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Mastering diagnostic skills: Enhancing proficiency in otitis media, a model for diagnostic skills training

Kaleida, PH and Ploof, DL and Kurs-Lasky, M and Shaikh, N and Colborn, K and Haralam, MA and Ray, S and Kearney, D and Paradise, JL and Hoberman, A (2009) Mastering diagnostic skills: Enhancing proficiency in otitis media, a model for diagnostic skills training. Pediatrics, 124 (4). ISSN 0031-4005

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OBJECTIVE: We developed a program for training in the diagnosis of otitis media that included images illustrating various otoscopic findings, mnemonic guides to recollection, and discrimination sessions that included feedback and assessments of diagnostic skills. METHODS: We prepared a computerized, interactive curriculum, Enhancing Proficiency in Otitis Media (ePROM), that was centered around assemblages of clinically diverse, still and video images of tympanic membranes (TMs). To assess curriculum effectiveness, we constructed a test, the Diagnostic Ear Assessment Resource, that consisted of 50 video TM images. We administered the test to 84 residents in pediatrics or family practice who had not been exposed to ePROM and, varying the order in which the images were presented, to another group of 102 residents in the same programs both before and after exposure to ePROM. RESULTS: Mean proportions of correct diagnoses in the Diagnostic Ear Assessment Resource were larger among residents who had been exposed to ePROM than among residents at comparable levels of training who had not been exposed (67% vs 62%; P=.007). Among residents exposed to ePROM, mean proportions of correct diagnoses were larger after exposure than before (67% vs 55%; P < .001). CONCLUSION: A structured, computerized curriculum to supplement standard clinical training can enhance residents' abilities to interpret still and video images of TMs and may improve their skills in diagnosing otitis media. Copyright © 2009 by the American Academy of Pediatrics.


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Item Type: Article
Status: Published
CreatorsEmailPitt UsernameORCID
Kaleida, PH
Ploof, DLdlp6@pitt.eduDLP6
Kurs-Lasky, M
Shaikh, Nnas67@pitt.eduNAS67
Colborn, K
Haralam, MA
Ray, S
Kearney, Ddhk14@pitt.eduDHK14
Paradise, JL
Hoberman, Aalejo@pitt.eduALEJO
Date: 13 October 2009
Date Type: Publication
Journal or Publication Title: Pediatrics
Volume: 124
Number: 4
DOI or Unique Handle: 10.1542/peds.2008-2838
Schools and Programs: Graduate School of Public Health > Biostatistics
School of Medicine > Pediatrics
Refereed: Yes
ISSN: 0031-4005
MeSH Headings: Acute Disease; Adult; Clinical Competence; Competency-Based Education; Computer-Assisted Instruction; Education, Medical, Graduate--methods; Hospitals, Pediatric; Humans; Internship and Residency; Male; Models, Educational; Otitis Media--diagnosis; Otitis Media with Effusion--diagnosis; Otoscopy; Pennsylvania; Video Recording
PubMed ID: 19786431
Date Deposited: 10 Sep 2012 14:45
Last Modified: 02 Feb 2019 16:56


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