Abstract

BackgroundFew published studies have evaluated the effectiveness of changing the traditional curriculum of several hourly educational sessions per week to an academic half-day (AHD) educational format. This study describes our experience with implementing an AHD format in the Hematology-Oncology Fellowship Program at The University of Texas MD Anderson Cancer Center and evaluates the perceptions that learners had for this format.MethodsUsing a mixed quantitative and qualitative approach, we evaluated our AHD program using four yearly fellows’ surveys to assess the Hematology-Oncology Fellows’ perceptions of the effectiveness of the AHD format. We analyzed the fellows’ perceptions using descriptive statistics and thematic analysis of the qualitative data collected from the surveys. We used a quality improvement approach by implementing and testing changes to the AHD over 4 years on the basis of the data collected from the yearly fellows’ surveys. We also collected third-year fellows’ Oncology In Training Exam (ITE) scores from 2008 to 2014.ResultsWe found that the fellows perceived the AHD format favorably; fellows agreed that they had more motivation to attend AHD, more concentration during the sessions, more effective weekly work organization, and increased knowledge retention. We established the reliability of our survey tool (Cronbach’s alpha = 0.83) as well as content and construct validity. We saw an increasing trend in ITE scores since the AHD was implemented.ConclusionsOur results contribute to further understanding the effect of the AHD format on trainees. Using a continuous evaluation and an educational quality improvement strategy, we found that the AHD curriculum was associated with a rising trend in learners’ exam scores and increased learner satisfaction.Electronic supplementary materialThe online version of this article (doi:10.1186/s12909-015-0418-y) contains supplementary material, which is available to authorized users.

Highlights

  • Few published studies have evaluated the effectiveness of changing the traditional curriculum of several hourly educational sessions per week to an academic half-day (AHD) educational format

  • Though we cannot claim causality, In Training Exam (ITE) scores have improved since the implementation of the AHD, suggesting that the new learning program may have had a positive effect on learning outcomes

  • We found that fellows perceived the AHD format favorably; fellows agreed that they had more motivation to attend AHD, more concentration during the sessions, more effective weekly work organization, and more knowledge retention

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Summary

Introduction

Few published studies have evaluated the effectiveness of changing the traditional curriculum of several hourly educational sessions per week to an academic half-day (AHD) educational format. To the best of our knowledge and according to recent publications [1], no available validated survey exists to evaluate trainees’ perceptions about their AHD experience To address this gap in the literature, we present our experience and evaluate the evolution of the AHD format at The University of Texas MD Anderson Cancer Center Hematology-Oncology Fellowship Program and the validation of our survey tool. Many programs have fulfilled this requirement with noon conferences or other 1-h sessions several days a week Evidence about whether these didactic lectures in internal medicine residencies lead to long-term knowledge retention varies [3,4,5], Eid et al BMC Medical Education (2015) 15:139 and some studies suggest that resident performance is not necessarily enhanced by this educational structure [6]. This shift away from the traditional model could enhance knowledge acquisition and influence clinical performance, according to previous research on the AHD format [7]

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