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Didactic education in paediatric cardiology during the COVID-19 pandemic: a national fellow survey

Published online by Cambridge University Press:  16 November 2020

Madhusudan Ganigara*
Affiliation:
Division of Pediatric Cardiology, Cohen Children’s Medical Center of New York – Hofstra Northwell School of Medicine, New Hyde Park, NY, USA
Chetan Sharma
Affiliation:
Division of Pediatric Cardiology, Cohen Children’s Medical Center of New York – Hofstra Northwell School of Medicine, New Hyde Park, NY, USA
Fernando Molina Berganza
Affiliation:
Division of Pediatric Cardiology, Cohen Children’s Medical Center of New York – Hofstra Northwell School of Medicine, New Hyde Park, NY, USA
Krittika Joshi
Affiliation:
Division of Pediatric Cardiology, Cohen Children’s Medical Center of New York – Hofstra Northwell School of Medicine, New Hyde Park, NY, USA
Andrew D. Blaufox
Affiliation:
Division of Pediatric Cardiology, Cohen Children’s Medical Center of New York – Hofstra Northwell School of Medicine, New Hyde Park, NY, USA
Denise A. Hayes
Affiliation:
Division of Pediatric Cardiology, Cohen Children’s Medical Center of New York – Hofstra Northwell School of Medicine, New Hyde Park, NY, USA
*
Address for correspondence: M. Ganigara, MD, Division of Pediatric Cardiology, Cohen Children’s Medical Center of New York – Hofstra Northwell School of Medicine, 269-01 76th Ave, New Hyde Park, NY11040, USA. Tel: +1 516 601 7200; Fax: +1 516 601 7380. E-mail: mganigara@gmail.com

Abstract

The coronavirus disease 2019 (COVID-19) pandemic has had a profound impact on medical educational curricula. We aimed to examine the impact of these unprecedented changes on the formal education of paediatric cardiology fellows through a nationwide survey. A REDCap™-based voluntary anonymous survey was sent to all current paediatric cardiology fellows in the United States of America in May, 2020. Of 143 respondents, 121 were categorical fellows, representing over one-fourth of all categorical paediatric cardiology fellows in the United States of America. Nearly all (140/143, 97.9%) respondents utilised online learning during the pandemic, with 134 (93.7%) reporting an increase in use compared to pre-pandemic. The percentage of respondents reporting curriculum supplementation with outside lectures increased from 11.9 to 88.8% during the pandemic. Respondents considered online learning to be “equally or more effective” than in-person lectures in convenience (133/142, 93.7%), improving fellow attendance (132/142, 93.0%), improving non-fellow attendance (126/143, 88.1%), and meeting individual learning needs (101/143, 70.6%). The pandemic positively affected the lecture curriculum of 83 respondents (58.0%), with 35 (24.5%) reporting no change and 25 (17.5%) reporting a negative effect. A positive effect was most noted by those whose programmes utilised supplemental outside lectures (62.2 versus 25.0%, p = 0.004) and those whose lecture frequency did not decrease (65.1 versus 5.9%, p < 0.001). Restrictions imposed by the COVID-19 pandemic have greatly increased utilisation of online learning platforms by medical training programmes. This survey reveals that an online lecture curriculum, despite inherent obstacles, offers advantages that may mitigate some negative consequences of the pandemic on fellowship education.

Type
Original Article
Copyright
© The Author(s), 2020. Published by Cambridge University Press

