Medicine and Health Sciences Commons^™

Introducing Trainees To Academic Medicine Career Roles And Responsibilities, Cristina Fernandez, Raymond Lucas, Maria Soto-Greene, John Sanchez

E-Learning Modules

Reproduced with permission of the American Association of Medical Colleges. Link to original publication

Newborn Care Curriculum: Newborn Medications, Lauren Rechtman, Rebekah Conroy

E-Learning Modules

Introduction: Based on a 2014 newborn education needs assessment, 39.6% of surveyed pediatric hospitalists expressed interest in receiving more education on newborn medications, and 94% were interested in computer-based learning modules as the method of learning. Thus, this module was designed to serve as a self-study tool or as a tool for small-group teaching.

Methods: Initially designed for pediatric hospitalists, the module can be used for any learner interested in newborn care as it is meant to provide practical applications to the bedside clinician. This module was first implemented as part of the multimodule Newborn Care Curriculum within the pediatric …

A Joint Quality Improvement And High-Value Care Curriculum In A Limited-Resource Setting, Anne Cioletti, Suzanne Sweidan

E-Learning Modules

Introduction: Since the release of the Institute of Medicine’s To Err Is Human, there has been an increased focus on quality improvement (QI). QI training is now a requirement monitored via ACGME’s clinical learning environment review committees. Given the significant cost of health care waste, teaching physicians to incorporate costs and value into medical decision making is crucial. Increasing information is available on methods to teach high-value care (HVC), but there is little information on combining HVC with QI. As these topics are intimately linked in efforts to provide effective, efficient care, a joint curriculum is a feasible solution.

Methods: …

Healthy Homes, Healthy Futures: A Home Visitation Curriculum For Pediatric Residents, Kofi D. Essel, Sirisha Yalamanchi, Cara Lichtenstein, Erin Hysom

E-Learning Modules

A working knowledge of the home and neighborhood environment is critical to understanding the barriers that families face when struggling with obesity. Most doctors are only given the opportunity to address individuals with obesity in the office setting and usually describe their counseling abilities as ineffective. This focused home visitation curriculum offers a unique tool to improve residents’ understanding of the social determinants of health, how these determinants relate to obesity, and critical obesity-management skills. The curriculum requires residents to review three PowerPoint modules and an article on motivational interviewing. Residents then implement what they have learned by doing two …

Written And Online Residency Guidebook To Improve Resident Efficiency And Knowledge Of Best Patient Care Practices, Michael Ortiz, Mary C. Ottolini, Dewesh Agrawal

E-Learning Modules

**Contains time-sensitive information that will likely be inaccurate, obsolete, or irrelevant by December 01, 2018**

Residents at most institutions change rotations every 2 to 4 weeks. It often takes significant time for residents to become acclimated to the different protocols, expectations, and environments of each unique rotation. As a result, residents often spend time searching for answers, time that could be spent in outside learning and direct patient care. The goal of this resource is to provide a novel guidebook that improves residents’ efficiency and knowledge of best patient care practices. The guidebook begins with an introductory chapter with …

Accept Medical Student Handoff Workshop: The Patient Safety Curriculum Starts In Undergraduate Medical Education, Juan Reyes, Larrie Greenberg, Linda Lesky

E-Learning Modules

This workshop is an educational intervention designed to improve student skills in patient handoffs. It consists of a one-hour, interactive, small-group session facilitated by a faculty member. The workshop focuses on the importance of specific handoff skills to patient safety and is centered around the principles embodied in the ACCEPT mnemonic: Accurate, Complete (but concise), Clear, Efficient, Presented in writing, and Told in person. Students are provided with a standardized format for both an oral and written handoff along with a pocket card highlighting the required elements. A standardized patient case allows for participants to practice these skills, receive feedback, …

Pediatric Neuroradiology Pre-Call Primer, Trevor Morrison, Gilbert Vezina, Nadja Kadom

E-Learning Modules

Pediatric neuroimaging can provide a challenge to radiology residents during call due to the fact that it is infrequently encountered in many institutions. The goal of this teaching tool is to provide radiology residents with background knowledge in pediatric brain anatomy and pathology in preparation for taking call. There is one teaching tool and one assessment tool with answers, all three of which are in PowerPoint format. Emergency neuroradiology topics discussed in this module are sutures, skull fractures, bleeds, sulci and mass effect, cisterns, and herniations. After implementing this teaching tool at our institution with all incoming residents and fellows, …

Defining And Adhering To Standards Of Professionalism In Residency, Jeffrey S. Berger, Amanda N. Hopkins, Gurwinder Gill

E-Learning Modules

This resource is a learning module developed for first-year residents to gain exposure to the tenets of professionalism, both in the general practice of medicine and within their own specialty. By completion of this module, each resident will have articulated his or her personal standards of professional behavior and have made a written commitment to strive for those standards in everyday clinical situations.

