A136: Assessing the Efficacy of Pediatric Rheumatology Video‐based Curriculum

Abstract

Background/Purpose:Musculoskeletal complaints are common in pediatrics. Practitioners are often under‐skilled in performing the musculoskeletal exam and deficient in basic knowledge regarding rheumatologic diseases. We sought to determine if learning the pediatric musculoskeletal exam and rheumatic conditions in a video‐enriched case‐based lecture series will improve their knowledge of rheumatic diseases.Methods:This prospective pre/post test single group design study was conducted at a pediatric tertiary care center with a pediatric residency. A convenience sample of students attending a monthly lecture series was included in this study. We designed a video case‐based curriculum; Pediatric Rheumatology Video‐based Curriculum (PRVC), using a disease specific video/image timeline to demonstrate abnormal physical findings. Novel features included: “voice over” explanation of findings while the patient is being examined, split screen display of abnormal vs. normal findings, graphics to highlight subtle findings seen in rheumatic diseases and evolution of physical exam with treatment. A single experimental group was administered a pretest prior to being exposed to the PRVC. After each intervention, effectiveness was assessed with a posttest. The primary outcome measure was measured by improvement on pre‐/post‐ intervention questionnaires using a paired t‐test. Secondary outcome measure was learner satisfaction assessed by a 5‐point Likert questionnaire.Results:Over a 10‐month period, 8 (1 hour) lectures were given to audiences consisting of medical students and pediatric residents. Eleven to 28 listeners performed an assessment pre and post‐test for each lecture. Based on pre‐test and post‐test results from each lecture, each lecture demonstrated statistically significant improvement for the learner (Table ). Similarly, respondents expressed overall satisfaction with an average score of 4.8 on a 5‐point Likert scale. Results for pre/post‐test improvement for each lecture Lecture Topic n Pre‐test (%) Post‐test (%) p value MSK (Musculoskeletal Exam) 15 66.7 80 0.01 JIA (Juvenile Idiopathic Arthritis) 24 44.2 78.6 <0.0001 ERA (Enthesitis Related Arthritis) 20 61.5 85.8 <0.0001 JDMS (Juvenile Dermatomyositis) 11 50 78.8 0.0005 SCL (Juvenile Scleroderma) 14 52.5 80.4 <0.0001 SARC (Juvenile Sarcoidosis) 28 53 96.4 <0.0001 SLE (Systemic Lupus) 18 51.4 78.2 0.0002 PFS (Periodic Fever Syndromes) 11 50 92.2 <0.0001 Overall 141 53.6 83.5 <0.00001 p value calculated using paired t‐testConclusion:The PRVC is a unique curriculum that demonstrated effectiveness and satisfaction as assessed by the learners.