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References

NW 1615 L. St, Washington S 800, Inquiries D 20036 U-419–4300 | M-419–4349 | F-419–4372 | M Most Americans say Coronavirus outbreak has impacted their lives. In: Pew Research Center’s Society Demographic Trends Project, 2020. Retrieved May 30, 2020. https://www.pewsocialtrends.org/2020/03/30/most-americans-say-coronavirus-outbreak-has-impacted-their-lives/ Google Scholar
Nicola, M, Alsafi, Z, Sohrabi, C, et al. The socio-economic implications of the Coronavirus and COVID-19 pandemic: a review. Int J Surg Lond Engl; 2020. https://doi.org/10.1016/j.ijsu.2020.04.018 CrossRefGoogle ScholarPubMed
CDC Coronavirus Disease 2019 (COVID-19). In: Centers for disease control and prevention, 2020. Retrieved May 30, 2020. https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/social-distancing.html Google Scholar
Wilkinson, TJ, Ali, AN, Bell, CJ, Carter, FA, Frampton, CM, McKenzie, JM. The impact of learning environment disruption on medical student performance. Med Educ 2013; 47: 210213. https://doi.org/10.1111/medu.12065 CrossRefGoogle ScholarPubMed
Harris, PA, Taylor, R, Thielke, R, Payne, J, Gonzalez, N, Conde, JG. Research electronic data capture (REDCap)–a metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform 2009; 42:377381. https://doi.org/10.1016/j.jbi.2008.08.010 CrossRefGoogle Scholar
Times TNY Coronavirus in the U.S. Latest Map and Case Count. New York: Times.Google Scholar
Ahmed, H, Allaf, M, Elghazaly, H. COVID-19 and medical education. Lancet Infect Dis 2020; 0: https://doi.org/10.1016/S1473–3099(20)30226–7 CrossRefGoogle ScholarPubMed
Murphy B. COVID-19: How the virus is impacting medical schools. In Am Med Assoc. 2020. Retrieved May 30, 2020. https://www.ama-assn.org/delivering-care/public-health/covid-19-how-virus-impacting-medical-schools Google Scholar
Goh, P-S, Sandars, J. A vision of the use of technology in medical education after the COVID-19 pandemic. MedEdPublish 9. 2020; https://doi.org/10.15694/mep.2020.000049.1 CrossRefGoogle Scholar
Program NRM NRMP Report. Appointment year is largest on record for physician fellowship matches. 2020. Retrieved May 30, 2020. https://www.prnewswire.com/news-releases/nrmp-report-2020-appointment-year-is-largest-on-record-for-physician-fellowship-matches-301010143.html Google Scholar
Guze, PA. Using technology to meet the challenges of medical education. Trans Am Clin Climatol Assoc 2015; 126:260270. Google ScholarPubMed
Mehta, NB, Hull, AL, Young, JB, Stoller, JK. Just imagine: new paradigms for medical education. Acad Med 2013; 88: 14181423. https://doi.org/10.1097/ACM.0b013e3182a36a07 CrossRefGoogle ScholarPubMed
Fordis, M, King, JE, Ballantyne, CM, et al. Comparison of the instructional efficacy of Internet-based CME with live interactive CME workshops: a randomized controlled trial. JAMA 2005; 294:10431051. https://doi.org/10.1001/jama.294.9.1043 CrossRefGoogle ScholarPubMed
David, A Cook Where are we with web-based learning in medical education? Med Teach 2006; 28:594598. https://doi.org/10.1080/01421590601028854 Google Scholar
Lewiss, RE, Hoffmann, B, Beaulieu, Y, Phelan, MB. Point-of-care ultrasound education. J Ultrasound Med 2014; 33: 2732. https://doi.org/10.7863/ultra.33.1.27 CrossRefGoogle ScholarPubMed
SPCTPD. Educational resources for fellows. 2020. Retrieved May 30, 2020. https://spctpd.org/Educational-Resources-for-Fellows Google Scholar
Maheshwari, S, Zheleva, B, Rajasekhar, V, Batra, B. e-Teaching in pediatric cardiology: a paradigm shift. Ann Pediatr Cardiol 2015; 8:1013. https://doi.org/10.4103/0974–2069.149512 Google ScholarPubMed
Maloney, S, Haas, R, Keating, JL, et al. Breakeven, cost benefit, cost effectiveness, and willingness to pay for web-based versus face-to-face education delivery for health professionals. J Med Internet Res 2012; 14: e47. https://doi.org/10.2196/jmir.2040 CrossRefGoogle ScholarPubMed
Tretter, JT, Windram, J, Faulkner, T, et al. Heart university: a new online educational forum in paediatric and adult congenital cardiac care. The future of virtual learning in a post-pandemic world? Cardiol Young 2020; 30: 560567. https://doi.org/10.1017/S1047951120000852 CrossRefGoogle Scholar