Blackburn Kyle M, Sguigna Peter V, Tardo Lauren, Khan Shaida, Vernino Steven, Phillips Lauren
Department of Neurology, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Peter O'Donnell Jr. Brain Institute, University of Texas Southwestern Medical Center, Dallas, TX, USA.
J Med Educ Curric Dev. 2024 Aug 9;11:23821205241271546. doi: 10.1177/23821205241271546. eCollection 2024 Jan-Dec.
To create and implement a brief, self-directed course on immunotherapy (IT) best practices for trainees on a neuroimmunology elective rotation.
A working group of neurology faculty developed a curriculum covering the mechanism of action, indications, and necessary monitoring for different IT used in neurology practice. The content was presented as a web-based course and hosted on local servers. Neurology residents and fellows participating in a neuroimmunology elective were given access to the curriculum over a 2-week period. A multiple-choice assessment and questionnaire assessing learner confidence with IT was administered prior to starting the course, and again upon course completion. Twelve months after implementation, the pretest and posttest were revised following an item analysis.
Twenty-two neurology residents and fellows completed the course since July 2022. The average score on the first version of the pretest and posttest was 78% versus 92% (= .02), and 51% versus 70% ( .02) on the revised version. Trainee self-reported confidence with IT also improved, although only 59.1% of trainees completed the postcourse questionnaire. Respondents provided positive feedback on the format and content of the course and expressed a desire for a reference to the material for future use.
In this pilot study, our course improved resident confidence and knowledge of IT best practices. The course was well-received, and our methods can be implemented in a variety of clinical environments to supplement trainee learning.
为参加神经免疫学选修轮转的学员创建并实施一门关于免疫治疗（IT）最佳实践的简短、自主学习课程。
一个神经病学教员工作小组制定了一门课程，内容涵盖神经病学实践中使用的不同免疫治疗的作用机制、适应症和必要监测。该内容以网络课程的形式呈现，并托管在本地服务器上。参加神经免疫学选修课程的神经病学住院医师和研究员在两周内可以访问该课程。在课程开始前和课程结束后，分别进行了一次多项选择题评估和一份评估学员对免疫治疗信心的问卷。在实施12个月后，根据项目分析对前测和后测进行了修订。
自2022年7月以来，22名神经病学住院医师和研究员完成了该课程。前测和后测第一版的平均得分分别为78%和92%（=0.02），修订版的平均得分分别为51%和70%（=0.02）。学员自我报告的对免疫治疗的信心也有所提高，尽管只有59.1%的学员完成了课后问卷。受访者对课程的形式和内容给予了积极反馈，并表示希望能获得该材料以供未来参考。
在这项试点研究中，我们的课程提高了住院医师对免疫治疗最佳实践的信心和知识。该课程受到好评，我们的方法可在各种临床环境中实施，以补充学员的学习。
