Board 304 - Research Abstract Leadership Skills and Clinical Performance of Internal Medicine Residents in Cardiac Arrests and Rapid Responses - A Simulation Study (Submission #504)

Abstract Background Physicians in specialties other than dermatology care for the majority of patients with skin diseases, yet most physicians receive little training in dermatology. Objectives The primary objective of this study was to determine whether there would be a sizable (20%) improvement in posttraining scores for internal medicine residents after completing 1 of 3 assigned curricula. A secondary objective was to determine whether there were significant differences in improvement among the 3 resident cohorts after completing their curriculum. Finally, we explored the residents' change in perceived clinical knowledge postcurriculum. Methods Thirty-six postgraduate year 2 internal medicine residents were randomized to complete 1 of 3 one-month dermatology curricula (didactic, clinical, or combined). The main outcome measure was performance on different sets of Medical Knowledge Self-Assessment Program (MKSAP)-15 questions at study entry and completion. A secondary outcome was self-rated performance in 3 clinical domains. Results All participants completed the study. All curricula led to an improvement in MKSAP-15 scores, but only students who completed the didactic curriculum demonstrated a 20% improvement in posttraining scores. A larger number of residents completing the clinical and didactic curricula rated their clinical performance as improved compared to those who completed the combined curriculum. Conclusions While all 3 curricula led to improvement, as measured by a standardized assessment, a didactic curriculum in dermatology resulted in the largest improvement in knowledge as measured by a multiple-choice test.

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Predictors of clinical performance among internal medicine residents

Journal of General Internal Medicine ◽

10.1007/bf02598315 ◽

1991 ◽

Vol 6 (2) ◽

pp. 150-154 ◽

Cited By ~ 16

Author(s):

Donald E. Girard ◽

David H. Hickam

Keyword(s):

Internal Medicine ◽

Clinical Performance ◽

Internal Medicine Residents

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Publishing history does not correlate with clinical performance among internal medicine residents

Medical Education ◽

10.1111/j.1365-2923.2009.03605.x ◽

2010 ◽

Vol 44 (5) ◽

pp. 468-474 ◽

Cited By ~ 12

Author(s):

Rodrigo B Cavalcanti ◽

Allan S Detsky

Keyword(s):

Internal Medicine ◽

Clinical Performance ◽

Publishing History ◽

Internal Medicine Residents

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Abstract #789520: Transgender Health Care: Evaluation of the Perception of Competence and Comfort Level Among Internal Medicine Residents

Endocrine Practice ◽

10.1016/s1530-891x(20)39432-5 ◽

2020 ◽

Vol 26 ◽

pp. 179

Author(s):

Beatriz Martinez Quintero

Keyword(s):

Internal Medicine ◽

Health Care ◽

Comfort Level ◽

Transgender Health ◽

Internal Medicine Residents ◽

Health Care Evaluation ◽

Care Evaluation

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Critical Care Communication Skills Training for Internal Medicine Residents

MedEdPORTAL ◽

10.15766/mep_2374-8265.10212 ◽

2015 ◽

Vol 11 (1) ◽

Author(s):

Laura Rock ◽

Nina Gadmer ◽

Robert Arnold ◽

David Roberts ◽

Asha Anandaiah ◽

...

Keyword(s):

Internal Medicine ◽

Critical Care ◽

Communication Skills ◽

Skills Training ◽

Communication Skills Training ◽

Internal Medicine Residents

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Learning Electrocardiogram Interpretation: Insights from Residents and a Proposed Solution in an Observational Study (Preprint)

10.2196/preprints.19645 ◽

2020 ◽

Author(s):

Mohammad Alakchar ◽

Abdisamad M. Ibrahim ◽

Mohsin Salih ◽

Mukul Bhattarai ◽

Nitin Tandan ◽

...

Keyword(s):

Internal Medicine ◽

Correlation Coefficient ◽

Online Survey ◽

Cross Sectional Study ◽

Cross Sectional ◽

Resident Attitudes ◽

Internal Medicine Residents ◽

Life Threatening ◽

Degree Of Participation ◽

Electrocardiogram Interpretation

BACKGROUND Interpretation of electrocardiograms (EKG) is an essential tool for every physician. Despite this, the diagnosis of life-threatening pathology on EKG remains suboptimal in trainees. The purpose of this study is to study resident attitudes and behaviours towards EKGs, and describe an innovative way to teach EKGs. OBJECTIVE Study attitudes and behaviours towards EKGs. Describe an innovative way to teach EKGs. METHODS Design: An observational cross-sectional study through an anonymous online survey of resident attitudes and comfort with EKG interpretation. This was followed by creation of a WhatsApp group for discussion and interpretation of EKGs with peers. At the end of the day, the official EKG interpretation was posted. Setting: Internal medicine residency at Southern Illinois University. Participants: Internal medicine residents Interventions: Creation of WhatsApp group to aid with EKG interpretation Measurements: A 17 item questionnaire, followed by detection of degree of participation in a WhatsApp group. RESULTS Forty-one out of 63 residents (65%) completed the survey. 85% of respondents thought that an interactive way to teach EKGs is the best method of teaching, and 73% did not feel confident interpreting EKGs. 30% often rely on automated EKG interpretation. Further analysis indicated that PGY-1 residents reported ordering fewer EKGs (correlation coefficient -0.399, p = 0.012) and were uncomfortable diagnosing QT prolongation on an EKG (correlation coefficient -0.310, p = 0.049). Residents in the third or greater year of training ordered more EKGs (correlation coefficient 0.379, p = 0.015), less frequently relied on the computer for EKG diagnosis (correlation coefficient 0.399, p = 0.010), and were comfortable diagnosing an acute myocardial infarction and atrial arrhythmias. CONCLUSIONS In conclusion, most IM trainees do not feel comfortable interpreting EKG, however, this does improve with PGY year. WhatsApp is a possible platform for teaching EKGs.

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