ePoster
Abstract Title | AOTrauma STaRT: Orthopaedic Trauma Online Learning in Khon Kaen Hospital, Thailand

Authors

  1. Wanjak Pongsamakthai

Theme

4AA eLearning courses

INSTITUTION

Khon Kaen Hospital - Thailand

Background

  is an online learning hub designed to support orthopaedic trauma residents with self-directed learning. It consists of clinical case discussions, self-assessment tools, and access to AO learning resources. 

    The Department of Orthopaedics at Khon Kaen Hospital is a training institute in Thailand. This cross-sectional study evaluated residents’ knowledge via AOTrauma STaRT and provided a qualitative analysis of this learning hub.

Summary of Work

 

    Fourteen orthopaedic residents engaged in six STaRT modules on various anatomical regions. Those in their first two years of training (n=7) did Basic level, third-year residents (n=3) completed Intermediate level, and fourth year (n=4) proceeded with the Complex level. Upon completion, their learning outcomes were evaluated by their instructors and residents provided feedback through a quality assessment questionnaire.

   

 

Summary of Results

 

     Results were split in two parts: average score per level and quality-assessment from the questionnaire. The average scores of basic, intermediate and complex level are 70.35, 79.37 and 79.88% respectively. The most valued aspects of STaRT were "Clinical content" (93%), "24-hour access" (79%), and "Relevance to daily practice" (64%). All participants found it provided support for clinical decision making and 71% found case discussions the most useful activity.

Conclusion

 

    The average scores of the 14 residents show satisfactory results. The clinically-based website is a useful module for orthopaedic trauma residents that could support their clinical decision making. Well-integrated orthopaedic trauma learning is an important strategy for a successful outcome.

 

Take-home Messages

 

    The use of online case-based learning modules can provide effective self-learning and assessment for orthopaedic residents. 

 

Acknowledgement

Khon Kaen Medical Education Center Staffs

Khon Kaen Hospital, Thailand

 

Kokeb Abebe

Curriculum Development Project Manager
AO Foundation | AO Education Institute

 

Mike Cunningham 

Senior Project Manager Curriculum Development
AO Foundation | AO Education Institute

References
Background

    AOTrauma STaRT (Surgical Training and Assessment for Residents), an online learning hub (www.aot-start.org) designed to support orthopaedic trauma residents with self-directed learning, was publicly introduced and created by AOTrauma*. The learning hub consists of three main offerings: clinical case discussions, self-assessment options and direct access to all AO learning resources.

 

    Department of Orthopaedics, Khon Kaen Hospital is one of the orthopaedic resident training institutes in Thailand. Annually, there are three to four new orthopaedic residents enrolled in this training program. Orthopaedic trauma patients are the major cases during this training period and are the main requirements knowledge for board certification. Well integrated orthopaedic trauma learning is the important strategy for a successful outcome.

 

    AOTrauma STaRT is the first online self-directed learning hub which was applied to the orthopaedic resident training program at Khon Kaen Hospital and conducted by AOTrauma member instructors. The purpose of this study is to conduct a cross-sectional evaluation of our residents’ knowledge via AOTrauma STaRT and to provide a qualitative analysis of this online learning application.

 

   

* AOTrauma is an international community of trauma and orthopedic surgeons, musculoskeletal researchers, and operating room personnel (ORP) dedicated to delivering knowledge, experience, and evidence to improve patient care and outcomes in the field of musculoskeletal trauma.

Summary of Work

    Fourteen orthopaedic residents engaged in AOTrauma STaRT learning modules that related to their level of training. The six modules are labeled by anatomical region: proximal humerus, distal radius/ulna, femoral neck, femoral trochanter, tibial shaft and malleoli. Seven residents in their first two years of training proceeded with Basic level, three residents in their third-year via Intermediated level and four of fourth year residents proceeded with Complex level. Their learning outcomes were evaluated after completing all learning activities: interactive case discussions, self-assessment options and review of learning material. At the end of the learning session, they immediately gave feedback about the module with the quality assessment questionnaire. 

 

 

 

 

Online Questionnaire

 

 

Summary of Results

    The results were split in two parts; overall peer score on each level of participants and quality-assessment from the online questionnaire (http://goo.gl/forms/VKlIQF8WHu). The average overall peer score of six modules on each level of the test was shown as figure 1.

 

    The results from quality assessment questionnaire to evaluating the benefits of the AOTrauma STaRT module were shown as figure 2. Their responses shown the satisfactory benefits of all aspects including clinical content, interactivity, navigation, platform structure, peer score comparison, free 24-hr access, great use of time, confidence booster, relation to their patients and new way thinking .

    All of participants felt that AOTrauma STaRT provided support for clinical decision making for them and almost of them (71%) thought that the interactive cases discussion is the most useful module. The three most-value aspects of AOTrauma STaRT are the clinical content, the 24-hour access and the relevance to their daily practice. They also suggested the tibial plateau, distal femur and pelvic fractures are the topics to should be added in the next part. The problems of this online learning were requirement of high-speed internet for the smooth display and there is no conclusion part in some topics.

Conclusion
Take-home Messages
Acknowledgement
References

AO Foundation Permission Letter

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