scholarly journals A mixed methods needs assessment of pediatric emergency and critical care in Tanzanian providers: a model for curriculum development

2020 ◽  
Author(s):  
Carol C Chen ◽  
Steven Straube ◽  
Holly Vo ◽  
Upendo George ◽  
Hendry Sawe ◽  
...  
Keyword(s):  
Critical Care ◽  
Mixed Methods ◽  
Curriculum Development ◽  
Needs Assessment ◽  
Pediatric Emergency

scholarly journals LO12: ClerkCast: a novel online free open access emergency medicine curriculum for medical students

CJEM ◽  
2020 ◽  
Vol 22 (S1) ◽  
pp. S11-S11
Author(s):  
B. Forestell ◽  
L. Beals ◽  
T. Chan
Keyword(s):  
Emergency Medicine ◽  
Critical Care ◽  
Medical Student ◽  
Medical Students ◽  
Curriculum Development ◽  
Needs Assessment ◽  
Educational Needs ◽  
Further Education ◽  
Open Educational Resources ◽  
Social Media Networks

Innovation Concept: Canadian medical students completing their Emergency Medicine (EM) clerkship rotations must develop approaches to undifferentiated patients. Increasingly used in postgraduate EM education, Open Educational Resources (OERs) are a convenient and flexible solution to meeting medical student educational needs on their EM rotation. We hoped to supplement Canadian medical student EM education through the development of ‘ClerkCast’, a novel OER and podcast-based curriculum on CanadiEM.org. Methods: We utilized the Kern Six Step approach to curriculum development for ‘ClerkCast’. A general needs assessment involved a review of available OERs and identified a lack of effective EM OERs specific for medical students. A specific online needs assessment was used to determine which EM topics required further education for medical students. The survey was shared directly with key Canadian medical student and undergraduate medical educator stakeholder groups, and distributed globally through the CanadiEM social media networks. Results of the needs assessment highlighted shared perceptions of educational needs for medical students, with an emphasis on increased need for education on critical care and common EM presentations. We used the topics determined to be highest priority for the development of our first ten episodes of ‘ClerkCast’. Curriculum, Tool or Material: Podcast episodes are released from CanadiEM biweekly. Episodes are 30 to 45 min in length, and focus on cognitive approaches to a common EM presentation for medical students. Content is anchored on medical student interactions with a staff or resident EM co-host. Podcasts are supplemented by infographics and blog posts highlighting the key points from each episode. Learners are also encouraged to interact with the content through review quizzes on a provided question bank. Quality assurance of the content is provided by physician co-hosts who review episode scripts both prior to recording. Post-production feedback is elicited via comments on the curriculum's host website, CanadiEM.org, and through direct email correspondence to the ClerkCast address. Conclusion: With an ever increasing number of OERs in EM and critical care, the systematic development of new resources is important to avoid redundancies in content and medium while also addressing unmet learner needs. We describe the successful use of the Kern Six Steps for curriculum development for the creation of our novel EM OER for Canadian medical students, ‘ClerkCast’.

scholarly journals P.133 ‘Building Your Neurology Acumen’: a flipped classroom approach to strengthen Internal Medicine residents’ neurological skills

2021 ◽  
Vol 48 (s3) ◽  
pp. S57-S57
Author(s):  
Z Zaeem ◽  
P Smyth ◽  
V Daniels
Keyword(s):  
Internal Medicine ◽  
Mixed Methods ◽  
Curriculum Development ◽  
Focus Groups ◽  
Needs Assessment ◽  
Royal College ◽  
Flipped Classroom ◽  
Mixed Methods Design ◽  
Internal Medicine Residents ◽  
Convenience Sampling

