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self-study <strong>to</strong> <strong>in</strong>tegrate basic science knowledge and<br />
cl<strong>in</strong>ical f<strong>in</strong>d<strong>in</strong>gs.<br />
E-Learn<strong>in</strong>g Abstract ID: 161<br />
PRIOR INDEPENDENT STUDY INCREASES<br />
EXAM SCORES IN AN INTEGRATED RENAL<br />
COURSE: PILOT STUDY<br />
Jeffrey T. Holt MD; Mark V. White MD, MPH; Ray<br />
A. Smego MD, MPH; John L. Szarek Ph.D. The<br />
Commonwealth Medical College, Scran<strong>to</strong>n, PA,<br />
USA<br />
PURPOSE<br />
Prior research suggests that comb<strong>in</strong><strong>in</strong>g <strong>in</strong>dependent<br />
study with active learn<strong>in</strong>g activities improves exam<br />
scores, but little is known about the <strong>in</strong>teractions<br />
between these approaches. We hypothesized that<br />
students who <strong>view</strong>ed basic content prior <strong>to</strong><br />
<strong>in</strong>teractive sessions would learn more than students<br />
who were not prepared for class. In order <strong>to</strong> test this<br />
hypothesis, we compared the exam performance of<br />
students who downloaded podcasts of basic content<br />
prior <strong>to</strong> <strong>in</strong>-class sessions with those who did not.<br />
METHODS<br />
The renal curriculum for second year medical<br />
students consists of <strong>in</strong>dependent study us<strong>in</strong>g audio<br />
and slide podcasts which provide the necessary<br />
content for subsequent <strong>in</strong>-class, team-based<br />
learn<strong>in</strong>g, small group study, simulations, and other<br />
learn<strong>in</strong>g activities. The schedule is designed so<br />
podcasts- audiovisual clips of <strong>in</strong>struc<strong>to</strong>rs deliver<strong>in</strong>g<br />
content- are <strong>to</strong> be <strong>view</strong>ed prior <strong>to</strong> the active learn<strong>in</strong>g<br />
sessions. NBME style questions exhibit<strong>in</strong>g<br />
predom<strong>in</strong>antly 2nd through 4th order of Bloom’s<br />
taxonomy were used <strong>to</strong> assess student performance.<br />
We compared end-of-module exam scores of<br />
students who: downloaded podcasts <strong>in</strong> advance of<br />
<strong>in</strong>-class activities (prior-downloaders); downloaded<br />
podcasts after <strong>in</strong>-class activities (postdownloaders);<br />
and did not download podcasts at all<br />
(non-downloaders).<br />
RESULTS<br />
Prior-downloaders had higher mean exam scores<br />
(77.2% ± 1.03 SEM; n = 47) than post- and nondownloaders<br />
comb<strong>in</strong>ed (70.1% ± 1.58 SEM; n = 15;<br />
p = 0.0009). Prior downloaders performed better<br />
than post-downloaders (70.2% ± 2.09 SEM; n = 10;<br />
p = 0.006) and better than non-downloaders<br />
(69.8% ± 2.58 SEM; n = 5; p = 0.028). T<strong>here</strong> was no<br />
statistically significant difference between postdownloaders<br />
and non-downloaders (p = 0.91).<br />
These results suggest that the observed effect was<br />
due <strong>to</strong> tim<strong>in</strong>g of content and not merely exposure <strong>to</strong><br />
content.<br />
CONCLUSIONS<br />
Study of podcasts by second year medical students<br />
prior <strong>to</strong> <strong>in</strong>-class active learn<strong>in</strong>g activities appears <strong>to</strong><br />
be associated with <strong>in</strong>creased mean exam scores.<br />
E-Learn<strong>in</strong>g Abstract ID: 163<br />
E-LECTURES: A COMPLEMENTARY TOOL<br />
FOR CONDUCTING PEDIATRIC BOARD<br />
REVIEW CONFERENCES<br />
Maria Teresa C. Ambat, MD 1 , Herb Janssen, MD,<br />
Ph.D 2 . Departments of Pediatrics 1 and Medical<br />
Education 2 Texas Tech University - Health Sciences<br />
Center, 4800 Alberta Avenue, El Paso, TX, USA<br />
PURPOSE<br />
The “small group” is a weekly faculty led board<br />
re<strong>view</strong> conference for pediatric residents at<br />
TTUHSC, based on the American Board of<br />
Pediatrics (ABP) content specification. His<strong>to</strong>rically,<br />
this approach has had <strong>in</strong>consistent resident<br />
engagement. We have piloted an onl<strong>in</strong>e lecture<br />
series as a complementary <strong>to</strong>ol for conduct<strong>in</strong>g these<br />
re<strong>view</strong> conferences. Our objective was <strong>to</strong> exam<strong>in</strong>e<br />
the feasibility and acceptability of this onl<strong>in</strong>e<br />
learn<strong>in</strong>g approach and <strong>to</strong> determ<strong>in</strong>e if it will<br />
promote engaged learn<strong>in</strong>g among pediatric<br />
residents.<br />
METHODS<br />
The software Captivate® was used <strong>to</strong> create lectures<br />
which were made available onl<strong>in</strong>e for residents <strong>to</strong><br />
re<strong>view</strong> prior <strong>to</strong> the conferences. This approach<br />
features guided <strong>in</strong>dependent study and a group<br />
discussion with expert cl<strong>in</strong>icians. This decreases the<br />
amount of conference time spent cover<strong>in</strong>g didactic<br />
<strong>in</strong><strong>format</strong>ion and facilitated a more dynamic<br />
discussion. At the end of each conference, residents<br />
are asked <strong>to</strong> <strong>complete</strong> anonymous questionnaires<br />
that evaluate the acceptability and feasibility of this<br />
approach and their satisfaction with the new<br />
method.<br />
RESULTS<br />
Our prelim<strong>in</strong>ary results demonstrated acceptability<br />
and feasibility of this new approach among pediatric<br />
residents. The residents feel hav<strong>in</strong>g the lectures<br />
available onl<strong>in</strong>e provides them easy access and<br />
background knowledge of conference <strong>to</strong>pics, better<br />
prepar<strong>in</strong>g them for the discussion. They also<br />
reported improved group participation and<br />
enhanced learn<strong>in</strong>g. Attendance <strong>in</strong> conferences has<br />
also improved substantially.<br />
CONCLUSIONS<br />
We have learned that an onl<strong>in</strong>e lecture series is an<br />
effective complementary <strong>to</strong>ol <strong>in</strong> conduct<strong>in</strong>g board<br />
Medical Science Educa<strong>to</strong>r © <strong>IAMSE</strong> 2012 Volume 22(4S) 300