Skip to main content
Erschienen in: Pediatric Cardiology 6/2022

03.03.2022 | Original Article

An Interactive, Multimodal Curriculum to Teach Pediatric Cardiology to House Staff

verfasst von: Dennis R. Delany, Zachary J. Coffman, J. Ryan Shea, Candi S. Jump

Erschienen in: Pediatric Cardiology | Ausgabe 6/2022

Einloggen, um Zugang zu erhalten

Abstract

Pediatricians must be able to diagnose, triage, and manage infants and children with congenital heart disease. The pediatric cardiology division at the Medical University of South Carolina updated their curriculum for pediatric residents to a format supported by constructivist learning theory. The purpose of this study is to determine if shorter, interactive learning with fellow and faculty involvement improved pediatric cardiology knowledge demonstrated through test scores and resident satisfaction. A curriculum of short lectures and interactive workshops was delivered over 6 weeks in August and September 2018. Residents answered a 10-question pretest prior to the curriculum, followed by a post-test immediately after the last session and a delayed post-test 8 months later. Residents also provided summative feedback on the educational sessions. Sixty-six residents were eligible to participate in the curriculum with 44 (67%) completing the pretest, 40 (61%) completing the post-test, and 33 (50%) completing the delayed post-test. The mean score increased significantly from 56 to 68% between the pretest and post-test (p = 0.0018). The delayed post-test mean score remained high at 71% without significant change (p = 0.46). Overall feedback was positive highlighting the interactive nature of lectures and the participation of cardiology fellows. Using an interactive, multimodal educational series, pediatric residents had a significant increase in pediatric cardiology test scores and demonstrated good retention.
Literatur
1.
Zurück zum Zitat Burstein DS, Rossi AF, Jacobs JP, Checchia PA, Wernovsky G, Li JS, Pasquali SK (2010) Variation in models of care delivery for children undergoing congenital heart surgery in the United States. World J Pediatr Congenit Heart Surg 1:8–14CrossRef Burstein DS, Rossi AF, Jacobs JP, Checchia PA, Wernovsky G, Li JS, Pasquali SK (2010) Variation in models of care delivery for children undergoing congenital heart surgery in the United States. World J Pediatr Congenit Heart Surg 1:8–14CrossRef
3.
Zurück zum Zitat Garg A, Arora A, Hand IL (2016) Pediatric resident attitudes and knowledge of critical congenital heart disease screening. Pediatr Cardiol 37:1137–1140CrossRef Garg A, Arora A, Hand IL (2016) Pediatric resident attitudes and knowledge of critical congenital heart disease screening. Pediatr Cardiol 37:1137–1140CrossRef
4.
Zurück zum Zitat Dennick R (2016) Constructivism: reflections on twenty five years teaching the constructivist approach in medical education. Int J Med Educ 7:200–205CrossRef Dennick R (2016) Constructivism: reflections on twenty five years teaching the constructivist approach in medical education. Int J Med Educ 7:200–205CrossRef
5.
Zurück zum Zitat Rees CE, Crampton PES, Monrouxe LV (2020) Re-visioning academic medicine through a constructionist lens. Acad Med 95:846–850CrossRef Rees CE, Crampton PES, Monrouxe LV (2020) Re-visioning academic medicine through a constructionist lens. Acad Med 95:846–850CrossRef
6.
Zurück zum Zitat Flavell JH (1963) Developmental psychology of Jean Piaget. Van Nostrand Reinhold Company, New YorkCrossRef Flavell JH (1963) Developmental psychology of Jean Piaget. Van Nostrand Reinhold Company, New YorkCrossRef
7.
Zurück zum Zitat Vgotsky LS (1978) Mind in society. Harvard University Press, Cambridge, MA Vgotsky LS (1978) Mind in society. Harvard University Press, Cambridge, MA
8.
Zurück zum Zitat Hew KF, Lo CK (2018) Flipped classroom improves student learning in health professions education: a meta-analysis. BMC Med Educ 18:38CrossRef Hew KF, Lo CK (2018) Flipped classroom improves student learning in health professions education: a meta-analysis. BMC Med Educ 18:38CrossRef
9.
Zurück zum Zitat Lew EK (2016) Creating a contemporary clerkship curriculum: the flipped classroom model in emergency medicine. Int J Emerg Med 9:25CrossRef Lew EK (2016) Creating a contemporary clerkship curriculum: the flipped classroom model in emergency medicine. Int J Emerg Med 9:25CrossRef
10.
Zurück zum Zitat Young TP, Bailey CJ, Guptill M, Thorp AW, Thomas TL (2014) The flipped classroom: a modality for mixed asynchronous and synchronous learning in a residency program. West J Emerg Med 15:938–944CrossRef Young TP, Bailey CJ, Guptill M, Thorp AW, Thomas TL (2014) The flipped classroom: a modality for mixed asynchronous and synchronous learning in a residency program. West J Emerg Med 15:938–944CrossRef
11.
Zurück zum Zitat Erbil DG (2020) A review of flipped classroom and cooperative learning method within the context of Vygotsky theory. Front Psychol 11:1157CrossRef Erbil DG (2020) A review of flipped classroom and cooperative learning method within the context of Vygotsky theory. Front Psychol 11:1157CrossRef
12.
