Development and implementation of just-in-time curricula for on-shift teaching during times of boarding

IF 1.7 Q2 EDUCATION, SCIENTIFIC DISCIPLINES
Jeffery Hill MD, MEd, Jason Nagle MD, Bailee Stark MD, Arthur Broadstock MD, Spenser Lang MD
{"title":"Development and implementation of just-in-time curricula for on-shift teaching during times of boarding","authors":"Jeffery Hill MD, MEd,&nbsp;Jason Nagle MD,&nbsp;Bailee Stark MD,&nbsp;Arthur Broadstock MD,&nbsp;Spenser Lang MD","doi":"10.1002/aet2.11014","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>Overcrowded emergency departments (EDs) due to boarding of inpatients can lead to fewer patients seen by residents and may negatively impact their education. The existing literature recommends providing educational resource banks to augment teaching during overcrowding. We aimed to develop and evaluate the use of an educational curriculum during times of boarding.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>Using Kern's model of curriculum development, we conducted local and national needs assessments to identify existing curricula. The final curriculum consisted of electrocardiogram (ECG) cases, procedural resources, journal articles, and oral boards style cases. The derived curriculum was implemented at the study site, where content was released weekly via email or Slack and via our departmental educational blog. Residents were asked to fill out a survey assessing their satisfaction with the resource, their current patient load, and current National Emergency Department Overcrowding Study score (NEDOCS). We compared clinician educator satisfaction with teaching before implementation and at 3 months after implementation using Wilcoxon rank-sum test.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>The national needs assessment was sent to the Council of Residency Directors (CORD) listserv. There were 36 unique program responses with only one program with resources for teaching during overcrowding. The derived curriculum was used seven times during the study period. The mean (±SD) NEDOCS at the time of resource use was 238.7 (±23.6). The median (range) number of active patients while using the resource was 4 (0–7). ECG cases were the most used resource. Mean (±SD) satisfaction with teaching before implementation was 2.8 (±0.9; Likert-type item scale 1 to 6 from not at all to a great deal satisfied). Satisfaction with teaching improved after implementation of the curriculum, with the mean (±SD) increasing to 3.5 (±1.0; <i>p</i> = 0.01).</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>We report the development and implementation of a local educational curriculum for use during times of boarding. The curriculum was lightly used during the study period, but the availability of a curriculum may have increased satisfaction with teaching during boarding.</p>\n </section>\n </div>","PeriodicalId":37032,"journal":{"name":"AEM Education and Training","volume":null,"pages":null},"PeriodicalIF":1.7000,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"AEM Education and Training","FirstCategoryId":"1085","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/aet2.11014","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"EDUCATION, SCIENTIFIC DISCIPLINES","Score":null,"Total":0}
引用次数: 0

Abstract

Background

Overcrowded emergency departments (EDs) due to boarding of inpatients can lead to fewer patients seen by residents and may negatively impact their education. The existing literature recommends providing educational resource banks to augment teaching during overcrowding. We aimed to develop and evaluate the use of an educational curriculum during times of boarding.

Methods

Using Kern's model of curriculum development, we conducted local and national needs assessments to identify existing curricula. The final curriculum consisted of electrocardiogram (ECG) cases, procedural resources, journal articles, and oral boards style cases. The derived curriculum was implemented at the study site, where content was released weekly via email or Slack and via our departmental educational blog. Residents were asked to fill out a survey assessing their satisfaction with the resource, their current patient load, and current National Emergency Department Overcrowding Study score (NEDOCS). We compared clinician educator satisfaction with teaching before implementation and at 3 months after implementation using Wilcoxon rank-sum test.

Results

The national needs assessment was sent to the Council of Residency Directors (CORD) listserv. There were 36 unique program responses with only one program with resources for teaching during overcrowding. The derived curriculum was used seven times during the study period. The mean (±SD) NEDOCS at the time of resource use was 238.7 (±23.6). The median (range) number of active patients while using the resource was 4 (0–7). ECG cases were the most used resource. Mean (±SD) satisfaction with teaching before implementation was 2.8 (±0.9; Likert-type item scale 1 to 6 from not at all to a great deal satisfied). Satisfaction with teaching improved after implementation of the curriculum, with the mean (±SD) increasing to 3.5 (±1.0; p = 0.01).

Conclusions

We report the development and implementation of a local educational curriculum for use during times of boarding. The curriculum was lightly used during the study period, but the availability of a curriculum may have increased satisfaction with teaching during boarding.

为寄宿期间的轮班教学制定和实施准时课程
背景 急诊科(ED)因住院病人寄宿而过度拥挤,会导致住院医生接诊的病人减少,并可能对他们的教学产生负面影响。现有文献建议在人满为患时提供教育资源库以加强教学。我们的目的是开发并评估在寄宿期间使用教育课程的情况。 方法 我们采用克恩的课程开发模式,对当地和全国的需求进行了评估,以确定现有的课程。最终的课程包括心电图(ECG)病例、程序资源、期刊文章和口试病例。衍生课程在研究基地实施,每周通过电子邮件或 Slack 以及科室教育博客发布内容。住院医师被要求填写一份调查问卷,评估他们对资源的满意度、当前的患者数量以及当前的全国急诊科拥挤程度研究(NEDOCS)得分。我们使用 Wilcoxon 秩和检验比较了实施前和实施 3 个月后临床医生教育者对教学的满意度。 结果 全国需求评估结果已发送至住院医师指导委员会 (CORD) 列表服务器。共收到 36 个项目的回复,其中只有一个项目在人满为患时拥有教学资源。在研究期间,衍生课程被使用了七次。使用资源时的 NEDOCS 平均值(±SD)为 238.7 (±23.6)。使用该资源时,活跃病人数的中位数(范围)为 4(0-7)。心电图病例是使用最多的资源。实施前,教学满意度的平均值(±SD)为 2.8(±0.9;李克特项目量表从完全不满意到非常满意,从 1 到 6)。课程实施后,教学满意度有所提高,平均值(±SD)增至 3.5(±1.0;p = 0.01)。 结论 我们报告了寄宿期间当地教育课程的开发和实施情况。在研究期间,该课程的使用率很低,但课程的可用性可能会提高寄宿期间教学的满意度。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
AEM Education and Training
AEM Education and Training Nursing-Emergency Nursing
CiteScore
2.60
自引率
22.20%
发文量
89
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信