Using an alumni survey to target improvements in an emergency medicine training programme

Gaeta, Theodore J.; Mahalingam, Gowtham; Pyle, Matthew; Dam, Aaron; Visconti, Annette

doi:10.1136/emermed-2017-206692

Cited by 3 publications

(3 citation statements)

References 9 publications

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“…Our data demonstrate that SBP1 and SBP2 are the SCs for which fellows most commonly do not achieve at least a level 4 milestone score. These results are consistent with the 2018 ACGME report and studies that show low minimum scores for both SBP1 and SBP2 8,23 …”

Section: Discussionsupporting

confidence: 91%

“…These results are consistent with the 2018 ACGME report and studies that show low minimum scores for both SBP1 and SBP2. 8,23 These SCs relate specifically to quality improvement and the implementation of systems improvements and require a trainee to make an impact outside of their institution in order to achieve at least a level 4. Quality improvement requirements in fellowship training are relatively new and mentors or leaders in this area may not be present at every program.…”

Section: Ta B L E 1 Demographic Information By Groupmentioning

confidence: 99%

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Pediatric emergency medicine fellows’ milestone evaluations: Do they all meet the targets for graduation?

Roskind

Leonard

Baghdassarian

et al. 2021

AEM Education and Training

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Background:The ACGME Milestone Project created a competency-based trainee assessment tool. Subcompetencies (SCs) are scored on a 5-point scale; level 4 is recommended for graduation. The 2018 Milestones Report found that across subspecialties, not all graduates attain level 4 for every SC. Objective: The objective was to describe the number of pediatric emergency medicine (PEM) fellows who achieve ≥ level 4 in all 23 SCs at graduation and identify SCs where level 4 is not achieved and factors predictive of not achieving a level 4. Methods: This is a multicenter, retrospective cohort study of PEM fellows from 2014 to 2018. Program directors provided milestone reports. Descriptive analysis of SC scores was performed. Subanalyses assessed differences in residency graduation scores, first-year fellowship scores, and the rate of milestone attainment between fellows who did and did not attain ≥ level 4 at graduation.Results: Data from 392 fellows were obtained. There were no SCs in which all fellows attained ≥ level 4 at graduation; the range of fellows scoring < level 4 per SC was 7% to 39%. A total of 67% of fellows did not attain ≥ level 4 on one or more SC. While some fellows failed to attain ≥ level 4 on up to all 23 SCs, 26% failed to meet level 4 on only one or two. In 19 SCs, residency graduation and/or first year fellow scores were lower for fellows who did not attain ≥ level 4 at graduation compared to those who did (mean difference = 0.74 points). Among 10 SCs, fellows who did not attain ≥ level 4 at graduation had a faster rate of improvement compared to those who did attain ≥ level 4. Conclusion:In our sample, 67% of PEM fellows did not attain level 4 for one or more of the SCs at graduation. Low scores during residency or early in fellowship may predict difficulty in meeting level 4 by fellowship completion.

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Section: Discussionsupporting

confidence: 91%

Section: Ta B L E 1 Demographic Information By Groupmentioning

confidence: 99%

Pediatric emergency medicine fellows’ milestone evaluations: Do they all meet the targets for graduation?

Roskind

Leonard

Baghdassarian

et al. 2021

AEM Education and Training

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“…6 Several articles to date have suggested that POCUS competencies are not being regularly met in many EM residency program settings. 1,3,[7][8][9] Most POCUS training workshops are one-half to two days in length and follow the traditional model of structured didactic sessions followed by hands-on training with human models or simulation units. 1,3,4 Some published studies on POCUS education and delivery models have shown positive learner outcomes; however, several have also indicated variable improvement across learners.…”

Section: Introductionmentioning

confidence: 99%

A Novel ‘Train the Trainer’ Emergency Medicine Resident Point-of-Care Ultrasound Course: A Feasibility Study

Butki

Long

Butki

et al. 2020

Spartan Medical Research Journal

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CONTEXT CONTEXT A novel multi-site 'train the trainer' point-of-care ultrasound (POCUS) training course was designed to better meet the graduate medical education learning needs of a geographically dispersed consortium of 16 community-based Michigan emergency medicine (EM) residency programs. The specific aim of this study was to explore the feasibility of using volunteer EM physicians who were novices with ultrasound techniques as instructors for a POCUS course. Additionally, the authors evaluated the effectiveness and consistency of a POCUS course delivered over multiple sites to enhance EM residents' ultrasound knowledge and skill acquisition. METHODS METHODS For the initial session, the lead instructor conducted a focused two-hour course with the novice instructors. A subsequent four-hour session was then repeated for EM residents whereby the aforementioned novice instructors provided the hands-on instruction. The residents were given 10-item pre-and 20-item post-course knowledge tests to gauge the effectiveness of the instruction model. After the course, a satisfaction survey was administered to the resident participants and a qualitative open-ended survey to the volunteer EM physicians who served as instructors. RESULTS RESULTS Forty-two EM residents from 11 different residency programs attended at one of the three courses that were offered. After adjustments for size differences in the pre-and post-training tests, 35 (87.5%) of total sample resident learners' scores proportionately increased from pre-to post-test scores, with five (11.9%) other residents maintaining their pre-course score levels and only two (4.8%) residents experienced a post-score decline. In addition, resident participants responded favorably to a post-course summary evaluation with an average response of 4.8 (0-5 Likert scale) demonstrating overall satisfaction with the course. In the separate qualitative survey given to instructors, comments consistently conveyed a perceived benefit for the volunteer EM physicians. CONCLUSIONS CONCLUSIONS The evaluation of this novel model supports the feasibility of the 'train the trainer' program. It provides a proof of principle that train the trainer model can be implemented for POCUS training courses. Despite the small sample size, our results show an increase in the pre-to post-test scores among most participating residents. This model provides an additional option for EM residency program educators to consider when developing their POCUS training courses across multiple GME settings.

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Alignment of Preventive Medicine Physicians’ Residency Training With Professional Needs

Flower

Higginbotham

Jamison

et al. 2019

American Journal of Preventive Medicine

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Using an alumni survey to target improvements in an emergency medicine training programme

Cited by 3 publications

References 9 publications

Pediatric emergency medicine fellows’ milestone evaluations: Do they all meet the targets for graduation?

Pediatric emergency medicine fellows’ milestone evaluations: Do they all meet the targets for graduation?

A Novel ‘Train the Trainer’ Emergency Medicine Resident Point-of-Care Ultrasound Course: A Feasibility Study

Alignment of Preventive Medicine Physicians’ Residency Training With Professional Needs

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