Assistant Professor, Department of Pediatrics, University of Oklahoma Health Sciences Center.
Medical Student, Keck School of Medicine of the University of Southern California.
MedEdPORTAL. 2021 Feb 24;17:11108. doi: 10.15766/mep_2374-8265.11108.
Children with disabilities are particularly vulnerable to school failure, as they are more likely than their peers to experience school dropout and academic struggles. Early identification of learning difficulties and access to special education services are critical to the success of children with disabilities. However, few pediatricians feel competent in screening for risks of school failure and/or assisting families with navigating the special education system. Due to restricted duty hours and limited scheduled didactic time during residency, flexible training options are needed to fill this educational gap and address this systems-based practice competency.
We developed a 30-minute self-paced virtual learning module aimed at educating pediatric residents on strategies for navigating the special education system. The module used a knowledge, attitudes, and self-efficacy framework, as well as case examples and pictorial relationships to illustrate concepts. Wilcoxon signed rank tests were conducted to assess changes in total knowledge, attitude, and self-efficacy scores.
After completion of the module, residents' self-efficacy total scores significantly increased ( = .88, = .001), suggesting that they were more confident in their ability to identify, recognize, and advocate for special education services.
This virtual learning module successfully increased resident self-efficacy in screening for school failure and navigating the special education system. This highly feasible, self-paced training module can be modified to fit demanding resident schedules and serves as a potential tool to teach trainees and other pediatric providers about the special education system.
残疾儿童尤其容易学业失败,因为他们比同龄人更有可能辍学和学业困难。早期发现学习困难并获得特殊教育服务对于残疾儿童的成功至关重要。然而,很少有儿科医生有能力筛查学业失败的风险和/或帮助家庭了解特殊教育系统。由于住院医师的工作时间有限,以及在住院期间安排的教学时间有限,因此需要灵活的培训选择来填补这一教育空白,并解决基于系统的实践能力问题。
我们开发了一个 30 分钟的自我指导的虚拟学习模块,旨在为儿科住院医师提供有关特殊教育系统导航策略的教育。该模块使用知识、态度和自我效能框架,以及案例示例和图形关系来解释概念。进行了 Wilcoxon 符号秩检验,以评估知识、态度和自我效能总分的变化。
完成模块后,住院医师的自我效能总分显著增加( =.88, =.001),这表明他们对自己识别、认识和倡导特殊教育服务的能力更有信心。
这个虚拟学习模块成功地提高了住院医师筛查学业失败和导航特殊教育系统的自我效能。这个高度可行的、自我指导的培训模块可以根据住院医师的繁忙日程进行修改,并且可以作为一种潜在的工具,为学员和其他儿科提供者教授特殊教育系统。