Teresa Man-Yee Chan1, Andrew Grock2, Michael Paddock3, Kulamakan Kulasegaram4, Lalena M Yarris5, Michelle Lin6. 1. Division of Emergency Medicine, McMaster University, Hamilton, ON, Canada; Academic Life in Emergency Medicine and the MedEdLIFE Research Collaborative. Electronic address: teresa.chan@medportal.ca. 2. Department of Emergency Medicine, University of California, Olive View, CA, and Academic Life in Emergency Medicine. 3. Regions Hospital and the Department of Emergency Medicine, University of Minnesota. 4. Department of Family and Community Medicine, Faculty of Medicine, University of Toronto, and the Wilson Centre for Health Professions Education, University Health Network, Toronto, ON, Canada. 5. Department of Emergency Medicine, Oregon Health & Science University, Portland, OR. 6. Academic Life in Emergency Medicine and the MedEdLIFE Research Collaborative; Department of Emergency Medicine, University of California, San Francisco, CA.
Abstract
STUDY OBJECTIVE: Since 2014, Academic Life in Emergency Medicine (ALiEM) has used the Approved Instructional Resources (AIR) score to critically appraise online content. The primary goals of this study are to determine the interrater reliability (IRR) of the ALiEM AIR rating score and determine its correlation with expert educator gestalt. We also determine the minimum number of educator-raters needed to achieve acceptable reliability. METHODS: Eight educators each rated 83 online educational posts with the ALiEM AIR scale. Items include accuracy, usage of evidence-based medicine, referencing, utility, and the Best Evidence in Emergency Medicine rating score. A generalizability study was conducted to determine IRR and rating variance contributions of facets such as rater, blogs, posts, and topic. A randomized selection of 40 blog posts previously rated through ALiEM AIR was then rated again by a blinded group of expert medical educators according to their gestalt. Their gestalt impression was subsequently correlated with the ALiEM AIR score. RESULTS: The IRR for the ALiEM AIR rating scale was 0.81 during the 6-month pilot period. Decision studies showed that at least 9 raters were required to achieve this reliability. Spearman correlations between mean AIR score and the mean expert gestalt ratings were 0.40 for recommendation for learners and 0.35 for their colleagues. CONCLUSION: The ALiEM AIR scale is a moderately to highly reliable, 5-question tool when used by medical educators for rating online resources. The score displays a fair correlation with expert educator gestalt in regard to the quality of the resources. The score displays a fair correlation with educator gestalt. Copyright Â
STUDY OBJECTIVE: Since 2014, Academic Life in Emergency Medicine (ALiEM) has used the Approved Instructional Resources (AIR) score to critically appraise online content. The primary goals of this study are to determine the interrater reliability (IRR) of the ALiEM AIR rating score and determine its correlation with expert educator gestalt. We also determine the minimum number of educator-raters needed to achieve acceptable reliability. METHODS: Eight educators each rated 83 online educational posts with the ALiEM AIR scale. Items include accuracy, usage of evidence-based medicine, referencing, utility, and the Best Evidence in Emergency Medicine rating score. A generalizability study was conducted to determine IRR and rating variance contributions of facets such as rater, blogs, posts, and topic. A randomized selection of 40 blog posts previously rated through ALiEM AIR was then rated again by a blinded group of expert medical educators according to their gestalt. Their gestalt impression was subsequently correlated with the ALiEM AIR score. RESULTS: The IRR for the ALiEM AIR rating scale was 0.81 during the 6-month pilot period. Decision studies showed that at least 9 raters were required to achieve this reliability. Spearman correlations between mean AIR score and the mean expert gestalt ratings were 0.40 for recommendation for learners and 0.35 for their colleagues. CONCLUSION: The ALiEM AIR scale is a moderately to highly reliable, 5-question tool when used by medical educators for rating online resources. The score displays a fair correlation with expert educator gestalt in regard to the quality of the resources. The score displays a fair correlation with educator gestalt. Copyright Â
Authors: Sarah M Greenberger; John T Finnell; Bernard P Chang; Nidhi Garg; Shawn M Quinn; Steven Bird; Deborah B Diercks; Christopher I Doty; Fiona E Gallahue; Maria E Moreira; Megan L Ranney; Loren Rives; Chad S Kessler; Bruce Lo; Gillian Schmitz Journal: AEM Educ Train Date: 2020-01-19
