Mary E McLean1, Adrian A Cotarelo2, Thomas A Huls3, Abbas Husain4, Emily A Hillman5, Lukasz D Cygan6, Linette O Archer7, Jennifer Beck-Esmay8, Shannon M Burke9, Angela I Carrick10, Angela S Chen11, Robert J Hyde12, Vytas P Karalius13, Eric Lee14, Joel C Park15, Angela M Pugliese16, Morgan D Wilbanks17, Amanda Young18, Miriam L Kulkarni19. 1. is Assistant Residency Director, Department of Emergency Medicine, St. John's Riverside Hospital. 2. is a Resident Physician, Department of Emergency Medicine, St. John's Riverside Hospital. 3. is Associate Physician, Department of Emergency Medicine, Kaiser Permanente Modesto Medical Center. 4. is Associate Program Director, Department of Emergency Medicine, Staten Island University Hospital, Northwell Health. 5. is Associate Program Director, Department of Emergency Medicine, University of Missouri. 6. is Assistant Residency Director, Department of Emergency Medicine, NewYork-Presbyterian Brooklyn Methodist Hospital. 7. is Program Director, Department of Emergency Medicine, Memorial Health System. 8. is Assistant Residency Director, Department of Emergency Medicine, Mount Sinai Morningside-Mount Sinai West. 9. is a Resident Physician, Department of Emergency Medicine, University of Wisconsin-BerbeeWalsh. 10. is Associate Program Director, Department of Emergency Medicine, Norman Regional Health System. 11. is Assistant Program Director, Department of Emergency Medicine, Mount Sinai Hospital. 12. is Clerkship Director, Department of Emergency Medicine, Mayo Clinic. 13. is a Resident Physician, Department of Emergency Medicine, McGaw Medical Center of Northwestern University. 14. is Assistant Clerkship Director, Department of Emergency Medicine, Maimonides Medical Center. 15. is Attending Physician, Department of Emergency Medicine, St. John's Riverside Hospital, Yonkers. 16. is Associate Residency Director, Department of Emergency Medicine, Wayne State University School of Medicine-Henry Ford Hospital. 17. is Interim Director of UME and M3 Elective Director, Department of Emergency Medicine, Medical College of Wisconsin. 18. is Assistant Residency Program Director, Department of Emergency Medicine, University of Arkansas for Medical Sciences. 19. is Residency Program Director, Department of Emergency Medicine, St. John's Riverside Hospital.
Abstract
BACKGROUND: The COVID-19 pandemic displaced newly matched emergency medicine "pre-interns" from in-person educational experiences at the end of medical school. This called for novel remote teaching modalities. OBJECTIVE: This study assesses effectiveness of a multisite Accreditation Council for Graduate Medical Education (ACGME) sub-competency-based curricular implementation on Slack during the first wave of the COVID-19 pandemic in the United States. METHODS: Emergency medicine residency programs were recruited via national organization listservs. Programs designated instructors to manage communications and teaching for the senior medical students who had matched to their programs (pre-interns) in spring/summer 2020. Pre- and post-surveys of trainees and instructors assessed perceived preparedness for residency, perceived effectiveness of common virtual educational modalities, and concern for the pandemic's effects on medical education utilizing a Likert scale of 1 (very unconcerned) to 5 (very concerned). Data were analyzed using descriptive statistics and the t test. RESULTS: Of 276 possible residency programs, 28 enrolled. Of 324 possible pre-interns, 297 (91.7%) completed pre-surveys in April/May and 249 (76.9%) completed post-surveys in June/July. The median weeks since performing a physical examination was 8 (IQR 7-12), since attending in-person didactics was 10 (IQR 8-15) and of rotation displacement was 4 (IQR 2-6). Perceived preparedness increased both overall and for 14 of 21 ACGME Milestone topics taught. Instructors reported higher mean concern (4.32, 95% CI 4.23-4.41) than pre-interns (2.88, 95% CI 2.74-3.02) regarding the pandemic's negative effects on medical education. CONCLUSIONS: Pre-interns reported improvements in residency preparedness after participating in this ACGME sub-competency-based curriculum on Slack.
BACKGROUND: The COVID-19 pandemic displaced newly matched emergency medicine "pre-interns" from in-person educational experiences at the end of medical school. This called for novel remote teaching modalities. OBJECTIVE: This study assesses effectiveness of a multisite Accreditation Council for Graduate Medical Education (ACGME) sub-competency-based curricular implementation on Slack during the first wave of the COVID-19 pandemic in the United States. METHODS: Emergency medicine residency programs were recruited via national organization listservs. Programs designated instructors to manage communications and teaching for the senior medical students who had matched to their programs (pre-interns) in spring/summer 2020. Pre- and post-surveys of trainees and instructors assessed perceived preparedness for residency, perceived effectiveness of common virtual educational modalities, and concern for the pandemic's effects on medical education utilizing a Likert scale of 1 (very unconcerned) to 5 (very concerned). Data were analyzed using descriptive statistics and the t test. RESULTS: Of 276 possible residency programs, 28 enrolled. Of 324 possible pre-interns, 297 (91.7%) completed pre-surveys in April/May and 249 (76.9%) completed post-surveys in June/July. The median weeks since performing a physical examination was 8 (IQR 7-12), since attending in-person didactics was 10 (IQR 8-15) and of rotation displacement was 4 (IQR 2-6). Perceived preparedness increased both overall and for 14 of 21 ACGME Milestone topics taught. Instructors reported higher mean concern (4.32, 95% CI 4.23-4.41) than pre-interns (2.88, 95% CI 2.74-3.02) regarding the pandemic's negative effects on medical education. CONCLUSIONS: Pre-interns reported improvements in residency preparedness after participating in this ACGME sub-competency-based curriculum on Slack.
Authors: Todd P Chang; Phung K Pham; Brad Sobolewski; Cara B Doughty; Nazreen Jamal; Karen Y Kwan; Kim Little; Timothy E Brenkert; David J Mathison Journal: Acad Emerg Med Date: 2014-08-24 Impact factor: 3.451
Authors: Mary E McLean; Thomas A Huls; Adrian A Cotarelo; Abbas Husain; Joel C Park; Jonathan C Chan; Elizabeth S So; Michael C Anana; Angela S Chen; Gordon K Chien; Arlene S Chung; Lukasz D Cygan; Suman J Gupta; Marc P Kanter; Eric Lee; Diksha Mishra; Kristen M Ng; Andrew J Restivo; James T Russell; Kaushal Shah; R Taylor Surles; Miriam L Kulkarni Journal: AEM Educ Train Date: 2020-08-06