Pediatric Resident Engagement With an Online Critical Care Curriculum During the Intensive Care Rotation

Details

• Alternative Title:
  Pediatr Crit Care Med
• Personal Author:
  Daniel, Dennis A. ; Poynter, Sue E. ; Landrigan, Christopher P. ; Czeisler, Charles A. ; Burns, Jeffrey P. ; Wolbrink, Traci A.
• Description:
  Objectives
  
  Residents are often assigned online learning materials as part of blended learning models, superimposed on other patient care and learning demands. Data that describe the time patterns of when residents interact with online learning materials during the ICU rotation are lacking. We describe resident engagement with assigned online curricula related to time of day and ICU clinical schedules, using website activity data.
  
  Design
  
  Prospective cohort study examining curriculum completion data and cross-referencing timestamps for pre- and posttest attempts with resident schedules to determine the hours that they accessed the curriculum and whether or not they were scheduled for clinical duty. Residents at each site were cohorted based on two differing clinical schedules–extended duration (>24 hr) versus shorter (maximum 16 hr) shifts.
  
  Setting
  
  Two large academic children’ s hospitals.
  
  Subjects
  
  Pediatric residents rotating in the PICU from July 2013 to June 2017.
  
  Interventions
  
  None.
  
  Measurements and Main Results
  
  One-hundred and fifty-seven pediatric residents participated in the study. The majority of residents (106/157; 68%) completed the curriculum, with no statistically significant association between overall curriculum completion and schedule cohort at either site. Residents made more test attempts at nighttime between 6 PM and 6 AM (1,824/2,828; 64%) regardless of whether they were scheduled for clinical duty. Approximately two thirds of test attempts (1,785/2,828; 63%) occurred when residents were not scheduled to work, regardless of time of day. Forty-two percent of all test attempts (1,199/2,828) occurred between 6 PM and 6 AM while off-duty, with 12% (342/2,828) occurring between midnight and 6 AM.
  
  Conclusions
  
  Residents rotating in the ICU completed online learning materials mainly during nighttime and off-duty hours, including usage between midnight and 6 AM while off-duty. Increasing nighttime and off-duty workload may have implications for educational design and trainee wellness, particularly during busy, acute clinical rotations, and warrants further examination.
  
  
• Subjects:
  Article Child Critical Care Curriculum Duty Hours Graduate Medical Education Humans Internship And Residency Online Learning Prospective Studies Workload

  More +
• Source:
  Pediatr Crit Care Med. 21(11):986-991
• Pubmed ID:
  32590830
• Pubmed Central ID:
  PMC7597756
• Document Type:
  Journal Article
• Funding:
  R01 OH010300/OH/NIOSH CDC HHSUnited States/ ; R01 OH011773/OH/NIOSH CDC HHSUnited States/ ; U01 HL111478/HL/NHLBI NIH HHSUnited States/ ; U01 HL111691/HL/NHLBI NIH HHSUnited States/
• Volume:
  21
• Issue:
  11
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:bf654337c78613bd1c17933527299b8856bf61c91d04b61dd05d1a9ba16f7e42
• Download URL:
  https://stacks.cdc.gov/view/cdc/105711/cdc_105711_DS1.pdf
• File Type:
  [PDF - 677.36 KB ]