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Abstract: PO1371

Assessment of Faculty Developed e-Curriculum in Hemodialysis

Session Information

Category: Educational Research

  • 800 Educational Research

Author

  • Krishnan, Namrata, Yale University School of Medicine, New Haven, Connecticut, United States

Group or Team Name

  • Yale teaching and learning center
Background

E-learning is gaining popularity in medical education and offers several advatages. We have developed a comprehensive, hands-on online E-curriculum in hemodialysis based on ACGME competency requirements.The curriculum includes two online modules on Hemodialysis kinetics/adequacy; and Hemodialysis access. In this study we describe the experience among nephrology trainees, of using this E-curriculum, and assess its effectiveness as a teaching tool.

Methods

This pilot study sample included 11 nephrology fellows (8 from Yale and 3 from other US nephrology programs).
Design: A mixed methods approach using a triangulation model. Data collection: A Qualtrics survey was distributed to the participants after curriculum completion. This was followed by a 15 minute zoom interview of each individual participant. This study was approved by our local IRB.

Results

The study sample had an even distribution of participants across all levels of training. 6/11 identified themselves as visual learners. Irrespective of the learner type, animated videos were the most desired feature of the E-modules and helped visualization of abstract concepts. Concepts of flux vs. efficiency; convection vs. diffusion, Kt/V, physical examination of an AV fistula, and access recirculation were topics reviewed repetitively. Based on survey data, there was 100 % agreement among the learners that the websites were easy to navigate; the content represented common clinical scenarios and the interactive knowledge testing helped in concept retention and improving student engagement. Statistical analysis (paired t-tests) showed that there was significant improvement in perceived knowledge by the learner in 6 core competencies after module completion (p<0.01). The advantages of an E-curriculum were reported to be simplified visualization of key concepts; excellent clinical application, time flexibility;repetitive review, standardization of content, learner centric approach; and a flipped classroom model.The disadvantages were the lack of community learning and the inability to ask questions immediately.

Conclusion

In conclusion, the hemodialysis E-curriculum was an effective educational platform for nephrology fellows. Although an E-curriculum allows standardized learning with a learner-centric approach, it can cause social isolation and requires a self-motivated learner. A blended learnng approach, combining E-learning and traditonal methods may be ideal.