Zurück zum Zitat Freeman S, Eddy SL, McDonough M, Smith MK, Okoroafor N, Jordt H, Wenderoth MP (2014) Active learning increases student performance in science, engineering, and mathematics. Proc Natl Acad Sci USA 111:8410–8415CrossRef Freeman S, Eddy SL, McDonough M, Smith MK, Okoroafor N, Jordt H, Wenderoth MP (2014) Active learning increases student performance in science, engineering, and mathematics. Proc Natl Acad Sci USA 111:8410–8415CrossRef
13.
Zurück zum Zitat Allenbaugh J, Spagnoletti C, Berlacher K (2019) Effects of a flipped classroom curriculum on inpatient cardiology resident education. J Grad Med Educ 11:196–201CrossRef Allenbaugh J, Spagnoletti C, Berlacher K (2019) Effects of a flipped classroom curriculum on inpatient cardiology resident education. J Grad Med Educ 11:196–201CrossRef
14.
Zurück zum Zitat Blair RA, Caton JB, Hamnvik OR (2020) A flipped classroom in graduate medical education. Clin Teach 17:195–199CrossRef Blair RA, Caton JB, Hamnvik OR (2020) A flipped classroom in graduate medical education. Clin Teach 17:195–199CrossRef
15.
Zurück zum Zitat Graham KL, Cohen A, Reynolds EE, Huang GC (2019) Effect of a flipped classroom on knowledge acquisition and retention in an internal medicine residency program. J Grad Med Educ 11:92–97CrossRef Graham KL, Cohen A, Reynolds EE, Huang GC (2019) Effect of a flipped classroom on knowledge acquisition and retention in an internal medicine residency program. J Grad Med Educ 11:92–97CrossRef
16.
Zurück zum Zitat Riddell J, Jhun P, Fung CC, Comes J, Sawtelle S, Tabatabai R, Joseph D, Shoenberger J, Chen E, Fee C, Swadron SP (2017) Does the flipped classroom improve learning in graduate medical education? J Grad Med Educ 9:491–496CrossRef Riddell J, Jhun P, Fung CC, Comes J, Sawtelle S, Tabatabai R, Joseph D, Shoenberger J, Chen E, Fee C, Swadron SP (2017) Does the flipped classroom improve learning in graduate medical education? J Grad Med Educ 9:491–496CrossRef
17.
Zurück zum Zitat Rose E, Claudius I, Tabatabai R, Kearl L, Behar S, Jhun P (2016) The flipped classroom in emergency medicine using online videos with interpolated questions. J Emerg Med 51:284-291.e281CrossRef Rose E, Claudius I, Tabatabai R, Kearl L, Behar S, Jhun P (2016) The flipped classroom in emergency medicine using online videos with interpolated questions. J Emerg Med 51:284-291.e281CrossRef
18.
Zurück zum Zitat Wilson PM, Herbst LA, Gonzalez-Del-Rey J (2018) Development and implementation of an end-of-life curriculum for pediatric residents. Am J Hosp Palliat Care 35:1439–1445CrossRef Wilson PM, Herbst LA, Gonzalez-Del-Rey J (2018) Development and implementation of an end-of-life curriculum for pediatric residents. Am J Hosp Palliat Care 35:1439–1445CrossRef
19.
Zurück zum Zitat Mohan S, Follansbee C, Nwankwo U, Hofkosh D, Sherman FS, Hamilton MF (2015) Embedding patient simulation in a pediatric cardiology rotation: a unique opportunity for improving resident education. Congenit Heart Dis 10:88–94CrossRef Mohan S, Follansbee C, Nwankwo U, Hofkosh D, Sherman FS, Hamilton MF (2015) Embedding patient simulation in a pediatric cardiology rotation: a unique opportunity for improving resident education. Congenit Heart Dis 10:88–94CrossRef
20.
Zurück zum Zitat Harris TH, Adler M, Unti SM, McBride ME (2017) Pediatric heart disease simulation curriculum: educating the pediatrician. Congenit Heart Dis 12:546–553CrossRef Harris TH, Adler M, Unti SM, McBride ME (2017) Pediatric heart disease simulation curriculum: educating the pediatrician. Congenit Heart Dis 12:546–553CrossRef
21.
Zurück zum Zitat Stone K, Reid J, Caglar D, Christensen A, Strelitz B, Zhou L, Quan L (2014) Increasing pediatric resident simulated resuscitation performance: a standardized simulation-based curriculum. Resuscitation 85:1099–1105CrossRef Stone K, Reid J, Caglar D, Christensen A, Strelitz B, Zhou L, Quan L (2014) Increasing pediatric resident simulated resuscitation performance: a standardized simulation-based curriculum. Resuscitation 85:1099–1105CrossRef
22.
Zurück zum Zitat Subat A, Goldberg A, Demaria S, Katz D (2018) The utility of simulation in the management of patients with congenital heart disease: past, present, and future. Semin Cardiothorac Vasc Anesth 22:81–90CrossRef Subat A, Goldberg A, Demaria S, Katz D (2018) The utility of simulation in the management of patients with congenital heart disease: past, present, and future. Semin Cardiothorac Vasc Anesth 22:81–90CrossRef
23.
Zurück zum Zitat Crocetti M, Thompson R (2010) Electrocardiogram interpretation skills in pediatric residents. Ann Pediatr Cardiol 3:3–7CrossRef Crocetti M, Thompson R (2010) Electrocardiogram interpretation skills in pediatric residents. Ann Pediatr Cardiol 3:3–7CrossRef
24.
Zurück zum Zitat Snyder CS, Bricker JT, Fenrich AL, Friedman RA, Rosenthal GL, Johnsrude CL, Kertesz C, Kertesz NJ (2005) Can pediatric residents interpret electrocardiograms? Pediatr Cardiol 26:396–399CrossRef Snyder CS, Bricker JT, Fenrich AL, Friedman RA, Rosenthal GL, Johnsrude CL, Kertesz C, Kertesz NJ (2005) Can pediatric residents interpret electrocardiograms? Pediatr Cardiol 26:396–399CrossRef
