PURPOSE:A challenge that many teaching programs have is to establish an evidence-based curriculum that is easy to implement and to evaluate its efficacy. Obstacles that we have encountered include providing a structured curriculum, up to date reading lists, access to guidelines and procedural videos, and a forum for a case of the month. This is compounded by unpredictable intensive care unit rounds that make it difficult to schedule lectures and that each faculty member may have individual lectures and reading materials. The purpose was to develop a formal evidence- and web-based critical care curriculum for trainees at the University of Missouri-Kansas City teaching hospitals and to determine it's effectiveness in improving the “standardization” of curriculum for trainees on a busy critical care rotation.
METHODS:After a thorough review of the medical literature, a password-protected intranet website was developed. This included easily accessible multimedia information from the American College of Chest Physicians, American Thoracic Society, Society of Critical Care Medicine, New England Journal Medicine and other important websites and journals, as well as fellow and faculty publications and lectures, pertinent to critical care. A mandatory monthly reading list, case of the month and supplemental multimedia information were placed on the website for review by trainees while on our critical care rotation.
RESULTS:A survey was taken of the residents, fellows and faculty that rotate on our critical care rotation and revealed very positive results. The website was easy to use, easily accessible and editable (by fellows and faculty) from the hospitals and home, and the content was appropriate for all levels of training.
CONCLUSION:An intranet-based website overcomes the challenges associated with providing a multimedia, evidence-based curriculum for use on a busy critical care rotation.
CLINICAL IMPLICATIONS:The website is dynamic and updated on a continual basis to stay current with the medical literature. A pre- and post-test is in the developmental stages to allow for the evaluation of trainees’ medical knowledge before and after their critical care rotation.
DISCLOSURE:Anthony Hericks, No Financial Disclosure Information; No Product/Research Disclosure Information