The impact of a hybrid online and classroom-based course on palliative care competencies of family medicine residents
- 6 October 2008
- journal article
- Published by SAGE Publications in Palliative Medicine
- Vol. 22 (8), 929-937
- https://doi.org/10.1177/0269216308094561
Abstract
The University of Calgary offers a palliative care course that involves both classroom- and web-based learning for rural-based family medicine residents. This study assessed the impact of the course on palliative care-related competencies for two classes: 2004 and 2005. Instruments were developed to evaluate pre- versus post-course changes in knowledge (15-item quiz), attitudes (12-item survey), self-perceived comfort levels (19-item survey) and skills (3 long Objective Structured Clinical Examination stations (OSCEs), with accompanying standardised score sheets). In all, 16 and 20 residents participated in the 2004 and 2005 classes, respectively. Internal reliability values were acceptable to very good (Knowledge Quiz, Kuder-Richardson 20 = 0.5; Attitude Scale, α = 0.68–0.78; OSCE score sheets, α = 0.63–0.89; Self-Perceived Comfort Survey, α = 0.89–0.92). Inter-rater reliability values of the OSCE score sheets were α = 0.87 to 0.92. There was a significant improvement in the pre- versus post-course performances in OSCE 2 for 2004 and 2005 ( P = 0.01; P = 0.01; d = 1.42 and 1.94, respectively). Despite statistically insignificant changes in the other OSCEs, acceptable to large effect sizes were noted ( d = 0.4–1.34) for OSCE 1 in 2004 and OSCEs 3 in 2004 and 2005. Knowledge improved significantly pre-versus post-course in 2004 and 2005 ( t = 4.44 and 8.99; d = 2.29 and 2.24, respectively). Significant improvements and large effect sizes were noted in the comfort scales, but a ceiling effect was noted in the communication subscale. This hybrid course resulted in significant improvements across four domains, knowledge, attitudes, self-perceived comfort scale, and skills, in 2 consecutive classes.Keywords
This publication has 20 references indexed in Scilit:
- Assessment in Medical EducationNew England Journal of Medicine, 2007
- Assessing undergraduate palliative care education: validity and reliability of two scales examining perceived efficacy and outcome expectancies in palliative careMedical Education, 2004
- Medicine and SpiritualityJAMA, 2004
- The interactive examination: assessing students' self-assessment abilityMedical Education, 2004
- Caring for dying patients?what are the attitudes of medical students?Supportive Care in Cancer, 2003
- Attitudes toward care of the terminally ill: An educational interventionAmerican Journal of Hospice and Palliative Medicine®, 2003
- Changing an Existing OSCE to a Teaching ToolAcademic Medicine, 2002
- Integrating the "New" with the "Traditional": An Innovative Education ModelJournal of Palliative Medicine, 2001
- Does competence of general practitioners predict their performance? Comparison between examination setting and actual practice.BMJ, 1991
- The assessment of clinical skills/competence/performanceAcademic Medicine, 1990