@article{10.22454/PRiMER.2022.716258,
author = {Hahn, Thomas W. and Regner, Caitlin and Metzger, Emily and Zakletskaia, Larissa and Birstler, Jen},
title = {OB-Newborn TEACH Cards: A Curricular Tool for Maternal-Child Rotations That Influences Patient Care },
journal = {PRiMER},
volume = {6},
year = {2022},
month = {2},
doi = {10.22454/PRiMER.2022.716258},
abstract = {Introduction: Evidence-based medicine (EBM) teaching is most successful when integrated with patient care, but finding time for teaching on inpatient rotations is difficult. Obstetrics (OB)-Newborn TEACH (Teaching Evidence-based medicine And Clinical topics in the Hospital) Cards is a curricular tool for efficient teaching sessions on maternity care rotations. We evaluated the impact of OB-Newborn TEACH Cards on resident EBM attitudes and skills, exposure to clinical topics, and patient management.
Methods: OB-Newborn TEACH Cards includes 56 cards on obstetrics and newborn topics with background and foreground discussion questions. Residents on a family medicine maternal-child service completed pre- and postrotation surveys to assess the cards’ impact on EBM attitudes and skills. Faculty and residents also completed point-of-care surveys to assess the self-reported influence on management decisions.
Results: Of 24 potential resident participants, 58% completed pre- and postrotation surveys, which showed significant increase in perceived EBM skills like applying evidence to a clinical scenario (P=.04), but a decrease in reported attitudes that EBM is realistic (P=.028) and useful (P=.025). Residents agreed the cards exposed them to a variety of topics. Point-of-care surveys (n=58) indicated that 57% of the time respondents used a card to learn about a topic not related to a specific patient. When used to learn about specific patients, the cards influenced self-reported patient care 44% of the time.
Conclusion: OB-Newborn TEACH Cards are a promising inpatient teaching tool for improving perceived EBM clinical application, exposing residents to maternal-child topics, and influencing patient care decisions.},
URL = {https://journals.stfm.org//primer/2022/hahn-2021-0051/},
eprint = {https://journals.stfm.org//media/4634/primer-6-2.pdf},
}