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Rating: 4.0/5 (4 votes cast)

Authors Institution
Kokeb Abebe
Kathrin Luessi
Kodi Kojima
Wa'el Taha
AO Foundation
AO Education Institute. Stettbachstrasse 6, 8600 Duebendorf. Switzerland.
kokeb.abebe@aofoundation.org
Theme
4II Learning / eLearning 1
Does an online case-based experience help develop decision making skills for surgical residents?
Background

An interview-based needs assessment conducted in three countries indicated a desire for an evidence-based, interactive, case-based instrument to identify knowledge gaps and provide reference for daily use. This data was used to design and pilot a new online learning hub; AOTrauma STaRTSurgical Training and Assessment for Residents


 


 

Acknowledgement

AOTrauma Education Commission

AOTrauma Residents Education Taskforce

AOTrauma STaRT Executive Editors and module authors

References

AOTrauma. AOTrauma STaRT goes live (Internet). Duebendorf (CH): AOTrauma; 2014. Available at: https://aotrauma.org

Fox RD, Miner C. Motivation and the facilitation of change, learning, and participation in educational programs for health professionals. J. Contin. Educ. Health Prof., 1999: 132–141.

Jennett P, Harrison V, Sinclair L, Harrison, RV. Methods, Tools and Techniques of Evaluation. The Continuing Professional Development of Physicians; Davis D, Barnes B, and Fox B, editors. AMA Press; 2003, 275-316.

Summary of Work

Twenty residents were invited by surgeon planning committees to provide feedback on a pilot version of AOTrauma STaRT after completing specific learning activities; video-based case discussion, multiple-choice test questions, and review resources. Subsequently, individual interviews consisting of ten questions were conducted with 15 participants from six continents, across all stages of orthopedic trauma residency. Qualitative data was thematically analyzed.  

Summary of Results

Fifteen participants completed the required tasks and over 35% engaged in additional activities. Results reinforced findings from the initial needs assessment. Orthopedic trauma residents highly value evidence-based case scenarios for developing clinical decision making skills. 

 

Conclusion

Lack of opportunities to self-assess in a clinical setting is common although it is highly valued by orthopedic trauma residents. Feedback from target audience shows that an online learning hub for self-assessment can indeed help develop clinical decision-making skills. 

Take-home Messages

The use of an online case-based learning hub can provide effective assessment and feedback to complement the training of surgical residents. 

Designed & Managed by Innovative Technology®
Background

Acknowledgement
References
Summary of Work

 

 


Pre-Interview Tasks

 

 

 

 

 

 

 

 

Interactive Case Discussion

  • 1 case
  • All completed the same case
  • Femur, Trochanter module
  • Level: Intermediate
  • 100% participation (15 participants) 

 


 


 

 

 

 

 

 

Self-assessment options

  • 1 quiz (immediate feedback on each question) 
  • Quiz: Femur, neck module
  • 1 test (no feedback, only end results)
  • Test: Tibia, shaft module
  • All completed the same quiz and test
  • Both levels: Intermediate
  • 100% participation in quizzes and tests

 

 

AO Learning Material

  • Access to a large number of AO learning material tailored to the needs of residents as the target audience
  • Browse through the page and resources
  • 87% participation (13 participants)
Summary of Results

At the conclusion of the each interview, residents were asked the open-ended question, "What is your overall impression of the platform? Do any features really stand out?". The information provided by the residents were then grouped by common themes, and the eleven most highly valued aspects mentioned are listed below.

 

Conclusion
Take-home Messages

Quotes from the resident participants from the pilot interviews:

"Great resource to identify your knowledge gaps and also an opportunity to have a 'confidence booster'."

"I think STaRT guides the resident through decisions by providing what considerations to take note of."

"The platform overemphasizes its support for clinical decision making, every aspect of the site is clearly geared towards the development of residents.

"I like the interactivity, makes me reflect and think much better."

"Saves residents time and saves effort for us to do our job to save patient's lives."

"[AOTrauma STaRT] makes it more easy for residents to find scientific evidence."

"Support in clinical decision making is important and AOTrauma STaRT definitely achieves this goal."

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