To evaluate the effectiveness of this module, a brief survey was distributed to current and former residents who had completed the module. The survey presented a series of 10 statements and asked participants to report their level …

Interdisciplinary Workshop Using Applied Models To Increase Collaboration And Satisfaction Between Medical Students And Standardized Patient Instructors, Tanakorn Kittisarapong, Benjamin Blatt, Jennifer Owens, Karen Lewis, Larrie Greenberg

E-Learning Modules

In an article published in 1993 by Shulman about higher education it was stated that, "Teaching takes practice. It takes feedback. It takes instruction." More and more we are becoming aware of that. There has been increasing recognition of the need to prepare medical students for their future teaching roles as intern/residents and physicians. There have been numerous publications addressing peer teaching in undergraduate education, but sparse literature addressing how medical students co-teach physical diagnosis to pre-clinical students in lieu of faculty. Traditionally in North America, full-time faculty members have assumed the major responsibility for teaching first- and second-year medical …

Central Lines In Children, Rishi Agrawal, Neha H. Shah

E-Learning Modules

Children with special health care needs are increasingly prevalent in US hospitals. The pediatric hospitalist is often the primary provider of inpatient care for these patients. However, exposure to this patient population during training varies from provider to provider. No published educational curricula are specific to the inpatient care of this population.

This publication is a self-directed education module on central lines in children, including indications for placement, types of lines available, and prevention and treatment of complications. The module includes a PowerPoint slide show, instructor guide, and questions for assessment.

The purpose of this project is to build a …

A Model For A Structured Clinical Development Program For First-Year Residents: Utilizing The Entrance Osce, Individualized Learning Plans (Ilps), And Peer Clinical Coaching, Jill M. Krapf, Sameer Aggarwal, Larrie Greenberg, Benjamin Blatt

E-Learning Modules

Identification of incoming residents’ unique strengths and weaknesses in a clinical setting is important for developing an individualized educational curriculum and ultimately addressing specific needs. This resource presents and describes materials for a clinical development program for first year residents. The program is structured around three educational elements: an entrance Objective Structured Clinical Examination (OSCE), Individualized Learning Plan (ILP), and peer clinical coaching. The included files, which describe these three elements, are intended to serve as a resource for residency directors and/or graduate medical education faculty interested in constructing a similar program.

In the described clinical development program, first-year Obstetrics …

Critical Synthesis Package: The Kalamazoo Consensus Statement Assessment Tools, Michelle Yoon, Veronica Michaelsen

E-Learning Modules

This Critical Synthesis Package resource contains 1) a Critical Analysis of the psychometric properties and the application to health science education of the Kalamazoo Consensus Statement Assessment Tools and 2) a copy of each of the three instruments comprising the Kalamazoo Consensus Statement Assessment Tools developed by Elizabeth A. Rider, MSW, MD.

The Kalamazoo Consensus Statement (KCS) Tools are three content-valid, paper-based instruments that assess physician-patient communication skills. The Kalamazoo Essential Elements Communication Checklist (KEECC) is the original instrument. The Kalamazoo Essential Elements Communication Checklist-Adapted (KEECC-A) is a newer, adapted, construct-valid version, which was then further adapted into another multi-rater …

Discharge Education Curriculum For Residents Rotating On An Inpatient Pediatric Ward, Kaitlin Widmer, Priti Bhansali, Julie Noffsinger

E-Learning Modules

Adult literature has demonstrated that patient preferences and understanding of discharge instructions can impact success of discharge and even predict return ER visits. There is very little data in pediatric literature describing what information should be discussed with families when providing discharge instructions, and most pediatric residents do not receive formal education on the topic. This curriculum is designed as a brief educational intervention that can improve residents’ comfort and skills in providing discharge education to families. The materials include both how to present the curriculum and tools to assess resident knowledge, behaviors and attitudes regarding discharge education as well …

Complex Care Curriculum: Autonomic Dysreflexia, Jimmy Beck, Rebekah Conroy

E-Learning Modules

Children with special health care needs (CSHCN) are increasingly prevalent in US hospitals. The pediatric hospitalist is often the primary provider of inpatient care for these patients. However, exposure to this patient population during training varies from provider to provider. No published educational curricula are specific to the inpatient care of this population. The purpose of this project is to build a multi-modal educational curriculum for providers with the overall goal of improving inpatient care for this at-risk population.

