E-Learning and Knowledge Management Communities for Residency Training Programs
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Abstract
E-Learning is becoming a key component of medical training. As work hour restrictions cut into on-the-job training time, electronic dissemination of teaching material and formative/evaluative assessments of trainees' mastery have become a way to provide education outside of the hospital setting. The need to electronically capture, classify and distribute didactics, including audio, video, slides, and journal articles, can be met by integrating learning management systems tailored to the teaching mission of active residency training programs.
As medical residents move through training, they consume and create a tremendous amount of educational artifacts, both clinical and institutional. This includes house staff manuals (documents maintained by trainees detailing various aspects of their changing roles) and monthly service handoffs. Traditionally, most of this institutional knowledge transfer has happened by word-of-mouth, on paper or, more recently, in proprietary document formats on shared networked drives with little or no metadata to support quick retrieval.
We have focused our work on three areas over the past six years: streamlining the creation of online educational material, creating a seamless online assessment workflow, and building collaborative knowledge management applications, such as forums and wikis with granular permission capability. Our objective has been the enhancement of the resident learning experience and cultivation of both learning artifact creation and discovery. Over this time period, over 700 residents from multiple programs have used the tools we have put in place. We have found that some of the more interesting challenges in implementing these technologies are tied to the transitory nature of both training cohorts and teaching staff.
As medical residents move through training, they consume and create a tremendous amount of educational artifacts, both clinical and institutional. This includes house staff manuals (documents maintained by trainees detailing various aspects of their changing roles) and monthly service handoffs. Traditionally, most of this institutional knowledge transfer has happened by word-of-mouth, on paper or, more recently, in proprietary document formats on shared networked drives with little or no metadata to support quick retrieval.
We have focused our work on three areas over the past six years: streamlining the creation of online educational material, creating a seamless online assessment workflow, and building collaborative knowledge management applications, such as forums and wikis with granular permission capability. Our objective has been the enhancement of the resident learning experience and cultivation of both learning artifact creation and discovery. Over this time period, over 700 residents from multiple programs have used the tools we have put in place. We have found that some of the more interesting challenges in implementing these technologies are tied to the transitory nature of both training cohorts and teaching staff.
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