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Development and Implementation of DIGEST: The Digital Interactive Gastroenterology Education Suite for Trainees
Pediatrics ; 149, 2022.
Article in English | EMBASE | ID: covidwho-2003378
ABSTRACT
Purpose/

Objectives:

Clinical clerkship curricula should exist to provide rotating learners on subspecialty rotations with consistent exposure to specific topics geared towards the discipline of interest, such as Pediatric Gastroenterology (GI). In the spring of 2020, the COVID-19 pandemic forced the medical community to pivot to both virtual patient care and medical education. Many teachers were forced to transition their curricula away from traditional, in-person didactics to asynchronous, on-line learning. We developed the Digital Interactive Gastroenterology Education Suite for Trainees (DIGEST) a novel pediatric gastroenterology curriculum on GOOGLE classroom for rotating learners. Our aims were to assess the curriculum and to study learning outcomes amongst trainees. Design/

Methods:

A general needs assessment in 2019 identified a lack of standardized educational experience amongst the rotating learners on Pediatric GI service. We developed DIGEST to provide a standardized educational experience for all learners. Our resource acquisition method included interrogation of the Pediatrics in Review (PIR) subject collections, review of the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition (NASPGHAN) CPG repository, and a search for topics of interest on MedEd Portal. We organized these resources using a simple, subject-based (i.e. Constipation) format for the classroom Required readings, Supplemental (optional) readings, Videos & Podcasts and simulations (Figure 1). Next, a “Rotation Passport” was created to guide learners' expectations during the rotation, to facilitate a balance between educational activities and patient care, and to eliminate differences in educational exposures, or clinical opportunities which could be affected by seasonal variations in disease processes or presentations. DIGEST addressed procedural skills using low-fidelity human patient simulation (LFHPS) scenarios from MedEd Portal including nasogastric tube placement, gastrostomy replacement, and abdominal radiograph interpretation. The COVID-19 pandemic compelled us to transition this program from our departments' secure share drive to the GOOGLE classroom. Learners assessed DIGEST and the LFHPS using the physician assistant clinical rotation evaluation (PACRE) instrument and the Student Satisfaction and Self-Confidence in Learning scale (SSSCL), respectively. We targeted a composite score > 4 (Likert scale 1- 5;1-Strongly Disagree, 5-Strongly Agree) for all questions. Finally, the curriculum quality of DIGEST was evaluated by a Health Professions Education expert using the Course Review Report Rubric.

Results:

7 possible learners participated and responded to the questionaires (100% response rate). Learners reported a superior learning experience and increased confidence with DIGEST (Table 1). The HPE expert reported that the course design of DIGEST met or exceeded expectations in all categories. Conclusion/

Discussion:

DIGEST is a novel pediatric gastroenterology curriculum for rotating learners could be easily deployed, or replicated, for civilian Pediatric GI divisions to use with their learners or expanded on a larger platform to enhance learning for a wider audience. (Table Presented).
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Collection: Databases of international organizations Database: EMBASE Language: English Journal: Pediatrics Year: 2022 Document Type: Article

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Collection: Databases of international organizations Database: EMBASE Language: English Journal: Pediatrics Year: 2022 Document Type: Article