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Abstract: Poster Presentations |

DEVELOPMENT AND VALIDATION OF A ONE-DAY STRUCTURED BRONCHOSCOPY CURRICULUM FOR FIRST YEAR PULMONARY AND CRITICAL CARE MEDICINE TRAINEES IN SOUTHERN CALIFORNIA FREE TO VIEW

Mohsen Davoudi, MD*; Septimiu D. Murgu, MD; Nazanin Zamanian Rohani, MD; Henri G. Colt, MD
Author and Funding Information

UCI Pulmonary and Critical Care, Tustin, CA


Chest


Chest. 2009;136(4_MeetingAbstracts):84S. doi:10.1378/chest.136.4_MeetingAbstracts.84S-b
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Abstract

PURPOSE:  To demonstrate the effectiveness, usability, and educational value of a competency-oriented, one-day structured curriculum designed to improve cognitive knowledge and technical skill in flexible bronchoscopy for first year pulmonary and critical care medicine trainees.

METHODS:  A one day competency-oriented curriculum comprised of multiple modules, including didactic lectures, interactive sessions, and hands-on technical skill training was offered free of charge to 24 trainees and 4 faculty observers from 8 training institutions in Southern California. Pre- and post-testing of cognitive knowledge and technical skill were performed. Likert-scale evaluations of usability and educational value were administered during the course and three months later. Paired-samples t-test and non-parametric tests were used to compare pre- and post-test scores. Class-average Normalized Gain («g») was calculated using the group's mean performance.

RESULTS:  Mean tests scores of cognitive knowledge scores improved significantly (p < 0.05) from 48% to 66% correct answers, with a total test average of 22.8 / 40 (57%). Mean improvement (Absolute Gain) was 3.5/ 20 (18%) and relative improvement (Relative Gain) 37%. Average Normalized Gain was 34%. Mean test scores of technical skill also improved significantly (p < 0.05) from 43% to 77%, with a mean improvement (Absolute Gain) of 34% and a relative improvement (Relative Gain) of 78%. Average Normalized Gain was 60%. Statistically significant improvements were noted in all five elements of technical skill (time, precision, anatomic recognition, posture/hand position, and economy of movement). Immediate and follow-up qualitative and quantitative analysis of usability and educational value uniformly revealed excellence and high levels of satisfaction, establishing the validity of this modularized educational program.

CONCLUSION:  Results objectively and subjectively demonstrate the effectiveness, usability, and educational value of a competency-oriented modularized introductory course to increase cognitive knowledge and focused technical performance of novice and beginner pulmonary and critical care medicine trainees.

CLINICAL IMPLICATIONS:  We have designed and validated a modularized focused course in flexible bronchoscopy. The methods demonstrated in this study can be used, in low-stakes and high-stakes testing, to measure acquisition of bronchoscopic knowledge and skills.

DISCLOSURE:  Mohsen Davoudi, No Financial Disclosure Information; No Product/Research Disclosure Information

Wednesday, November 4, 2009

12:45 PM - 2:00 PM


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