Online Learning and Residents’ Acquisition of Mechanical Ventilation Knowledge: Sequencing Matters
OBJECTIVE:Rapid advancements in medicine and changing standards in medical education require new, efficient educational strategies. We investigated whether an online intervention could increase residents’ knowledge and improve knowledge retention in mechanical ventilation when compared with a clinic...
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| Veröffentlicht in: | Critical care medicine 2020-01, Vol.48 (1), p.e1-e8 |
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| creator | Wolbrink, Traci A van Schaik, Sandrijn M Turner, David A Staffa, Steven J Keller, Eleanor Boyer, Donald L Chong, Grace Cross, Jarrod del Castillo, Sylvia Feng, Andrew Hum, R Stanley Jacob James, Ebor Johnson, Amanda Kandil, Sarah Kneyber, Martin Rameshkumar, Ramachandran Levin, Amanda Lodha, Rakesh Jayashree, Muralidharan Olivero, Anthony Oberender, Felix Panesar, Rahul S Pooni, Puneet A Rehder, Kyle J Sankaranarayanan, Shuba Scheffler, Margaret Sharara-Chami, Rana Siems, Ashley L Padur Sivaraman, Rajakumar Tegtmeyer, Ken Valentine, Stacey Villois, Florencia von Saint Andre-von Arnim, Amelie Winkler, Margaret Dede, Chris Burns, Jeffrey P |
| description | OBJECTIVE:Rapid advancements in medicine and changing standards in medical education require new, efficient educational strategies. We investigated whether an online intervention could increase residents’ knowledge and improve knowledge retention in mechanical ventilation when compared with a clinical rotation and whether the timing of intervention had an impact on overall knowledge gains.
DESIGN:A prospective, interventional crossover study conducted from October 2015 to December 2017.
SETTING:Multicenter study conducted in 33 PICUs across eight countries.
SUBJECTS:Pediatric categorical residents rotating through the PICU for the first time. We allocated 483 residents into two arms based on rotation date to use an online intervention either before or after the clinical rotation.
INTERVENTIONS:Residents completed an online virtual mechanical ventilation simulator either before or after a 1-month clinical rotation with a 2-month period between interventions.
MEASUREMENTS AND MAIN RESULTS:Performance on case-based, multiple-choice question tests before and after each intervention was used to quantify knowledge gains and knowledge retention. Initial knowledge gains in residents who completed the online intervention (average knowledge gain, 6.9%; SD, 18.2) were noninferior compared with those who completed 1 month of a clinical rotation (average knowledge gain, 6.1%; SD, 18.9; difference, 0.8%; 95% CI, –5.05 to 6.47; p = 0.81). Knowledge retention was greater following completion of the online intervention when compared with the clinical rotation when controlling for time (difference, 7.6%; 95% CI, 0.7–14.5; p = 0.03). When the online intervention was sequenced before (average knowledge gain, 14.6%; SD, 15.4) rather than after (average knowledge gain, 7.0%; SD, 19.1) the clinical rotation, residents had superior overall knowledge acquisition (difference, 7.6%; 95% CI, 2.01–12.97;p = 0.008).
CONCLUSIONS:Incorporating an interactive online educational intervention prior to a clinical rotation may offer a strategy to prime learners for the upcoming rotation, augmenting clinical learning in graduate medical education. |
| doi_str_mv | 10.1097/CCM.0000000000004071 |
| format | Article |
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DESIGN:A prospective, interventional crossover study conducted from October 2015 to December 2017.
SETTING:Multicenter study conducted in 33 PICUs across eight countries.
SUBJECTS:Pediatric categorical residents rotating through the PICU for the first time. We allocated 483 residents into two arms based on rotation date to use an online intervention either before or after the clinical rotation.
INTERVENTIONS:Residents completed an online virtual mechanical ventilation simulator either before or after a 1-month clinical rotation with a 2-month period between interventions.
