An Internet‐Based Consult Curriculum for Hospitalists

1Johns Hopkins, Baltimore, MD

Meeting: Hospital Medicine 2009, May 14-17, Chicago, Ill.

Abstract number: 113

Background:

JHCME.com is a free consultative medicine curriculum created for the 20,000 hospitalists in the profession. Now in its second year, the Web site is a response to the growing role that hospitalists play in consultative medicine. According to a 1998 survey of hospitalists, “almost all hospitalists provide preoperative evaluation”. The 2007‐2008 Society of Hospital Medicine survey revealed that consultations comprise 8.2% of tollable encounters. Although the ACGME requires a “consultative experience” for internal medicine residents, the lack of a defined curriculum has left residents and hospitalists with inadequate formal exposure to consult medicine issues. We chose an online continuing medical education format after a systematic review concluded that “CME appears to be effective at the acquisition and retention of knowledge”. Moreover, another study revealed that an Internet‐based curriculum for internal medicine residents improved knowledge.

Purpose:

Describe the demographics of JHCME.com learners and their evaluations of the modules.

Description:

The curriculum consists of 12 interactive modules. Each module has a pretest‐didactics‐posttest format. The didactic section introduces topic summaries only after learners answer a multiple‐choice question on the subject. Pop‐up message screens provide feedback on the answers selected by the learner. Since July 1, 2008, 988 users have signed up for the Web site. Six hundred of the users (61%) have completed a residency program. Two hundred and eighty‐four of She learners (29%) are currently residents. Eighty‐seven percent of the attending physicians are internal medicine trained and almost all of them (91%) perform general medicine consults. More than 50% of the attendings have completed their residency in the last 6 years. Another 26% completed residency 7–15 years ago. Seventy‐eight percent of the attendings spend 60% or more of their time caring for inpatients. Sixty‐six percent of the attendings received 4 weeks or less of general medicine consult training during residency, and 18% received no training in consult medicine. Almost all of the attendings (92%) perform perioperative cardiac evaluations. Since July 3, 2008, more than 1100 modules have been completed. The first 3 modules introduced in 2008 have been completed more than 100 times each. Ninety‐five percent or more of all readers stated that the modules would “change” their practice. On a scale of 1‐4, the average quality of the content was 3.83 or higher. Greater than 72% of learners rated each module as “better than average” CME. The majority of the learners thought about 25% of the content was new to them. More than 50% of the users prefer online CME to other forms of CME.

Conclusions:

JHCME.com is affecting the education of hospitaiists. Most of the attendings have finished their residency in the last 6 years and received 4 weeks or less of training in consult medicine. Almost all of them perform perioperative cardiac consults. Their evaluations of the modules are very positive. The modules are changing the way that the learners practice medicine. The content of the modules is rated very highly.

2008 Module Evaluations

Author Disclosure:

L. Feldman, Merck, unrestricted educational grant.

To cite this abstract:

Feldman L. An Internet‐Based Consult Curriculum for Hospitalists. Abstract published at Hospital Medicine 2009, May 14-17, Chicago, Ill. Abstract 113. https://www.shmabstracts.com/abstract/an-internetbased-consult-curriculum-for-hospitalists/. Accessed December 10, 2018.

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