Authors: Nicole M Dubosh; Jaime Jordan; Lalena M Yarris; Edward Ullman; Joshua Kornegay; Daniel Runde; Amy Miller Juve; Jonathan Fisher Journal: AEM Educ Train Date: 2018-12-14
Authors: Andrew Grock; Jaime Jordan; Fareen Zaver; Isabelle N Colmers-Gray; Keeth Krishnan; Teresa Chan; Brent Thoma; Charlotte Alexander; Mohammed Alkhalifah; Abdulaziz S Almehlisi; Saeed Alqahtani; Scott Anderson; Shelaina Anderson; Colin Andrews; Jocelyn Andruko; Nikytha Antony; Diptesh Aryal; Barbra Backus; Jennifer Baird; Andrew Baker; Sarah Batty; Jared Baylis; Braeden Beaumont; Chris Belcher; Brent Benavides; Michael Benham; Julian Botta; Elyse Berger Pelletier; Nicholas Bouchard; Victoria Brazil; Emily Brumfield; Anthony Bryson; Wisarut Bunchit; Kat Butler; Lindy Buzikievich; David Calcara; Rob Carey; Maria Rosa Carrillo; Stephen Carroll; Casey Lyons; Louise Cassidy; Kirsty Challen; Kathryn Chan; Tim Chaplin; Natasha Chatham-Zvelebil; Eric Chen; Lucy Chen; Sushant Chhabra; Alvin Chin; Eric Chochi; Tina Choudhri; Jeremy Christensen; Kimberly Connors; Veronica Coppersmith; Abby Cosgrove; Gregory Costello; Kevin Cullison; Andrew D'Alessandro; Kerstin Wit; Marie Decock; Rayan Delbani; William Denq; Julianna Deutscher; Brendan Devine; Maia Dorsett; Taylor Duda; Justin Dueweke; Teresa Dunphy; Sean Dyer; Karthryn T Eastley; Marcia Edmonds; Ken Edwards; Robert Ehrman; Youness Elkhalidy; Preston Fedor; Brian Ficiur; Caley Flynn; Bill Fraser; Meagan Fu; James Fukakusa; Eric Funk; Damjan Gaco; Viktor Gawlik; Kenn Ghaffarian; Laleh Gharahbaghian; Andrew Griffith; Phil Griffith; Tanner Gronowski; Cathy Grossman; Jaroslaw Gucwa; Pawan Gupta; Alexandra Gustafson; Andrew Guy; Mary Haas; Stanislaw Haciski; Emina Hajdinjak; Andrew K Hall; Regina Hammock; Jan Hansel; Alexander Hart; Larissa Hattin; Brandon Herb; SueLin Hilbert; Jeff Hill; Jesse Hill; Amy Ho; Emily House; Nina House; Simon York Ming Huang; James Huffman; Charlie Inboriboon; Alex Ireland; Ali Jamal; Mohammad Ali Jamil; Victor Jansen; Zach Jarou; Vivian Jia; Levi Johnston; Drew Kalnow; Puneet Kapur; Seth Kelly; Kyle Kelson; William Kent; Rishi Khakhkhar; Jaasmit Khurana; Ashley Kilp; Scott Knapp; Sebastian Kohler; Ivanna Kruhlak; Nadim Lalani; Samantha Lam; Patrick Lank; Zander Laurie; Kristina Lea; Ernest Leber; Ching-Hsing Lee; Haakon Lenes; Nilantha Lenora; Jesse Leontowicz; Kelly Lien; Michelle Lin; Yingchun Lin; Andrew Little; Harry Liu; Ivy Liu; Steve Liu; Stephanie Louka; Elise Lovell; David Lowe; Ashley Lubberdink; Jessica Luc; Sheng-Hsiang Ma; Hugh MacLeod; Nick Mancuso; Anali Maneshi; Jesse May; John Mayo; Mike McDonnell; Susan McLellan; Carolyn McQuarrie; Therese Mead; Cory Meeuwisse; Patrick Meloy; Perry Menzies; Anne Messman; Stephen Miazga; Logan Mills; Allan Mix; Steve Montag; Brendan Moore; Justin Morgenstern; Sarah Mott; P Mukherj; Ali Mulla; Sheena Nandalal; Taylor Nikel; Julia Nood; Sean Nugent; Morgan Oakland; Werner Oberholzer; Onyeka Otugo; Taofiq Segun Oyedokun; Alim Pardhan; Kinjal Patel; Quinten Paterson; Catherine Patocka; Christine Patterson; James Pearlman; Alexis Pelletier-Bui; Marc Phan; Zafrina Poonja; Aubrey Powell; Kamini Premkumar; Gregor Prosen; Vishal Puri; Tanis Quaife; Ryan Raffel; Ali Raja; Randi Ramunno; Louise Rang; Suzanne Rannazzisi; Shauna Regan; Salim R Rezaie; Milan Ridderikhof; Vanessa Rogers; Christine Roh; Keith Rosenberg; Marina Roure; Sherri Rudinsky; Joshua Rudner; Adeeb Saleh; Will Sanderson; Owen Scheirer; Paul Schofield; Paul Schunk; Evan Schwarz; Parisa Shahrabadi; Eric Shappell; Julia Sheffield; Manpreet Singh; Hector C Singson; Dave Slessor; Sam Smith; Paula Sneath; Robert Sobehart; Kerry Spearing; James Stempien; Britni Sternard; Tara Stratton; Katherine Stuart; Bob Stuntz; Michael Susalla; Colleen Sweeney; Loice Swisher; Henry Swoboda; Shahbaz Syed; Taku Taira; Nikhil Tambe; Richard Tang; Elisha Targonsky; Alan Taylor; Rachel Taylor; Todd Taylor; Paxton Ting; Gerhard Tiwald; Evelyn Tran; Kelvin Tran; Jason Trickovic; Paul Trinquero; Aaron Tyagi; Manrique Umana; Patrick Vallance; Patricia Van den Berg; Kelly van Diepen; Luis Vargas; Rene Verbeek; Sandra Viggers; Zlata Vlodaver; Matthew Wagner; Noorin Walji; Joe Walter; Miranda Wan; Rachel Wang; Gregory Wanner; Wyatt Warawa; Mike Ward; Jennifer Weekes; Kristen Weersink; Cara Weessies; Anna Whalen-Browne; Brian Whiteside; Matthew Willis; Jonas Wilmer; Nelson Wong; Mark Woodcroft; Rob Woods; Lawrence Yau; Jessica Yee; Calvin Yeh; Katherine Yurkiw; Fareen Zaver; Alexander Zozula Journal: AEM Educ Train Date: 2021-05-16