MEASUREMENTS AND MAIN RESULTS:Performance on case-based, multiple-choice question tests before and after each intervention was used to quantify knowledge gains and knowledge retention. Initial knowledge gains in residents who completed the online intervention (average knowledge gain, 6.9%; SD, 18.2) were noninferior compared with those who completed 1 month of a clinical rotation (average knowledge gain, 6.1%; SD, 18.9; difference, 0.8%; 95% CI, –5.05 to 6.47; p = 0.81). Knowledge retention was greater following completion of the online intervention when compared with the clinical rotation when controlling for time (difference, 7.6%; 95% CI, 0.7–14.5; p = 0.03). When the online intervention was sequenced before (average knowledge gain, 14.6%; SD, 15.4) rather than after (average knowledge gain, 7.0%; SD, 19.1) the clinical rotation, residents had superior overall knowledge acquisition (difference, 7.6%; 95% CI, 2.01–12.97;p = 0.008).
CONCLUSIONS:Incorporating an interactive online educational intervention prior to a clinical rotation may offer a strategy to prime learners for the upcoming rotation, augmenting clinical learning in graduate medical education.</description><identifier>ISSN: 0090-3493</identifier><identifier>EISSN: 1530-0293</identifier><identifier>DOI: 10.1097/CCM.0000000000004071</identifier><identifier>PMID: 31688194</identifier><language>eng</language><publisher>United States: Copyright by by the Society of Critical Care Medicine and Wolters Kluwer Health, Inc</publisher><ispartof>Critical care medicine, 2020-01, Vol.48 (1), p.e1-e8</ispartof><rights>Copyright © by 2020 by the Society of Critical Care Medicine and Wolters Kluwer Health, Inc. All Rights Reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4021-fdb60ba0f3293488636724e77050dfc686082e13d02da30bc533540417b265d13</citedby><cites>FETCH-LOGICAL-c4021-fdb60ba0f3293488636724e77050dfc686082e13d02da30bc533540417b265d13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31688194$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wolbrink, Traci A</creatorcontrib><creatorcontrib>van Schaik, Sandrijn M</creatorcontrib><creatorcontrib>Turner, David A</creatorcontrib><creatorcontrib>Staffa, Steven J</creatorcontrib><creatorcontrib>Keller, Eleanor</creatorcontrib><creatorcontrib>Boyer, Donald L</creatorcontrib><creatorcontrib>Chong, Grace</creatorcontrib><creatorcontrib>Cross, Jarrod</creatorcontrib><creatorcontrib>del Castillo, Sylvia</creatorcontrib><creatorcontrib>Feng, Andrew</creatorcontrib><creatorcontrib>Hum, R Stanley</creatorcontrib><creatorcontrib>Jacob James, Ebor</creatorcontrib><creatorcontrib>Johnson, Amanda</creatorcontrib><creatorcontrib>Kandil, Sarah</creatorcontrib><creatorcontrib>Kneyber, Martin</creatorcontrib><creatorcontrib>Rameshkumar, Ramachandran</creatorcontrib><creatorcontrib>Levin, Amanda</creatorcontrib><creatorcontrib>Lodha, Rakesh</creatorcontrib><creatorcontrib>Jayashree, Muralidharan</creatorcontrib><creatorcontrib>Olivero, Anthony</creatorcontrib><creatorcontrib>Oberender, Felix</creatorcontrib><creatorcontrib>Panesar, Rahul S</creatorcontrib><creatorcontrib>Pooni, Puneet A</creatorcontrib><creatorcontrib>Rehder, Kyle J</creatorcontrib><creatorcontrib>Sankaranarayanan, Shuba</creatorcontrib><creatorcontrib>Scheffler, Margaret</creatorcontrib><creatorcontrib>Sharara-Chami, Rana</creatorcontrib><creatorcontrib>Siems, Ashley L</creatorcontrib><creatorcontrib>Padur Sivaraman, Rajakumar</creatorcontrib><creatorcontrib>Tegtmeyer, Ken</creatorcontrib><creatorcontrib>Valentine, Stacey</creatorcontrib><creatorcontrib>Villois, Florencia</creatorcontrib><creatorcontrib>von Saint Andre-von Arnim, Amelie</creatorcontrib><creatorcontrib>Winkler, Margaret</creatorcontrib><creatorcontrib>Dede, Chris</creatorcontrib><creatorcontrib>Burns, Jeffrey P</creatorcontrib><creatorcontrib>Game-based Education in Residency (GamER) Study Group</creatorcontrib><title>Online Learning and Residents’ Acquisition of Mechanical Ventilation Knowledge: Sequencing Matters</title><title>Critical care medicine</title><addtitle>Crit Care Med</addtitle><description>OBJECTIVE:Rapid advancements in medicine and changing standards in medical education require new, efficient educational strategies. We investigated whether an online intervention could increase residents’ knowledge and improve knowledge retention in mechanical ventilation when compared with a clinical rotation and whether the timing of intervention had an impact on overall knowledge gains.
