Use of Practice Based Learning Modules to Teach Primary Care Preventative Measures in Pediatric Residency

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ESPR282
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Abstract: :

Title: Use of Practice Based Learning Modules to Teach Primary Care Preventative Measures in Pediatric Residency

Background and Objective: Residents often feel uncomfortable with identifying developmental milestones, vaccine schedules, and preventive screenings. The objective of this study was to assess the understanding and comfort level of these topics at health supervision visits before and after participating in practice based learning modules (PBLs). 

Methods: Pediatrics residents participated in PBLs during their ambulatory clinics where they examined their practices and reflected on the appropriate use of developmental milestone assessments, vaccine schedules and preventive care screenings. We asked residents to complete pre-intervention and post-intervention surveys to assess whether the PBLs improved their knowledge and comfort level in regards to these topics. We also compared ITE data from before and after implementation of PBLs. 

Results: Analysis of the surveys demonstrated a statistically significant improvement in residents' comfort in choosing routine and special vaccine schedules as well as routine lab screenings. There was no significant difference in residents' comfort with assessing developmental milestones. ITE scores were evaluated and demonstrated a statistically significant improvement from 2018 to 2019, however these scores could not be matched to resident surveys, and thus this improvement is limited in its interpretation. 

Conclusion: The PBLs improved residents' comfort with routine and special vaccine schedules as well as routine lab screenings but did not demonstrate improvement in comfort with developmental milestones. Given the small sample size, we plan to increase the time allotted to complete PBLs. In the future, we would also work with the education office to match ITE scores with PBL survey data in a de-identified manner. 

University of Maryland Medical Center
Calvert Health Medical Center
University of Maryland School of Medicine
University of Maryland Medical Center

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