431. A Novel Board Review Conference Positively Impacting ID Fellow In-Service Scores
Session: Poster Abstract Session: Innovations in Medical Education
Thursday, October 8, 2015
Room: Poster Hall
Posters
  • BR Poster most recent version 9-4-15 AM - VJ comments.pdf (884.1 kB)
  • Background:

    Case conference, journal club and grand rounds are classical components of ID Fellowship core conference curricula. Despite these conferences, our UAB fellow performances in the IDSA in-service training exam (ITE) scores were below the national average. In order to address this gap, we introduced a new ID teaching conference implementing active learning strategies, focused on providing additional exposure to ID topics not covered in our standard didactic core conferences.

    Methods:

    In the 2009 academic year, we created a new joint faculty and fellow interactive board review (BR) conference. The format was case-based, bi-monthly, with a minimum of 4 questions, prepared by faculty and fellows who typically derive questions from missed objectives from prior ITEs. Questions are projected to start the conference and faculty and fellows answer anonymously utilizing an audience response system (Turning Point®). Subsequently, our facilitator leads discussion and first calls on fellow attendees, then faculty, to share their responses and rationale with the overall goal to build shared knowledge. Besides factual knowledge, attendees share information on prior case experiences, test taking and question writing strategies. 

    Results:

    Table 1 displays the aggregate mean ITE scores by fellowship training year before (2008-2009) and after (2010-2015) the implementation of our 2009 BR conference.

     

    2008-09

    1st Year

    Mean Scores

    2nd Year

    Mean Scores

    3rd Year

    Mean Scores

    Prior to BR

    National (N=573)

    UAB (N=7)

    National (N=537)

    UAB (N=5)

    National

    (N=33)

    UAB

    (N=1)

    Test Scores

    439

    395*

    506

    415*

    546

    405*

     

    2010-15

    1st Year

    Mean Scores

    2nd Year

    Mean Scores

    3rd Year

    Mean Scores

    After BR

    National (N=1982)

    UAB (N=20)

    National (N=1995)

    UAB (N=21)

    National

    (N=171)

    UAB

    (N=8)

    Test Scores

    452

    510

    524

    576

    540

    562

    * Below national average

    Conclusion:

    Our novel BR conference has led to increased faculty and fellow collaboration and engagement in a valuable educational community resource that has favorably impacted our ITE performance. This active learning strategy could provide a platform for collaboration among ID fellowship training programs and a sustainable resource of valuable educational materials with broad applicability.

    Nathan Gundacker, MD, Infectious Disease, University of Alabama at Birmingham, Birmingham, AL, Victoria Johnson, MD, FIDSA, Birmingham VA Medical Center and University of Alabama at Birmingham School of Medicine, Birmingham, AL, James H. Willig, MD, MSPh, UAB, Birmingham, AL and Martin Rodriguez, MD, FIDSA, University of Alabama at Birmingham, Birmingham, AL

    Disclosures:

    N. Gundacker, None

    V. Johnson, None

    J. H. Willig, None

    M. Rodriguez, None

    Findings in the abstracts are embargoed until 12:01 a.m. PDT, Wednesday Oct. 7th with the exception of research findings presented at the IDWeek press conferences.