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Adaptation of EPEC-EM(™) Curriculum in a Residency with Asynchronous Learning

OBJECTIVE: The Education in Palliative and End-of-life Care for Emergency Medicine Project (EPEC™-EM) is a comprehensive curriculum in palliative and end-of-life care for emergency providers. We assessed the adaptation of this course to an EM residency program using synchronous and asynchronous lear...

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Autores principales: Gisondi, Michael A., Lu, Dave W., Yen, May, Norris, Rachel, Courtney, D. Mark, Tanabe, Paula, Engel, Kirsten G., Emanuel, Linda L., Quest, Tammie E.
Formato: Texto
Lenguaje:English
Publicado: Department of Emergency Medicine, University of California, Irvine School of Medicine 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3027445/
https://www.ncbi.nlm.nih.gov/pubmed/21293772
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author Gisondi, Michael A.
Lu, Dave W.
Yen, May
Norris, Rachel
Courtney, D. Mark
Tanabe, Paula
Engel, Kirsten G.
Emanuel, Linda L.
Quest, Tammie E.
author_facet Gisondi, Michael A.
Lu, Dave W.
Yen, May
Norris, Rachel
Courtney, D. Mark
Tanabe, Paula
Engel, Kirsten G.
Emanuel, Linda L.
Quest, Tammie E.
author_sort Gisondi, Michael A.
collection PubMed
description OBJECTIVE: The Education in Palliative and End-of-life Care for Emergency Medicine Project (EPEC™-EM) is a comprehensive curriculum in palliative and end-of-life care for emergency providers. We assessed the adaptation of this course to an EM residency program using synchronous and asynchronous learning. METHODS: Curriculum adaptation followed Kern’s standardized six-step curriculum design process. Post-graduate year (PGY) 1–4 residents were taught all EPEC™-EM cognitive domains, divided as seven synchronous and seven asynchronous modules. All synchronous modules featured large group didactic lectures and review of EPEC™-EM course materials. Asynchronous modules use only EPEC™-EM electronic course media for resident self-study. Targeted evaluation for EPEC™-EM knowledge objectives was conducted by a prospective case-control crossover study, with synchronous learning serving as the quasi-control, using validated exam tools. We compared de-identified test scores for effectiveness of learning method, using aggregate group performance means for each learning strategy. RESULTS: Of 45 eligible residents 55% participated in a pre-test for local needs analysis, and 78% completed a post-test to measure teaching method effect. Post-test scores improved across all EPEC™-EM domains, with a mean improvement for synchronous modules of +28% (SD=9) and a mean improvement for asynchronous modules of +30% (SD=18). The aggregate mean difference between learning methods was 1.9% (95% CI −15.3, +19.0). Mean test scores of the residents who completed the post-test were: synchronous modules 77% (SD=12); asynchronous modules 83% (SD=13); all modules 80% (SD=12). CONCLUSION: EPEC™-EM adapted materials can improve resident knowledge of palliative medicine domains, as assessed through validated testing of course objectives. Synchronous and asynchronous learning methods appear to result in similar knowledge transfer, feasibly allowing some course content to be effectively delivered outside of large group lectures.
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spelling pubmed-30274452011-02-03 Adaptation of EPEC-EM(™) Curriculum in a Residency with Asynchronous Learning Gisondi, Michael A. Lu, Dave W. Yen, May Norris, Rachel Courtney, D. Mark Tanabe, Paula Engel, Kirsten G. Emanuel, Linda L. Quest, Tammie E. West J Emerg Med Education/Academic Medicine OBJECTIVE: The Education in Palliative and End-of-life Care for Emergency Medicine Project (EPEC™-EM) is a comprehensive curriculum in palliative and end-of-life care for emergency providers. We assessed the adaptation of this course to an EM residency program using synchronous and asynchronous learning. METHODS: Curriculum adaptation followed Kern’s standardized six-step curriculum design process. Post-graduate year (PGY) 1–4 residents were taught all EPEC™-EM cognitive domains, divided as seven synchronous and seven asynchronous modules. All synchronous modules featured large group didactic lectures and review of EPEC™-EM course materials. Asynchronous modules use only EPEC™-EM electronic course media for resident self-study. Targeted evaluation for EPEC™-EM knowledge objectives was conducted by a prospective case-control crossover study, with synchronous learning serving as the quasi-control, using validated exam tools. We compared de-identified test scores for effectiveness of learning method, using aggregate group performance means for each learning strategy. RESULTS: Of 45 eligible residents 55% participated in a pre-test for local needs analysis, and 78% completed a post-test to measure teaching method effect. Post-test scores improved across all EPEC™-EM domains, with a mean improvement for synchronous modules of +28% (SD=9) and a mean improvement for asynchronous modules of +30% (SD=18). The aggregate mean difference between learning methods was 1.9% (95% CI −15.3, +19.0). Mean test scores of the residents who completed the post-test were: synchronous modules 77% (SD=12); asynchronous modules 83% (SD=13); all modules 80% (SD=12). CONCLUSION: EPEC™-EM adapted materials can improve resident knowledge of palliative medicine domains, as assessed through validated testing of course objectives. Synchronous and asynchronous learning methods appear to result in similar knowledge transfer, feasibly allowing some course content to be effectively delivered outside of large group lectures. Department of Emergency Medicine, University of California, Irvine School of Medicine 2010-12 /pmc/articles/PMC3027445/ /pubmed/21293772 Text en Copyright © 2010 the authors. http://creativecommons.org/licenses/by-nc/4.0 This is an open access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) License. See: http://creativecommons.org/licenses/by-nc/4.0/.
spellingShingle Education/Academic Medicine
Gisondi, Michael A.
Lu, Dave W.
Yen, May
Norris, Rachel
Courtney, D. Mark
Tanabe, Paula
Engel, Kirsten G.
Emanuel, Linda L.
Quest, Tammie E.
Adaptation of EPEC-EM(™) Curriculum in a Residency with Asynchronous Learning
title Adaptation of EPEC-EM(™) Curriculum in a Residency with Asynchronous Learning
title_full Adaptation of EPEC-EM(™) Curriculum in a Residency with Asynchronous Learning
title_fullStr Adaptation of EPEC-EM(™) Curriculum in a Residency with Asynchronous Learning
title_full_unstemmed Adaptation of EPEC-EM(™) Curriculum in a Residency with Asynchronous Learning
title_short Adaptation of EPEC-EM(™) Curriculum in a Residency with Asynchronous Learning
title_sort adaptation of epec-em(™) curriculum in a residency with asynchronous learning
topic Education/Academic Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3027445/
https://www.ncbi.nlm.nih.gov/pubmed/21293772
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