DESIGN:A prospective, interventional crossover study conducted from October 2015 to December 2017.
SETTING:Multicenter study conducted in 33 PICUs across eight countries.
SUBJECTS:Pediatric categorical residents rotating through the PICU for the first time. We allocated 483 residents into two arms based on rotation date to use an online intervention either before or after the clinical rotation.
INTERVENTIONS:Residents completed an online virtual mechanical ventilation simulator either before or after a 1-month clinical rotation with a 2-month period between interventions.
MEASUREMENTS AND MAIN RESULTS:Performance on case-based, multiple-choice question tests before and after each intervention was used to quantify knowledge gains and knowledge retention. Initial knowledge gains in residents who completed the online intervention (average knowledge gain, 6.9%; SD, 18.2) were noninferior compared with those who completed 1 month of a clinical rotation (average knowledge gain, 6.1%; SD, 18.9; difference, 0.8%; 95% CI, –5.05 to 6.47; p = 0.81). Knowledge retention was greater following completion of the online intervention when compared with the clinical rotation when controlling for time (difference, 7.6%; 95% CI, 0.7–14.5; p = 0.03). When the online intervention was sequenced before (average knowledge gain, 14.6%; SD, 15.4) rather than after (average knowledge gain, 7.0%; SD, 19.1) the clinical rotation, residents had superior overall knowledge acquisition (difference, 7.6%; 95% CI, 2.01–12.97;p = 0.008).
CONCLUSIONS:Incorporating an interactive online educational intervention prior to a clinical rotation may offer a strategy to prime learners for the upcoming rotation, augmenting clinical learning in graduate medical education.</description><issn>0090-3493</issn><issn>1530-0293</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNp9kMtOwzAQRS0EglL4A4SyZBMYP5I47FDFS7RC4rWNHHtCDa4DcaKKHb_B7_ElpBQQYsFsZjFn7ty5hOxQ2KeQZwej0WQffpWAjK6QAU04xMByvkoGADnEXOR8g2yG8ABARZLxdbLBaSolzcWAmEvvrMdojKrx1t9HypvoCoM16Nvw_voWHennzgbb2tpHdRVNUE-Vt1q56K5HrFOfkwtfzx2aezyMrvG5Q68XYhPVttiELbJWKRdw-6sPye3J8c3oLB5fnp6PjsaxFsBoXJkyhVJBxXv7QsqUpxkTmGWQgKl0KlOQDCk3wIziUOqE80SAoFnJ0sRQPiR7S92npu49hLaY2aDROeWx7kLBOGVMcpBZj4olqps6hAar4qmxM9W8FBSKRb5Fn2_xN99-bffrQlfO0PwsfQfaA3IJzGu3eP3RdXNsiikq107_1_4AMtuG0g</recordid><startdate>202001</startdate><enddate>202001</enddate><creator>Wolbrink, Traci A</creator><creator>van Schaik, Sandrijn M</creator><creator>Turner, David A</creator><creator>Staffa, Steven J</creator><creator>Keller, Eleanor</creator><creator>Boyer, Donald L</creator><creator>Chong, Grace</creator><creator>Cross, Jarrod</creator><creator>del Castillo, Sylvia</creator><creator>Feng, Andrew</creator><creator>Hum, R Stanley</creator><creator>Jacob James, Ebor</creator><creator>Johnson, Amanda</creator><creator>Kandil, Sarah</creator><creator>Kneyber, Martin</creator><creator>Rameshkumar, Ramachandran</creator><creator>Levin, Amanda</creator><creator>Lodha, Rakesh</creator><creator>Jayashree, Muralidharan</creator><creator>Olivero, Anthony</creator><creator>Oberender, Felix</creator><creator>Panesar, Rahul S</creator><creator>Pooni, Puneet A</creator><creator>Rehder, Kyle J</creator><creator>Sankaranarayanan, Shuba</creator><creator>Scheffler, Margaret</creator><creator>Sharara-Chami, Rana</creator><creator>Siems, Ashley L</creator><creator>Padur Sivaraman, Rajakumar</creator><creator>Tegtmeyer, Ken</creator><creator>Valentine, Stacey</creator><creator>Villois, Florencia</creator><creator>von Saint Andre-von Arnim, Amelie</creator><creator>Winkler, Margaret</creator><creator>Dede, Chris</creator><creator>Burns, Jeffrey