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      Pediatric trainees’ engagement in the online nutrition curriculum: preliminary results

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          Abstract

          Background

          The Pediatric Nutrition Series (PNS) consists of ten online, interactive modules and supplementary educational materials that have utilized web-based multimedia technologies to offer nutrition education for pediatric trainees and practicing physicians. The purpose of the study was to evaluate pediatric trainees’ engagement, knowledge acquisition, and satisfaction with nutrition modules delivered online in interactive and non-interactive formats.

          Methods

          From December 2010 through August 2011, pediatric trainees from seventy-three (73) different U.S. programs completed online nutrition modules designed to develop residents’ knowledge of counseling around and management of nutritional issues in children. Data were analyzed using SPSS version 19. Both descriptive and inferential statistics were used in comparing interactive versus non-interactive modules. Pretest/posttest and module evaluations measured knowledge acquisition and satisfaction.

          Results

          Three hundred and twenty-two (322) pediatric trainees completed one or more of six modules for a total of four hundred and forty-two (442) accessions. All trainees who completed at least one module were included in the study. Two-way analyses of variance (ANOVA) with repeated measures (pre/posttest by interactive/non-interactive format) indicated significant knowledge gains from pretest to posttest (p < 0.002 for all six modules). Comparisons between interactive and non-interactive formats for Module 1 (N = 85 interactive, N = 95 non-interactive) and Module 5 (N = 5 interactive, N = 16 non-interactive) indicated a parallel improvement from the pretest to posttest, with the interactive format significantly higher than the non-interactive modules (p < .05). Both qualitative and quantitative data from module evaluations demonstrated that satisfaction with modules was high. However, there were lower ratings for whether learning objectives were met with Module 6 (p < 0.03) and lecturer rating (p < 0.004) compared to Module 1. Qualitative data also showed that completion of the interactive modules resulted in higher resident satisfaction.

          Conclusions

          This initial assessment of the PNS modules shows that technology-mediated delivery of a nutrition curriculum in residency programs has great potential for providing rich learning environments for trainees while maintaining a high level of participant satisfaction.

          Electronic supplementary material

          The online version of this article (doi:10.1186/1472-6920-14-190) contains supplementary material, which is available to authorized users.

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          Most cited references26

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            Barriers to providing nutrition counseling by physicians: a survey of primary care practitioners.

            R Kushner (1995)
            Previous surveys have shown that there is a disparity between physicians' beliefs about the importance of diet and nutrition in health maintenance and disease prevention and the actual delivery of nutrition counseling. The primary objective of this study was to assess the current attitudes, practice behavior, and barriers to the delivery of nutrition counseling by primary care physicians. A random-sample-mailed questionnaire was sent to 2,250 primary care physicians selected from the AMA masterfile from general practice, internal medicine, and pediatrics, representing self-employed, group, hospital, and HMO practices. Participants were stratified by age, gender, geographical region, and present employment. The main outcome measures were to determine time spent by physicians providing and percentage of patients receiving dietary counseling and to identify barriers to the delivery of nutrition counseling. A 49% response rate (n = 1,103) was obtained. Results are presented for the 1,030 physicians (70% private practice) with complete data. Over two-thirds of physicians provide dietary counseling to 40% or less of patients and spend 5 or fewer min discussing dietary changes. Despite this pattern, nearly three-quarters of respondents feel that dietary counseling is important and is the responsibility of the physician. Ranking of perceived barriers to delivery of dietary counseling were lack of time, patient noncompliance, inadequate teaching materials, lack of counseling, training, lack of knowledge, inadequate reimbursement, and low physician confidence. This survey suggests that multiple barriers exist that prevent the primary care practitioner from providing dietary counseling. A multifaceted approach will be needed to change physician counseling behavior.
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              Instructional video in e-learning: Assessing the impact of interactive video on learning effectiveness

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                Author and article information

                Contributors
                kolewis@cmh.edu
                GFrank@nshs.edu
                rollin.nagel@osumc.edu
                tlturner@texaschildrens.org
                ferrellc@ohsu.edu
                shilpa.sangvai@nationwidechildrens.org
                rdonthi@chla.usc.edu
                John.Mahan@nationwidechildrens.org
                Journal
                BMC Med Educ
                BMC Med Educ
                BMC Medical Education
                BioMed Central (London )
                1472-6920
                16 September 2014
                16 September 2014
                2014
                : 14
                : 1
                : 190
                Affiliations
                [ ]Children’s Mercy Hospital, Department of Pediatrics, University of Missouri Kansas City School of Medicine, Kansas City, MO USA
                [ ]Cohen Children’s Medical Center, Division of Pediatric Endocrinology, Hofstra North Shore-LIJ School of Medicine, New Hyde Park, New York, USA
                [ ]The Ohio State University College of Medicine, Office of Evaluation, Curriculum Research and Development, Columbus, Ohio USA
                [ ]Baylor College of Medicine, Texas Children’s Hospital, Houston, Texas USA
                [ ]Oregon Health and Science University, Doernbecher Children’s Hospital, Portland, Oregon USA
                [ ]Nationwide Children’s Hospital, The Ohio State University College of Medicine, Columbus, Ohio USA
                [ ]Children’s Hospital Los Angeles, Keck School of Medicine of the University of Southern California, Los Angeles, California USA
                Article
                1021
                10.1186/1472-6920-14-190
                4179838
                25223502
                6dca4259-84e1-4fbd-a036-2bd5f9429f25
                © Lewis et al.; licensee BioMed Central Ltd. 2014

                This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 18 October 2013
                : 3 September 2014
                Categories
                Research Article
                Custom metadata
                © The Author(s) 2014

                Education
                nutrition modules,interactive modules,pediatric trainees,online nutrition curriculum
                Education
                nutrition modules, interactive modules, pediatric trainees, online nutrition curriculum

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