Bansal Varun V, Witmer Hunter D D, Lam Adam, Morgan Ryan B, Godley Frederick, Ong Cecilia T, Dhiman Ankit, Eng Oliver S, Turaga Kiran K
Department of Surgery, Division of Surgical Oncology, Yale School of Medicine, New Haven, CT, USA.
Department of Surgery, Division of General Surgery and Surgical Oncology, University of Chicago Medical Center, Chicago, IL, USA.
Ann Surg Oncol. 2023 Nov;30(12):6983-6986. doi: 10.1245/s10434-023-14081-3. Epub 2023 Aug 26.
Current educational programs for peritoneal surface malignancies (PSM) are unstructured and often target advanced learners. The authors describe the design and implementation of a structured, self-paced course at a high-volume PSM center.
In 2020, a learner-centered course was designed using the Canvas educational platform in consultation with the Center for Teaching at the University of Chicago. The course consisted of disease-site-specific modules, perioperative care pathways, in-built voluntary quizzes, and multimedia supplements for advanced learners. Trainees were provided access during the PSM service rotation, and engagement was compared across training levels by measuring the time spent online.
Course design and management required 71 h between 2020 and 2022, with the majority of time spent in the design phase. During 3 years, 62 personnel (21 [34%] medical students, 28 [45%] residents, 8 [13%] staff, and 5 [8%] fellows) were assigned the course. The overall engagement rate was 83.9% (86% of medical students, 75% of residents, 100% of staff and fellows), and the median time spent online was 12.4 min/week (interquartile range [IQR], 2.1-53.0 min/week). Fourth-year medical students and clinical fellows spent more time online than other learners (73 min/week [IQR, 24.5-100 min/week] vs 13.3 min/week [IQR, 7.3-26.5 min/week]) (p = 0.001).
The design and implementation of a PSM-specific course was feasible and sustainable using an online learning platform. Higher engagement was noted among invested learners. Non-technical factors for reduced engagement need to be ascertained further to improve the next iteration of this course.
目前针对腹膜表面恶性肿瘤（PSM）的教育项目缺乏系统性，且通常面向进阶学习者。作者描述了在一家高容量PSM中心设计并实施的一门结构化、自主学习课程。
2020年，在与芝加哥大学教学中心协商后，利用Canvas教育平台设计了一门以学习者为中心的课程。该课程包括针对特定疾病部位的模块、围手术期护理路径、内置的自愿测验以及面向进阶学习者的多媒体补充资料。在PSM服务轮转期间为学员提供了访问权限，并通过测量在线时长来比较不同培训水平学员的参与度。
2020年至2022年期间，课程设计和管理共耗时71小时，大部分时间花在设计阶段。三年间，62名人员（21名[34%]医学生、28名[45%]住院医师、8名[13%]工作人员和5名[8%]研究员）被安排学习该课程。总体参与率为83.9%（医学生为86%，住院医师为75%，工作人员和研究员为100%），在线时长中位数为每周12.4分钟（四分位间距[IQR]，2.1 - 53.0分钟/周）。四年级医学生和临床研究员在线时长多于其他学习者（73分钟/周[IQR，24.5 - 100分钟/周] 对比13.3分钟/周[IQR，7.3 - 26.5分钟/周]）（p = 0.001）。
使用在线学习平台设计和实施一门特定于PSM的课程是可行且可持续的。参与度较高的是有投入的学习者。需要进一步确定参与度降低的非技术因素，以改进本课程的下一版本。