25.
Zurück zum Zitat Costello JP, Olivieri LJ, Su L, Krieger A, Alfares F, Thabit O, Marshall MB, Yoo SJ, Kim PC, Jonas RA, Nath DS (2015) Incorporating three-dimensional printing into a simulation-based congenital heart disease and critical care training curriculum for resident physicians. Congenit Heart Dis 10:185–190CrossRef Costello JP, Olivieri LJ, Su L, Krieger A, Alfares F, Thabit O, Marshall MB, Yoo SJ, Kim PC, Jonas RA, Nath DS (2015) Incorporating three-dimensional printing into a simulation-based congenital heart disease and critical care training curriculum for resident physicians. Congenit Heart Dis 10:185–190CrossRef
26.
Zurück zum Zitat Batalden MK, Warm EJ, Logio LS (2013) Beyond a curricular design of convenience: replacing the noon conference with an academic half day in three internal medicine residency programs. Acad Med 88:644–651CrossRef Batalden MK, Warm EJ, Logio LS (2013) Beyond a curricular design of convenience: replacing the noon conference with an academic half day in three internal medicine residency programs. Acad Med 88:644–651CrossRef
27.
Zurück zum Zitat Zastoupil L, McIntosh A, Sopfe J, Burrows J, Kraynik J, Lane L, Hanson J, Seltz LB (2017) Positive impact of transition from noon conference to academic half day in a pediatric residency program. Acad Pediatr 17:436–442CrossRef Zastoupil L, McIntosh A, Sopfe J, Burrows J, Kraynik J, Lane L, Hanson J, Seltz LB (2017) Positive impact of transition from noon conference to academic half day in a pediatric residency program. Acad Pediatr 17:436–442CrossRef
28.
Zurück zum Zitat Nevin CR, Westfall AO, Rodriguez JM, Dempsey DM, Cherrington A, Roy B, Patel M, Willig JH (2014) Gamification as a tool for enhancing graduate medical education. Postgrad Med J 90:685–693CrossRef Nevin CR, Westfall AO, Rodriguez JM, Dempsey DM, Cherrington A, Roy B, Patel M, Willig JH (2014) Gamification as a tool for enhancing graduate medical education. Postgrad Med J 90:685–693CrossRef
29.
Zurück zum Zitat Rutledge C, Walsh CM, Swinger N, Auerbach M, Castro D, Dewan M, Khattab M, Rake A, Harwayne-Gidansky I, Raymond TT, Maa T, Chang TP (2018) Gamification in action: theoretical and practical considerations for medical educators. Acad Med 93:1014–1020CrossRef Rutledge C, Walsh CM, Swinger N, Auerbach M, Castro D, Dewan M, Khattab M, Rake A, Harwayne-Gidansky I, Raymond TT, Maa T, Chang TP (2018) Gamification in action: theoretical and practical considerations for medical educators. Acad Med 93:1014–1020CrossRef
30.
Zurück zum Zitat van Gaalen AEJ, Brouwer J, Schönrock-Adema J, Bouwkamp-Timmer T, Jaarsma ADC, Georgiadis JR (2021) Gamification of health professions education: a systematic review. Adv Health Sci Educ Theory Pract 26:683–711CrossRef van Gaalen AEJ, Brouwer J, Schönrock-Adema J, Bouwkamp-Timmer T, Jaarsma ADC, Georgiadis JR (2021) Gamification of health professions education: a systematic review. Adv Health Sci Educ Theory Pract 26:683–711CrossRef
31.
Zurück zum Zitat Grober ED, Elterman DS, Jewett MA (2008) Fellow or foe: the impact of fellowship training programs on the education of Canadian urology residents. Can Urol Assoc J 2:33–37CrossRef Grober ED, Elterman DS, Jewett MA (2008) Fellow or foe: the impact of fellowship training programs on the education of Canadian urology residents. Can Urol Assoc J 2:33–37CrossRef
32.
Zurück zum Zitat Jiang SY, Carlock KD, Campbell ST, Vorhies JS, Gardner MJ, Leucht P, Bishop JA (2021) The impact of subspecialty fellows on orthopaedic resident surgical experience: a multicenter study of 51,111 cases. J Am Acad Orthop Surg 29:263–270CrossRef Jiang SY, Carlock KD, Campbell ST, Vorhies JS, Gardner MJ, Leucht P, Bishop JA (2021) The impact of subspecialty fellows on orthopaedic resident surgical experience: a multicenter study of 51,111 cases. J Am Acad Orthop Surg 29:263–270CrossRef
33.
Zurück zum Zitat Petrushnko W, Perry W, Fraser-Kirk G, Ctercteko G, Adusumilli S, O’Grady G (2015) The impact of fellowships on surgical resident training in a multispecialty cohort in Australia and New Zealand. Surgery 158:1468–1474CrossRef Petrushnko W, Perry W, Fraser-Kirk G, Ctercteko G, Adusumilli S, O’Grady G (2015) The impact of fellowships on surgical resident training in a multispecialty cohort in Australia and New Zealand. Surgery 158:1468–1474CrossRef
34.
Zurück zum Zitat Backes CH, Reber KM, Trittmann JK, Huang H, Tomblin J, Moorehead PA, Bauer JA, Smith CV, Mahan JD (2011) Fellows as teachers: a model to enhance pediatric resident education. Med Educ Online 16:7205CrossRef Backes CH, Reber KM, Trittmann JK, Huang H, Tomblin J, Moorehead PA, Bauer JA, Smith CV, Mahan JD (2011) Fellows as teachers: a model to enhance pediatric resident education. Med Educ Online 16:7205CrossRef
Metadaten
Titel
An Interactive, Multimodal Curriculum to Teach Pediatric Cardiology to House Staff
verfasst von
Dennis R. Delany
Zachary J. Coffman
J. Ryan Shea
Candi S. Jump
Publikationsdatum
03.03.2022
Verlag
Springer US
Erschienen in
Pediatric Cardiology / Ausgabe 6/2022
Print ISSN: 0172-0643
Elektronische ISSN: 1432-1971
DOI
https://doi.org/10.1007/s00246-022-02859-3

