diseases through an innovative and tailored web-based digital - PowerPoint PPT Presentation

Improving medical students’ understanding of pediatric diseases through an innovative and tailored web-based digital pathology program with Philips Pathology Tutor (formerly PathXL) Cathy Chen 1 , Bradley Clifford 2 , Matthew O’Leary 2 , Douglas J. Hartman 1,3 , Jennifer Picarsic 1,4 1 University of Pittsburgh School of Medicine, 2 Pathology Informatics, Enterprise Pathology, 3 Department of Pathology, UPMC, 4 Department of Pathology, UPMC Children’s Hospital of Pittsburgh UPMC Children’s Hospital of Pittsburgh University of Pittsburgh School of Medicine

BACKGROUND • Online “e - modules” are used in medical education to enhance traditional learning • Limited studies on integrating digital pathology with case-based modules during clinical rotations • Clinical e-modules often lack histopathology correlates of diseases • None focused on pediatric pathology • Minimal time devoted to pathology teaching • To address this gap, we created histopathology case-based e- modules to complement the pediatric clerkship curriculum and enhance medical students’ understanding of pediatric diseases UPMC Children’s Hospital of Pittsburgh University of Pittsburgh School of Medicine

PHILIPS PATHOLOGY TUTOR • Tutor, formerly PathXL, is an interactive web-based digital pathology program • Licensed through UPSOM Department of Pathology, Division of Informatics • Username and password required to log in to the website at pathxl.upmc.com • Free for medical students to use • No programs to download UPMC Children’s Hospital of Pittsburgh University of Pittsburgh School of Medicine

MODULE DESIGN Five pediatric pathology e-modules created in Tutor UPMC Children’s Hospital of Pittsburgh University of Pittsburgh School of Medicine

MODULE TOPICS • Lung foreign body • Aspiration with endobronchial lung biopsy • Vasculitis • Henoch-Schönlein purpura with skin biopsy acetaminophen • Toxic ingestion overdose • Acetaminophen overdose with liver transplant Henoch- • Failure to thrive Schönlein • Cystic fibrosis with lung transplant Purpura • Glomerulopathies • Minimal change disease with renal biopsy UPMC Children’s Hospital of Pittsburgh University of Pittsburgh School of Medicine

PRE/POST-TESTS Question Feedback Answer Feedback UPMC Children’s Hospital of Pittsburgh University of Pittsburgh School of Medicine

STUDY DESIGN UPMC Children’s Hospital of Pittsburgh University of Pittsburgh School of Medicine

PARTICIPATION RATES 180 164 160 140 123 Number of Students 120 100 80 60 35 40 26 13 20 9 0 Eligible Completed Pre-test Completed Post-test, Included in Analysis Control Group Test Group UPMC Children’s Hospital of Pittsburgh University of Pittsburgh School of Medicine

PRE/POST-TEST SCORES Pre-test Mean a Post-test Mean a Differences P b Control Group 3.78 3.78 0.00 1.00 (n=9) Test Group 3.38 4.31 0.92 0.01 (n=13) a Total mean scores were out of 5. b P values determined by using paired t test. UPMC Children’s Hospital of Pittsburgh University of Pittsburgh School of Medicine

END-OF-STUDY EVALUATION 100 90 90 n=18 80 80 75 n=16 n=15 Percentage of Responses 70 60 Strongly disagree/ 50 disagree (%) 40 Neutral/agree/ strongly agree (%) 30 25 20 20 n=5 n=4 10 10 n=2 0 Test questions improved Test questions helpful in Tutor program easy to use. understanding of pediatric assessing knowledge of diseases. pediatric pathology. UPMC Children’s Hospital of Pittsburgh University of Pittsburgh School of Medicine

DISCUSSION • Limitation of study • Low participation rate due to voluntary participation and no dedicated time • Strength of study • Control group to evaluate effect of exposure of e-modules UPMC Children’s Hospital of Pittsburgh University of Pittsburgh School of Medicine

CONCLUSIONS • Students responded favorably to the new technology • Time constraints were a significant barrier to study participation • Pilot data suggest that pediatric pathology e-modules may improve medical students’ understanding of key pediatric diseases • Data limited by small sample size and low participation rate • Our model may serve as a pilot for other medical education platforms UPMC Children’s Hospital of Pittsburgh University of Pittsburgh School of Medicine

QUESTIONS? Cathy Chen, chen.cathy@medstudent.pitt.edu Dr. Jennifer Picarsic, picarsicj@upmc.edu Acknowledgements: Thanks to the UPMC Division to the Pathology Informatics, Enterprise Pathology, and University of Pittsburgh School of Medicine Student Research Program UPMC Children’s Hospital of Pittsburgh University of Pittsburgh School of Medicine