Teaching the Teachers: Report of an Effective Mixed-Method Course Training Clinical Educators to Provide Instruction in Musculoskeletal Care to Other Providers and Learners in Primary Care

Michael J. Battistone¹, Andrea M. Barker², Yasuharu Okuda³, William Gaught³, Gregory Maida³ and Grant W. Cannon⁴, ¹Rheumatology, Salt Lake City VA Medical Center and University of Utah, Salt Lake City, UT, ²General Internal Medicine, Salt Lake City VA Medical Center and University of Utah, Salt Lake City, UT, ³SimLEARN National Medical Center, Veterans Health Administration, Orlando, FL, ⁴Division of Rheumatology, Salt Lake City VA Medical Center and University of Utah, Salt Lake City, UT

Meeting: 2015 ACR/ARHP Annual Meeting

Date of first publication: September 29, 2015

Keywords: Education, educational innovation, educational research and musculoskeletal curriculum, medical

Session Information

Date: Tuesday, November 10, 2015

Title: Education Poster II

Session Type: ACR Poster Session C

Session Time: 9:00AM-11:00AM

Background/Purpose: The Veterans Affairs (VA) SimLEARN National Simulation Center, in collaboration with VA Salt Lake City, is developing a continuous professional education (CPE) program in musculoskeletal (MSK) care for clinical educators. The pilot program was presented at SimLEARN in February 2015.

Methods:

The 2-day course focused on evaluation and management of shoulder and knee pain in primary care. Curriculum included didactics, peer-teaching, standardized patients, technologically-enhanced simulation, and interactive sessions addressing clinical performance observation, effective feedback delivery, and principles of adult learning. After competency was observed by OSCE, trainees participated in a comprehensive, five-rotation objective structured teaching experience (OSTE) during which each participant was observed performing roles of simulated patient, evaluator, and learner. Learning was tracked by self-assessment using a 5-point Likert type scale (declarative knowledge) and by pre- and post-course OSCEs.

Results:

The pilot program included seven participants (four physicians, one nurse practitioner, two nurses). Post-course scores representing declarative knowledge and competence were higher than pre-course scores (4.5 vs. 2.8 for self-assessment; 4.5 vs. 0.9 for OSCE). Retrospective pre-course self-assessments were lower than prospective pre-course ratings (2.6 vs. 2.8), suggesting that participants downgraded their pre-course knowledge and skill after experiencing the course.

Conclusion:

The SimLEARN course is an effective model for CPE, demonstrating enhanced declarative knowledge and competency scores, and providing opportunities for reflective practice in education through multi-station OSTE.

Disclosure: M. J. Battistone, None; A. M. Barker, None; Y. Okuda, None; W. Gaught, None; G. Maida, None; G. W. Cannon, Amgen, 2.

To cite this abstract in AMA style:

Battistone MJ, Barker AM, Okuda Y, Gaught W, Maida G, Cannon GW. Teaching the Teachers: Report of an Effective Mixed-Method Course Training Clinical Educators to Provide Instruction in Musculoskeletal Care to Other Providers and Learners in Primary Care [abstract]. Arthritis Rheumatol. 2015; 67 (suppl 10). https://acrabstracts.org/abstract/teaching-the-teachers-report-of-an-effective-mixed-method-course-training-clinical-educators-to-provide-instruction-in-musculoskeletal-care-to-other-providers-and-learners-in-primary-care/. Accessed .

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