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

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

Dec 17, 2022 627 likes •813 views

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 OLeary 2 ,

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Improving medical students’ understanding of pediatric diseases through an innovative and tailored web-based digital pathology program with Philips Pathology Tutor (formerly PathXL)

Cathy Chen1, Bradley Clifford2, Matthew O’Leary2, Douglas J. Hartman1,3, Jennifer Picarsic1,4

1University of Pittsburgh School of Medicine, 2Pathology Informatics, Enterprise Pathology, 3Department of Pathology, UPMC, 4Department of Pathology, UPMC Children’s Hospital of Pittsburgh

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

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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

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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

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MODULE DESIGN

Five pediatric pathology e-modules created in Tutor

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

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MODULE TOPICS

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

  • Lung foreign body
  • Aspiration with endobronchial lung

biopsy

  • Vasculitis
  • Henoch-Schönlein purpura with skin

biopsy

  • Toxic ingestion
  • Acetaminophen overdose with liver

transplant

  • Failure to thrive
  • Cystic fibrosis with lung transplant
  • Glomerulopathies
  • Minimal change disease with renal biopsy

acetaminophen

  • verdose

Henoch- Schönlein Purpura

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PRE/POST-TESTS

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

Question Feedback Answer Feedback

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STUDY DESIGN

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

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PARTICIPATION RATES

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

123 26 9 164 35 13 20 40 60 80 100 120 140 160 180 Eligible Completed Pre-test Completed Post-test, Included in Analysis Number of Students Control Group Test Group

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PRE/POST-TEST SCORES

Pre-test Meana Post-test Meana Differences Pb Control Group (n=9) 3.78 3.78 0.00 1.00 Test Group (n=13) 3.38 4.31 0.92 0.01

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

aTotal mean scores were out of 5. bP values determined by using paired t test.

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END-OF-STUDY EVALUATION

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

25 10 20 75 90 80 10 20 30 40 50 60 70 80 90 100 Test questions improved understanding of pediatric diseases. Test questions helpful in assessing knowledge of pediatric pathology. Tutor program easy to use. Percentage of Responses

Strongly disagree/ disagree (%) Neutral/agree/ strongly agree (%)

n=5 n=15 n=2 n=18 n=4 n=16

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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

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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

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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