P</creator><general>Copyright by by the Society of Critical Care Medicine and Wolters Kluwer Health, Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>202001</creationdate><title>Online Learning and Residents’ Acquisition of Mechanical Ventilation Knowledge: Sequencing Matters</title><author>Wolbrink, Traci A ; van Schaik, Sandrijn M ; Turner, David A ; Staffa, Steven J ; Keller, Eleanor ; Boyer, Donald L ; Chong, Grace ; Cross, Jarrod ; del Castillo, Sylvia ; Feng, Andrew ; Hum, R Stanley ; Jacob James, Ebor ; Johnson, Amanda ; Kandil, Sarah ; Kneyber, Martin ; Rameshkumar, Ramachandran ; Levin, Amanda ; Lodha, Rakesh ; Jayashree, Muralidharan ; Olivero, Anthony ; Oberender, Felix ; Panesar, Rahul S ; Pooni, Puneet A ; Rehder, Kyle J ; Sankaranarayanan, Shuba ; Scheffler, Margaret ; Sharara-Chami, Rana ; Siems, Ashley L ; Padur Sivaraman, Rajakumar ; Tegtmeyer, Ken ; Valentine, Stacey ; Villois, Florencia ; von Saint Andre-von Arnim, Amelie ; Winkler, Margaret ; Dede, Chris ; Burns, Jeffrey P</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4021-fdb60ba0f3293488636724e77050dfc686082e13d02da30bc533540417b265d13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wolbrink, Traci A</creatorcontrib><creatorcontrib>van Schaik, Sandrijn M</creatorcontrib><creatorcontrib>Turner, David A</creatorcontrib><creatorcontrib>Staffa, Steven J</creatorcontrib><creatorcontrib>Keller, Eleanor</creatorcontrib><creatorcontrib>Boyer, Donald L</creatorcontrib><creatorcontrib>Chong, Grace</creatorcontrib><creatorcontrib>Cross, Jarrod</creatorcontrib><creatorcontrib>del Castillo, Sylvia</creatorcontrib><creatorcontrib>Feng, Andrew</creatorcontrib><creatorcontrib>Hum, R Stanley</creatorcontrib><creatorcontrib>Jacob James, Ebor</creatorcontrib><creatorcontrib>Johnson, Amanda</creatorcontrib><creatorcontrib>Kandil, Sarah</creatorcontrib><creatorcontrib>Kneyber, Martin</creatorcontrib><creatorcontrib>Rameshkumar, Ramachandran</creatorcontrib><creatorcontrib>Levin, Amanda</creatorcontrib><creatorcontrib>Lodha, Rakesh</creatorcontrib><creatorcontrib>Jayashree, Muralidharan</creatorcontrib><creatorcontrib>Olivero, Anthony</creatorcontrib><creatorcontrib>Oberender, Felix</creatorcontrib><creatorcontrib>Panesar, Rahul S</creatorcontrib><creatorcontrib>Pooni, Puneet A</creatorcontrib><creatorcontrib>Rehder, Kyle J</creatorcontrib><creatorcontrib>Sankaranarayanan, Shuba</creatorcontrib><creatorcontrib>Scheffler, Margaret</creatorcontrib><creatorcontrib>Sharara-Chami, Rana</creatorcontrib><creatorcontrib>Siems, Ashley L</creatorcontrib><creatorcontrib>Padur Sivaraman, Rajakumar</creatorcontrib><creatorcontrib>Tegtmeyer, Ken</creatorcontrib><creatorcontrib>Valentine, Stacey</creatorcontrib><creatorcontrib>Villois, Florencia</creatorcontrib><creatorcontrib>von Saint Andre-von Arnim, Amelie</creatorcontrib><creatorcontrib>Winkler, Margaret</creatorcontrib><creatorcontrib>Dede, Chris</creatorcontrib><creatorcontrib>Burns, Jeffrey P</creatorcontrib><creatorcontrib>Game-based Education in Residency (GamER) Study Group</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Critical care medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wolbrink, Traci A</au><au>van Schaik, Sandrijn M</au><au>Turner, David A</au><au>Staffa, Steven J</au><au>Keller, Eleanor</au><au>Boyer, Donald L</au><au>Chong, Grace</au><au>Cross, Jarrod</au><au>del Castillo, Sylvia</au><au>Feng, Andrew</au><au>Hum, R Stanley</au><au>Jacob James, Ebor</au><au>Johnson, Amanda</au><au>Kandil, Sarah</au><au>Kneyber, Martin</au><au>Rameshkumar, Ramachandran</au><au>Levin, Amanda</au><au>Lodha, Rakesh</au><au>Jayashree, Muralidharan</au><au>Olivero, Anthony</au><au>Oberender, Felix</au><au>Panesar, Rahul