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Flipping the Teachers: Impact of a Standardized Physiology Curriculum on Neonatology Medical Educators.

Publication ,  Journal Article
Johnston, LC; Falck, AJ; Vasquez, MM; Dadiz, R; French, H; Izatt, S; Bonachea, E; Karpen, HE; Carbajal, MM; Payne, A; Gillam-Krakauer, M; Gray, MM
Published in: Am J Perinatol
October 28, 2022

OBJECTIVE:  Academic physicians must teach elements in an Accreditation Council for Graduate Medical Education (ACGME)-mandated curriculum while balancing career development and clinical workload. Exploring educator perceptions on the learning environment and comparing two instructional methods (traditional didactics [TD] vs. flipped classroom [FC]) in one pediatric subspecialty may elucidate current challenges, barriers, and strategies to optimize learning and educator satisfaction. STUDY DESIGN:  A randomized trial comparing effectiveness and learner preference for FC versus TD physiology teaching was conducted in ACGME-accredited neonatal-perinatal medicine (NPM) fellowship programs in 2018 to 2019. Educator preferences were elicited through online surveys pre- and postintervention. Free-text comments were provided for questions exploring strengths, challenges, and opportunities in fellowship education. Statistical analysis included comparisons of demographics and pre-post-intervention educator responses between groups. Thematic analysis of text responses was conducted to identify common subthemes. RESULTS:  From 61 participating programs, 114 FC educators and 130 TD educators completed surveys. At baseline, all educators experienced professional satisfaction from teaching fellows, but noted challenges with time available to create and/or deliver educational content, limited content expertise amongst faculty, colleagues' limited enthusiasm toward educating fellows, and lack of perceived value of education by institutions given limited protected time or credit toward promotion. Postintervention, educators in both groups noted a preference to teach physiology using FC due to interactivity, learner enthusiasm, and learner-centeredness. FC educators had a 17% increase in preference to teach using FC (p = 0.001). Challenges with FC included ensuring adequate trainee preparation, protecting educational time, and providing educators with opportunities to develop facilitation skills. CONCLUSION:  Overall, NPM educators in a trial evaluating a standardized, peer-reviewed curriculum report professional satisfaction from teaching, but described logistical challenges with developing/delivering content. Educators preferred instruction using FC, but identified challenges with learner preparedness and ensuring adequate educator time and skill. Future efforts should be dedicated to addressing these barriers. KEY POINTS: · Many challenges exist for educators teaching neonatal-perinatal medicine fellows, including time, support, and recognition.. · Many educators preferred using flipped classroom methodology with a standardized curriculum due to interactivity and learner-centeredness.. · Benefits of a standardized, peer-reviewed curriculum include reduced preparation time, adaptability of content, and learning environment enhancement..

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Published In

Am J Perinatol

DOI

EISSN

1098-8785

Publication Date

October 28, 2022

Location

United States

Related Subject Headings

  • Obstetrics & Reproductive Medicine
  • 4204 Midwifery
  • 3215 Reproductive medicine
  • 3213 Paediatrics
  • 1114 Paediatrics and Reproductive Medicine
  • 1103 Clinical Sciences
 

Citation

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Johnston, L. C., Falck, A. J., Vasquez, M. M., Dadiz, R., French, H., Izatt, S., … Gray, M. M. (2022). Flipping the Teachers: Impact of a Standardized Physiology Curriculum on Neonatology Medical Educators. Am J Perinatol. https://doi.org/10.1055/a-1933-4893
Johnston, Lindsay C., Alison J. Falck, Margarita M. Vasquez, Rita Dadiz, Heather French, Susan Izatt, Elizabeth Bonachea, et al. “Flipping the Teachers: Impact of a Standardized Physiology Curriculum on Neonatology Medical Educators.Am J Perinatol, October 28, 2022. https://doi.org/10.1055/a-1933-4893.
Johnston LC, Falck AJ, Vasquez MM, Dadiz R, French H, Izatt S, et al. Flipping the Teachers: Impact of a Standardized Physiology Curriculum on Neonatology Medical Educators. Am J Perinatol. 2022 Oct 28;
Johnston, Lindsay C., et al. “Flipping the Teachers: Impact of a Standardized Physiology Curriculum on Neonatology Medical Educators.Am J Perinatol, Oct. 2022. Pubmed, doi:10.1055/a-1933-4893.
Johnston LC, Falck AJ, Vasquez MM, Dadiz R, French H, Izatt S, Bonachea E, Karpen HE, Carbajal MM, Payne A, Gillam-Krakauer M, Gray MM. Flipping the Teachers: Impact of a Standardized Physiology Curriculum on Neonatology Medical Educators. Am J Perinatol. 2022 Oct 28;
Journal cover image

Published In

Am J Perinatol

DOI

EISSN

1098-8785

Publication Date

October 28, 2022

Location

United States

Related Subject Headings

  • Obstetrics & Reproductive Medicine
  • 4204 Midwifery
  • 3215 Reproductive medicine
  • 3213 Paediatrics
  • 1114 Paediatrics and Reproductive Medicine
  • 1103 Clinical Sciences