Abstract: FR-OR096
Demystifying Glomerular Disease: A Worksheet Teaching Tool
Session Information
- Shaping the Future of Nephrology Education
October 26, 2018 | Location: 6F, San Diego Convention Center
Abstract Time: 04:42 PM - 04:54 PM
Category: Educational Research
- 800 Educational Research
Authors
- Awan, Ahmed A., Baylor college of medicine, Houston, Texas, United States
- Ali, Sehrish, BCM Nephrology, Sugar Land, Texas, United States
- Rajendran, Prejith P., Baylor College of Medicine, Houston, Texas, United States
- Raghavan, Rajeev, Baylor College of Medicine, Houston, Texas, United States
Background
Learners of all levels express apprehension about glomerular diseases. This may herald from an incomplete understanding of the pathophysiology, and a focus on memorization. For example, understanding that IgA Nephropathy begins with an abnormal IgA protein helps the learner conceptualize symptoms and principles of treatment. This curriculum uses active learning and is broadly applicable to students, residents, and fellows. The goals of this worksheet include: 1) Reduce anxiety when approaching glomerular disease, 2) Complete a worksheet that can be used as a study guide, 3) Use illustration to understand the pathophysiology and histologic representation of glomerular diseases.
Methods
The learner is given a 4-page worksheet with 20 glomerular diseases, arranged by order of the most frequently encountered. Each disease is represented by 1 row. The facilitator is provided a detailed written guide, and the teaching session does not require power point. The learners collectively discuss each disease, but must begin by illustrating pathophysiologic immune marker and/or key histologic appearance of the disease. Next, the clinical presentation, treatment, and prognosis are discussed. The worksheet includes select prompts and mnemonics to aid in material retention and can be completed within a 90 minute session.
Results
We piloted a total of 3 sessions with 42 independent learners - medical students (19), internal medicine residents (13), and Nephrology fellows (10). Over 90% of respondents 'did not feel comfortable treating glomerular disease' prior to the workshop. Over 90% (n=40) of participants agreed or strongly agreed that the worksheet was easy to complete. 85% of respondents plan to use use the completed workseet as a study guide. One representative comment was 'Excellent review on a topic I struggle with!'
Conclusion
Educators need a teaching tool to help trainees demystify glomerular diseases. The glomerular worksheet can be completed on-the-fly, emphasizes pathophysiology / histology, and can be used as a study guide.