S</au><au>Pooni, Puneet A</au><au>Rehder, Kyle J</au><au>Sankaranarayanan, Shuba</au><au>Scheffler, Margaret</au><au>Sharara-Chami, Rana</au><au>Siems, Ashley L</au><au>Padur Sivaraman, Rajakumar</au><au>Tegtmeyer, Ken</au><au>Valentine, Stacey</au><au>Villois, Florencia</au><au>von Saint Andre-von Arnim, Amelie</au><au>Winkler, Margaret</au><au>Dede, Chris</au><au>Burns, Jeffrey P</au><aucorp>Game-based Education in Residency (GamER) Study Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Online Learning and Residents’ Acquisition of Mechanical Ventilation Knowledge: Sequencing Matters</atitle><jtitle>Critical care medicine</jtitle><addtitle>Crit Care Med</addtitle><date>2020-01</date><risdate>2020</risdate><volume>48</volume><issue>1</issue><spage>e1</spage><epage>e8</epage><pages>e1-e8</pages><issn>0090-3493</issn><eissn>1530-0293</eissn><abstract>OBJECTIVE:Rapid advancements in medicine and changing standards in medical education require new, efficient educational strategies. We investigated whether an online intervention could increase residents’ knowledge and improve knowledge retention in mechanical ventilation when compared with a clinical rotation and whether the timing of intervention had an impact on overall knowledge gains.
DESIGN:A prospective, interventional crossover study conducted from October 2015 to December 2017.
SETTING:Multicenter study conducted in 33 PICUs across eight countries.
SUBJECTS:Pediatric categorical residents rotating through the PICU for the first time. We allocated 483 residents into two arms based on rotation date to use an online intervention either before or after the clinical rotation.
INTERVENTIONS:Residents completed an online virtual mechanical ventilation simulator either before or after a 1-month clinical rotation with a 2-month period between interventions.
MEASUREMENTS AND MAIN RESULTS:Performance on case-based, multiple-choice question tests before and after each intervention was used to quantify knowledge gains and knowledge retention. Initial knowledge gains in residents who completed the online intervention (average knowledge gain, 6.9%; SD, 18.2) were noninferior compared with those who completed 1 month of a clinical rotation (average knowledge gain, 6.1%; SD, 18.9; difference, 0.8%; 95% CI, –5.05 to 6.47; p = 0.81). Knowledge retention was greater following completion of the online intervention when compared with the clinical rotation when controlling for time (difference, 7.6%; 95% CI, 0.7–14.5; p = 0.03). When the online intervention was sequenced before (average knowledge gain, 14.6%; SD, 15.4) rather than after (average knowledge gain, 7.0%; SD, 19.1) the clinical rotation, residents had superior overall knowledge acquisition (difference, 7.6%; 95% CI, 2.01–12.97;p = 0.008).
CONCLUSIONS:Incorporating an interactive online educational intervention prior to a clinical rotation may offer a strategy to prime learners for the upcoming rotation, augmenting clinical learning in graduate medical education.</abstract><cop>United States</cop><pub>Copyright by by the Society of Critical Care Medicine and Wolters Kluwer Health, Inc</pub><pmid>31688194</pmid><doi>10.1097/CCM.0000000000004071</doi><oa>free_for_read</oa></addata></record> |
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| source | Journals@Ovid Complete |
| title | Online Learning and Residents’ Acquisition of Mechanical Ventilation Knowledge: Sequencing Matters |
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