Background: Rotating internal medicine (IM) residents do not feel adequately prepared to approach patients with neurologic issues. The purpose of this project was to conduct a needs assessment to determine the optimal components and delivery of a neurology curriculum for internal medicine residents. Methods: We utilized a mixed-methods design and recruited participants through a combination of purposive and convenience sampling. We conducted interviews with IM residents (n=12) and focus groups with neurology residents (n=7) and neurology staff (n=8). IM residents completed entry- and post-call surveys while on a neurology rotation. Results: Themes according to Kern’s framework for curriculum development: 1. Problem: Discomfort and perception of under-preparedness amongst IM trainees 2. Needs Assessment: What the learners (stakeholders) think they need to know vs. what their teachers want them to know vs external requirements (Royal College) 3. Goals/objectives: What content is relevant for clinical requirements vs assessments? 4. Methods and setting: Didactic vs bedside vs virtual 5. Implementation of the curriculum 6. Evaluation and feedback Conclusions: Our findings illustrate a possible mismatch between internal medicine residents’ needs and neurologist teachers’ expectations in teaching neurology. Addressing learners’ needs could enhance neurology knowledge and sense of preparedness when encountering patients with neurologic issues.

scholarly journals Doctors documenting: an ethnographic and informatics approach to understanding attending physician documentation in the pediatric emergency department

2020 ◽  
Author(s):  
Sarah D Fouquet ◽  
Laura Fitzmaurice ◽  
Y Raymond Chan ◽  
Evan M Palmer
Keyword(s):  
Emergency Department ◽  
Mixed Methods ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Pediatric Emergency ◽  
Second Phase ◽  
Pediatric Emergency Department ◽  
Mixed Methods Approach ◽  
Time And Motion ◽  
Attending Physician

Abstract Objective The pediatric emergency department is a highly complex and evolving environment. Despite the fact that physicians spend a majority of their time on documentation, little research has examined the role of documentation in provider workflow. The aim of this study is to examine the task of attending physician documentation workflow using a mixed-methods approach including focused ethnography, informatics, and the Systems Engineering Initiative for Patient Safety (SEIPS) model as a theoretical framework. Materials and Methods In a 2-part study, we conducted a hierarchical task analysis of patient flow, followed by a survey of documenting ED providers. The second phase of the study included focused ethnographic observations of ED attendings which included measuring interruptions, time and motion, documentation locations, and qualitative field notes. This was followed by analysis of documentation data from the electronic medical record system. Results Overall attending physicians reported low ratings of documentation satisfaction; satisfaction after each shift was associated with busyness and resident completion. Documentation occurred primarily in the provider workrooms, however strategies such as bedside documentation, dictation, and multitasking with residents were observed. Residents interrupted attendings more often but also completed more documentation actions in the electronic medical record. Discussion Our findings demonstrate that complex work processes such as documentation, cannot be measured with 1 single data point or statistical analysis but rather a combination of data gathered from observations, surveys, comments, and thematic analyses. Conclusion Utilizing a sociotechnical systems framework and a mixed-methods approach, this study provides a holistic picture of documentation workflow. This approach provides a valuable foundation not only for researchers approaching complex healthcare systems but also for hospitals who are considering implementing large health information technology projects.

scholarly journals The patient perspective on overactive bladder: a mixed-methods needs assessment

2014 ◽  
Vol 15 (1) ◽  
Author(s):  
Frank A Filipetto ◽  
Kimberly G Fulda ◽  
Amy E Holthusen ◽  
Thomas M McKeithen ◽  
Pam McFadden
Keyword(s):  
Mixed Methods ◽  
Overactive Bladder ◽  
Needs Assessment ◽  
Patient Perspective

scholarly journals Understanding Factors Contributing to Inappropriate Critical Care: A Mixed-Methods Analysis of Medical Record Documentation

2017 ◽  
Vol 20 (11) ◽  
pp. 1260-1266 ◽  
Author(s):  
Thanh H. Neville ◽  
Derjung M. Tarn ◽  
Myrtle Yamamoto ◽  
Bryan J. Garber ◽  
Neil S. Wenger
Keyword(s):  
Critical Care ◽  
Mixed Methods ◽  
Medical Record ◽  
Medical Record Documentation
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