实施 AHD 之前和之后,通过电子方式向住院医师分发这份调查以及一份健康评估调查。跟踪所有会议的出勤率。
在实施 AHD 之前和之后对住院医师进行了调查(这两个时间点的回复率分别为 100%和 83%[n=95])。实施 AHD 导致每周核心会议系列的平均参与时间显著增加(29.7 分钟对 64.8 分钟)。此外,它还显著提高了住院医师对核心课程的满意度、对核心会议系列的感知价值、对医学文献的理解以及促进工作外阅读的能力。
与中午会议模式相比,AHD 显著增加了住院医师在会议上的时间、住院医师的满意度和核心会议系列的感知教育价值。虽然任何教育会议模式都将存在挑战,但 AHD 似乎是一种极具吸引力的住院医师教育方法。