Weitere Artikel der Ausgabe 6/2022

Pediatric Cardiology 6/2022 Zur Ausgabe

Die „Zehn Gebote“ des Endokarditis-Managements

30.04.2024 Endokarditis Leitlinie kompakt

Worauf kommt es beim Management von Personen mit infektiöser Endokarditis an? Eine Kardiologin und ein Kardiologe fassen die zehn wichtigsten Punkte der neuen ESC-Leitlinie zusammen.

Strenge Blutdruckeinstellung lohnt auch im Alter noch

30.04.2024 Arterielle Hypertonie Nachrichten

Ältere Frauen, die von chronischen Erkrankungen weitgehend verschont sind, haben offenbar die besten Chancen, ihren 90. Geburtstag zu erleben, wenn ihr systolischer Blutdruck < 130 mmHg liegt. Das scheint selbst für 80-Jährige noch zu gelten.

Sind Frauen die fähigeren Ärzte?

30.04.2024 Gendermedizin Nachrichten

Patienten, die von Ärztinnen behandelt werden, dürfen offenbar auf bessere Therapieergebnisse hoffen als Patienten von Ärzten. Besonders gilt das offenbar für weibliche Kranke, wie eine Studie zeigt.

Dihydropyridin-Kalziumantagonisten können auf die Nieren gehen

30.04.2024 Hypertonie Nachrichten

Im Vergleich zu anderen Blutdrucksenkern sind Kalziumantagonisten vom Diyhdropyridin-Typ mit einem erhöhten Risiko für eine Mikroalbuminurie und in Abwesenheit eines RAS-Blockers auch für ein terminales Nierenversagen verbunden.

Update Kardiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.