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Use of a web-course to instruct medical students on proper
infection control procedures.
Authors: Michael A. Barone, Mary Ann Sartain, Amy E. Winkler, Lisa
C. Phifer, Alexander M. Nason.
The Johns Hopkins Medical Institutions. Baltimore, MD
Background: Patient safety is a paramount concern. Respiratory and
contact isolation procedures reduce morbidity from nosocomial infections. Medical
students rotating through the pediatrics clerkship at Johns Hopkins did not
receive orderly, universal infection control education. Nursing and housestaff
felt that students had significant knowledge deficits. Resource limitations
made teaching this topic difficult during clerkship orientation. We developed
the goal of creating a high quality web-course which addressed our resource
limitations, created uniform content, and allowed students to learn important
techniques on their own time.
Methods: A web-course on personal protective equipment (PPE) was
piloted through the pediatrics clerkship. At orientation, students were given
instructions to complete the online web-module. Successful completion of the
course and a 14-question knowledge assessment was required within 10 days of
the start of the clerkship. Student compliance and scores were recorded.
Results: The course was required of 40 students over two academic
terms. Overall, 37/40 (93%) students successfully logged onto the course. Performance
scores were available for 36/40 (90%) students with mean correct answer score
of 95%. One student (2.5%) did not complete the exam due to technical problems.
Three students (7.5%) did not log onto the course. Anecdotal reports from housestaff
and nursing suggested improved student skills for these procedures. Student
satisfaction with the course was measured (results not presented). Formal outcomes
on nosocomial infections have not been studied.
Conclusions: At the start of a pediatrics clerkship, the use of a
web course allows for uniform, asynchronous instruction on infection control
procedures.
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