alert 2014-progress-pusic-boutis
TRANSCRIPT
Progress Report Presentation: Learning Retention and the Timing of Refresher Education After The Deliberate Practice of Radiograph Interpretation
K. Boutis, M. Pecaric, J. Beckstead, P. Babyn, M. Pusic
UToronto, USF, NYU
IMSH 2014: San Francisco, CA / USA
International Network for Simulation-based Pediatric Innovation, Research and Education
• Content Area: PEM Radiology
• Instructional Design:
Online Deliberate Practice (Screen Simulation)
• Question:
What is the rate of skill decay?
International Network for Simulation-based Pediatric Innovation, Research and Education
Background
P: PEM Fellows
I: Online deliberate practice
C: Same + Refresher Training
O: Knowledge retention over 18 mo
International Network for Simulation-based Pediatric Innovation, Research and Education
PICO Question
Marty, can you create a Couple of screenshot slidesFrom the tutorial (showing lines)And from one case showingFeedback with green.
Marty, can you create a Couple of screenshot slidesFrom the tutorial (showing lines)And from one case showingFeedback with green.
ABNORMAL
NORMAL
Two Phases:
1. Radiograph Calibration– Remove educationally poor cases
– Broad sample of expertise
– Use Rasch Modelling to ensure appropriate difficulty
2. Actual Trial– Target Population
International Network for Simulation-based Pediatric Innovation, Research and Education
Study Protocol
Final Sample size: 100 + 100
International Network for Simulation-based Pediatric Innovation, Research and Education
PICO Question
CALIBRATION:(Read 100 Xrays Once)
TRIAL:(Read 220 Xrays/18mo)
Medical Students 20
EM Residents 20 40
Peds Residents 20
PEM Fellows 20 60
PEM Attendings 10
Peds Radiology 10
International Network for Simulation-based Pediatric Innovation, Research and Education
Approach / Design
Adding fourth group: No Refresher
TIME
PE
RF
OR
MA
NC
E COMPETENCE
Ove
rlear
ning
Slope of Decay Curve
Area Under Curve
Stops training
Training -- Learning (Units of Deliberate Practice)
Skill Degradation (Units of Elapsed Time)
Refresher T
raining
Approach / Design
Final Sample size: 100 + 100
International Network for Simulation-based Pediatric Innovation, Research and Education
PICO Question
CALIBRATION:(Read 100 Xrays Once)
TRIAL:(Read 220 Xrays/18mo)
Medical Students 20
EM Residents 20 40
Peds Residents 20
PEM Fellows 20 60
PEM Attendings 10
Peds Radiology 10
• Calibration phase almost completed
• IRB through at:
– University of Toronto
– NYU
– Dalhousie
– Universite de Montreal
International Network for Simulation-based Pediatric Innovation, Research and Education
Progress since Jan 2013
1. Going well
2. IRB issues for coinvestigators
3. Keeping people in the study over the
18 months.
International Network for Simulation-based Pediatric Innovation, Research and Education
Needs / Challenges
1. @ IMSH 2014: Recruit 2 centers
2. In 3 months: Commence study phase 2
3. Over 1 year: Continue data collection
International Network for Simulation-based Pediatric Innovation, Research and Education
How can INSPIRE help?
Name: Martin Pusic
Institution: NYU
E-mail: [email protected]
Website: www.medals-silver.org/INSPIRE
International Network for Simulation-based Pediatric Innovation, Research and Education
Contact Information