OnLine Learning: Pediatric Primary Care Curriculum

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On-Line LearningPediatric Primary Care
Curriculum

• Melissa Klein, MD
• Raymond Baker, MD, MEd
• Zeina Samaan, MD
• Amy Guiot, MD

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Implementation

• Development of the pediatric primary care
  curriculum
• Organized into learning modules
• Content presented in a standardized format
• Accessed entirely online
• Derived from the APA Educational Guidelines for
  Pediatric Residency Training
• Modules are tracked electronically for
  documentation purposes

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Implementation

• The decision to present the primary care
  curriculum online was based on
• The need to reach all of the residents with the
  same information
• 115 continuity residents at 33 different
  community continuity clinic sites
• 52 continuity residents in the Pediatric Primary
  Care Center

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Implementation

• The decision to present the primary care
  curriculum online was based on
• The asynchronous, anytime, anywhere ability
• The need to document the residents accessing the
  content of the curriculum
• The experience of the project director in the use
  of Blackboard, an e-learning platform

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Implementation

• Blackboard
• Ability to present content in multiple formats
  using multimedia
• Power Point presentations with or without voice
  over
• Streaming audio and video
• Hyperlinks
• Ability to track and document use
• Accessed at multiple sites within the hospital,
  off campus medical facilities, and at home

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Implementation

• Curricular content topics were selected and
  developed into Learning Modules (20 outpatient
  and 11 inpatient)
• Learning modules were created by various
  attending physicians
• Each chose their own format to present their
  topic information
• Each module was loaded onto Blackboard

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Continuity Pediatric Primary Care Curriculum
Outpatient Topics

• Immunizations
• Nutrition and feeding in infants
• Screening tests in health maintenance supervision
• Dental issues
• Social issues
• Common rashes in primary care pediatrics
• Failure to thrive in infancy
• Obesity in infants and children
• Behavior management and discipline
• Enuresis

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Continuity Pediatric Primary Care Curriculum
Outpatient Topics

• Encopresis and constipation
• Common behavior issues
• Mealtime behaviors
• Bedtime behaviors
• Sibling rivalry
• Homework issues
• Sexuality in infants and children
• ADHD evaluation and management
• Management of children with chronic illnesses
• Development of a pedigree as part of the family
  history

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Continuity Pediatric Primary Care Curriculum
Inpatient Topics

• Acute Gastroenteritis
• Fever of Unknown Source
• Bronchiolitis
• Reactive Airways Disease and Asthma
• Pneumonia

• Meningitis
• Failure To Thrive
• Herpes Simplex Virus Infections
• Urinary Tract Infection in Children
• Apparent Life-Threatening Event
• Hyperbilirubinemia

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Implementation

• Each Outpatient Learning Module was accompanied
  by a mandatory online survey
• Used document participation
• Elicit feedback from the learners
• Surveys addressed
• Ease of access
• Length of time needed to review the content
• Place the content was reviewed
• Opinions regarding the content
• Online primary care curriculum was implemented in
  July 2006

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Samples from Lecture Modules

• Standard Power Point lectures
• Fun with Power Point
• Dental
• Voice-Over
• Links to articles or websites
• Pediatric Screening
• Videos
• Behavior Modules

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Standard Power Point

• Molluscum Contagiosum
• Dome to umbilicated dome-shaped
• White to tan to gray
• Face (periorbital), axillary, crural,
  antecubital, trunk
• Molluscipox virus

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Available at http//www.dermis.net/pedoia/en/list
/m/search.htm
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Standard Power Point

• Feeding Issues
• The Messy Eater
• My baby is a really messy eater. How can I fix
  this? Is it normal?

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Fun with Power Point

• Dental Module
• Example 1
• What dose of fluoride concentration should be
  prescribed for a 3mo infant living in a
  non-fluorinated community?
• Click on tooth for answer

• None child less than 6months of age

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Links to Articles or Websites

• Health Supervision for children with Down
  Syndrome
• Click on the following link for details Health
  Supervision for Children With Down Syndrome --
  Committee on Genetics 107 (2) 442 -- Pediatrics

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Video Clips

• Teaching Time Out
• You have to sit on the time-out chair because you
  hit your sister. Now sit there until I tell you
  to get up.
• This should be said firmly and with a cross
  look, but not yelled. Subsequently, the parent
  should just return the child to the time-out
  chair without speaking and leave after putting
  him back in position. Click here for Scene One

Available at http//www.supernanny.us.com/TV-Sho
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Current Project

• Implementation of the online curriculum for
  Intern class
• Study to evaluate effectiveness, ease of use and
  feedback on the module content
• Ability to track the percentage of interns who
  complete each module
• Initial goal 100
• Averaging 74
• Average percentage of residents who attend
• Noon conference 24-30 (40-50 of 168)

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Whats Next

• Learning modules for PL-2s starting in July 2007
• Standardization of learning modules
• Learning objectives
• Powerpoint with content
• Supplemental hand-outs, information, parent
  information
• Links to journal review articles
• Five-question quiz multiple choice and
  true/false

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Questions?