4.4 Article

Development and emergency implementation of an online surgical education curriculum for a General Surgery program during a global pandemic: The University of Southern California experience

Journal

AMERICAN JOURNAL OF SURGERY
Volume 221, Issue 5, Pages 962-972

Publisher

EXCERPTA MEDICA INC-ELSEVIER SCIENCE INC
DOI: 10.1016/j.amjsurg.2020.08.045

Keywords

Surgical education; COVID-19; Online video conferencing; Flipped classroom setting; Online curriculum

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This study presented a novel online curriculum that was successfully incorporated into traditional surgical educational programs and received positive feedback during the COVID-19 pandemic. Surveys showed that the majority of clinical residents and faculty preferred the online curriculum, with increased resident participation and completion of ABSITE practice questions.
Background: Physical distancing required by coronavirus disease 2019 (COVID-19) has limited traditional in-person resident education. We present our novel online curriculum for incorporation into traditional surgical educational programs. Methods: The online curriculum utilized weekly sub-specialty themed faculty and resident created lectures, ABSITE practice questions, and weekly sub-specialty synchronized readings. Attendance, resident and faculty surveys, and completed ABSITE practice questions evaluated for curriculum success. Curriculum was adapted as COVID-19 clinical restructuring ended. Results: 77% and 80% of clinical residents attended faculty lectures and resident led topic discussions as compared to 66% and 48% attending traditional in-person grand rounds and SCORE curriculum (both p > 0.05). 71.9% of residents and 16.6% of faculty reported improved resident participation while none reported decreased levels of participation (p < 0.001). 87.1% of residents and 66.7% of faculty preferred the online curriculum (p = 0.374). Completed ABSITE practice questions per resident increased from 21 to 31 questions/week (p = 0.541). Conclusion: Our online educational curriculum demonstrates success and can serve as a model for online restructuring of resident education. Published by Elsevier Inc.

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