Travis A. Billingsley, MD, Judith L. Rowen, MD, Cara Geary, MD, PhD, University of Texas Medical Branch, Galveston, TX
Background: Online education improves dissemination of information, retention of knowledge, and test performance in multiple disciplines within medicine [Burnette et al, Acad Emerg Med, 2009]. Six online educational modules containing over 60 newborn cases were created within the Design-A-Case program for Acting Interns (AIs) in Neonatology along with Pediatric interns covering the newborn nursery. Methods: AIs and interns in the Newborn Nursery are given access to the modules at the start of their rotation. Pediatric interns were pretested at the beginning and will be posttested at the end of their intern year while AIs are pre and posttested at the beginning and end of their month rotation. Posttests were also given to the rising PGY-2, PGY-3, and graduating PGY-3 house staff. Results: To date, 12 AI’s have completed the rotation and the modules. Participants rated the modules 8 to 9.5(of 10) on educational value. Fourth year medical students had a mean pretest score of 55% ± 9.65%, and mean posttest score of 62.67% ± 8.81% with a p value <0.04 on paired t-test. Mean scores on the posttest taken by the rising Pediatric PGY-2 residents were 52.5% ± 5.48%; rising Pediatric PGY-3 were 60.36% ± 6.03%; and graduating Pediatric PGY-3 residents were 62.5% ± 7.36%. The average Pretest score for starting PGY1 residents was 44.5% ± 7.43%. Posttests for Pediatric PGY-1s are pending. Conclusions/Discussion: Preliminary results of pre and posttest performance for the Acting Interns showed a statistically significant improvement in performance. Student’s posttest performance on average paralleled that of the graduating PGY-3 Pediatric Residents [62.67% and 62.5% respectively]. This shows potential for the educational modules improving knowledge related to patient care in the newborn nursery in the short term rotational setting. Quality analysis of the pre and posttest questions are in process, and recruitment of students will continue over the next year.