This curriculum is primarily composed of a series of topic-specific learning modules. Asynchronous learning modules, utilized appropriately, can augment learning by …

Planning A Safe Exit: A Multidisciplinary Approach, Srijaya K. Reddy, Nina Deutsch

E-Learning Modules

This resource is a problem-based learning discussion (PBLD) case addressing the challenges and approach to planning and safely executing an EXIT procedure. It is primarily aimed at pediatric anesthesiologists but also applies to healthcare providers in fetal medicine and surgery.

The clinical scenario involves a fetus with a large cervical neck mass requiring an EXIT procedure for tracheal obstruction. This case highlights the challenges and implications of a procedure involving a multidisciplinary team. After presentation of the case stem, the instructor moderates a student-focused group discussion using a series of questions that build upon the case and a review of …

How To Be A Super Model: Using Role Modeling To Become An Exemplary Educator, Priti Bhansali, Geeta Singhal, Helen Fromme, Melissa Held

E-Learning Modules

Over the past several years, published studies have described the qualities and skills of exemplary medical educators. Despite its inclusion in these lists, role modeling is a skill that is not often developed as a skill for use as an educational method. The purpose of this workshop is to assist participants in better understanding the characteristics of effective role modeling and create a paradigm for how to consciously incorporate role modeling into the daily education of students, residents, and colleagues in varied domains, including teaching, professionalism, communication, and patient care.

In this workshop, participants are introduced to the concept of …

Medical Student Led Grief & Loss Support Group, Amy Waldner

E-Learning Modules

The George Washington University School of Medicine and Health Sciences initiated a medical student peer to peer support group organized and led entirely by students. It is unique from traditional groups in that it is devoid of faculty/administrative presence and exists purely to support students who are suffering from acute or prolonged grief. The group meets once per month and discusses topics that are particularly difficult for medical students who have recently lost a close friend or family member. All students are invited and announcements are provided monthly via email. Faculty and students have made a concerted effort to encourage …

Challenging Situations In Family Centered Rounds: Making The Best Out Of Worst Case Scenarios, Priti Bhansali, Kerry Moss, Christiane Corriveau, Geeta Singhal, Robert Kavanagh, Jeffrey Simmons

E-Learning Modules

This resource is a workshop intended for both seasoned and novice health care providers who are interested in becoming prepared for challenging scenarios that may be encountered during FCR. Case scenarios of challenging situations relating to discussing sensitive topics, correcting errors, and teaching learners in front of both parents and patients are presented. Tangible opportunities to role model communication skills, efficiency, and teaching skills for trainees are highlighted. The session will conclude with a question and answer session with a multi-specialty panel to share experiences and strategies for addressing the unexpected during FCR. By the end of the workshop, participants …

Resource To Develop Medical Students Into Peer Mentors, Sean Meredith, Larrie Greenberg, Benjamin Blatt

E-Learning Modules

The primary goal of the Peer Mentoring Guide is to develop fourth year medical students (MS-4s) into mentors for first year medical students (MS-1s). The purpose of this resource is to provide others who want to develop a peer mentoring program as part of an advanced students-as-teachers curriculum.

The George Washington University was one of the first schools to have a program to prepare medical students for their teaching role as residents and practicing physicians, which was called TALKS (Teaching and Learning Knowledge and Skills). We recently recognized that some participants were interested in going beyond the boundaries of the …

Differential Diagnosis: Approaches And Pitfalls - A Pediatric Case-Based Session For 3rd Year Medical Students, Zev Waldman, Mary Ottolini

E-Learning Modules

This ninety minute session seeks to provide a systematic framework for medical students relatively new to the differential diagnosis process. Via a combined lecture/case-based approach, the session presents basic clinical reasoning concepts and specific heuristics to guide the differential process followed by an opportunity to apply the tools to simulated pediatric cases. It also introduces the concept of cognitive biases and presents strategies to mitigate their effects. The session has been successfully used with third year medical students during the first week of their pediatrics clerkship. However, with minor adaptation, a similar approach could be used at other levels of …

Palliative Care For The Medically Complex Child, Melanie Anspacher, Neha H. Shah

E-Learning Modules

**From the AAMC website: Contains time-sensitive information that will likely be inaccurate, obsolete, or irrelevant by August 12, 2016**

Children with special health care needs are increasingly prevalent in US hospitals. The pediatric hospitalist is often the primary provider of inpatient care for these patients. The Complex Care Curriculum was developed to provide a multi-modal educational curriculum for providers with the overall goal of improving inpatient care for this population. The curriculum is composed primarily of a series of topic-specific learning modules. This particular resource was created to provide pediatricians with educational materials related to palliative care for the medically …

Pediatric Spasticity, Kavita Parikh, Olga Morozova, Melanie Anspacher, Neha Shah

E-Learning Modules

Children with special health care needs (CSHCN) are increasingly prevalent in US hospitals. The pediatric hospitalist is often the primary provider of inpatient care for these patients. However, exposure to this patient population during training varies from provider to provider. No published educational curricula are specific to the inpatient care of this population. The purpose of this project is to build a multi-modal educational curriculum for providers with the overall goal of improving inpatient care for this at-risk population.

