Download - Alert 2014-progress-pusic-boutis
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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
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• 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
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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
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Marty, can you create a Couple of screenshot slidesFrom the tutorial (showing lines)And from one case showingFeedback with green.
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Marty, can you create a Couple of screenshot slidesFrom the tutorial (showing lines)And from one case showingFeedback with green.
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ABNORMAL
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NORMAL
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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
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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
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International Network for Simulation-based Pediatric Innovation, Research and Education
Approach / Design
Adding fourth group: No Refresher
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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
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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
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• 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
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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
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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?
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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