This curriculum is primarily composed of a series of topic-specific learning modules. Asynchronous learning modules, utilized appropriately, can augment learning by …

How To Formulate A Clinical Question And Effectively Search For The Answer, Neha Shah, Susan Keller

E-Learning Modules

This small group, case-based exercise is geared towards medical students on their pediatric clerkship. The goal of this session is to teach students how to re-frame their clinical questions into a format that allows for more effective and efficient searching of the literature.

I provide this session once a month as a part of the Third-year medical student core lecture series during their inpatient pediatrics rotation. My co-facilitator is a medical librarian. We initially used a lecture format in which we reviewed use of advanced PubMed features with very little interaction from the learners. Based on feedback and evaluations, we …

Closing The Loop: Integrating Snapps Into An Outpatient Morning Report To Foster Self-Directed Learning And Encourage Use Of Evidence Based Medicine, Julia Magana, Jimmy Beck

E-Learning Modules

This resources describes a novel approach to outpatient morning report. This format encourages self-directed learning as well as teaches residents to use the clinical literature to ensure they were providing optimal patient care. Each resident daily chooses a clinical question from that day's patient care, investigates and brings the answer back to the group during morning report. This resource includes a description of the integration and implementation of this format as well as the handout used by the residents.

Since the implementation of our new morning report format, our residents have consistently read about their patients on a nightly basis. …

A Night Team Curriculum For The Inpatient Service, Priti Bhansali, Christine Skurkis, Karin Gray, Aisha Davis, Edwin Zalneraitis

E-Learning Modules

Due to ACGME work duty hour requirements, many residency programs have initiated a Night Team (NT) rotation. There may be limited direct contact with faculty overnight. The provision of an educational experience and ability to evaluate performance on the NT rotation are needed. This curriculum, originally developed at the University of Connecticut Pediatric Residency Program, may be adapted for other programs.

Goals for the rotation were developed with resident input and include:

1. Improving clinical reasoning and communication skills.
2. Increasing faculty feedback.
3. Providing appropriate patient surveillance.
4. Enhancing the teaching role of the senior resident.

Educational activities include:

1. Periodic structured audit of …

The Decompensating Pediatric Inpatient Simulation Scenarios, Aisha Davis, Pavan P. Zaveri

E-Learning Modules

Introduction: In July of 2009, Children’s National Medical Center (CNMC) Hospitalist and Emergency Department (ED) educators collaborated to create and implement unique simulation scenarios for trainees rotating on the pediatric hospitalist teams. The goal of this educational intervention is to teach and allow rehearsal of an approach to the unstable patient across three scenarios. Trainees use this high-fidelity, low-risksimulation to apply targeted clinical reasoning and their initial assessment and management strategies to core clinical problems. The three scenarios included in this resource cover altered mental status and seizure, respiratory distress and anaphylaxis, and refractory status asthmaticus, respectively.

Methods:This resource …

The Narrative Exercise: Introduction To Therapeutic Communication In The Psychiatry Clerkship, David A. Garrison, Julia Frank

E-Learning Modules

Introduction: In medical school, much time is devoted to teaching students to elicit disease-centered histories from their patients. The narrative exercise supplements this traditional focus by requiring students to develop a person-centered narrative for one patient under their care. While the ultimate test of a diagnosis is the verification of the diagnosis by tests or treatment outcome, the ultimate test of a patient-centered narrative is whether the patient accepts it as a legitimate characterization of his or her experience.

Methods: The psychiatry clerkship directors at the University of Rochester School of Medicine and George Washington University School of Medicine have …

Teaching Outbreak Preparedness In The Emergency Medicine Clerkship: An Innovative Approach, Larissa S. May

E-Learning Modules

Clinicians should be competent at contagious disease outbreak detection and management. Given the threat of emerging infectious diseases and biowarfare, there is a need to develop instructional methods on these topics. We have created a case-based exercise addressing sentinel case recognition, reporting, and containment. The workshop, conducted for medical students during their emergency medicine clerkship, incorporates the core competencies of systems-based practice, practice-based learning, and patient care. The workshop is held in a hospital conference room with the availability of internet, telephone, and other resources, simulating "real life." A hypothetical case of Ebola presenting to an emergency department is outlined. …