Your educational research network!

Spring 2014

• The mission of APPD LEARN is to conduct meaningful educational research that advances the training of future Pediatricians by developing and promoting participation and collaboration in research by program directors for the purpose of improving the health and well-being of children.

•Our vision is to advance exemplary pediatric education through collaborative educational research by Pediatric program directors.

Mission

Growth & Development

What APPD LEARN is… • Educational research network focused on

Pediatrics education (An AHRQ-registered PBRN)

• 120 participating programs; over half have already been in a network study

• Enterprise-quality data repository for archiving, sharing, citing data

• Longitudinal identifier codes for learners to permit studies over time and across projects

•Open to your program!

APPD LEARN programs

• Participation in research studies advancing Pediatrics Graduate Medical Education (GME)

• Consultation to help develop research projects •Opportunities for group authorship or

acknowledgment in study publications and institutional recognition

• Additional evidence in support of ACGME core program requirement II.B.5 (The faculty must establish and maintain an environment of inquiry and scholarship with an active research component)

And APPD LEARN is also…

•The only way to share resources •APPD Sharewarehouse developed exactly for

this

•A way to survey program directors •APPD Research and Scholarship Task Force

manages these

•A research funding source •APPD has Special Projects grants

•Only focused on milestones

What APPD LEARN is not…

Study Updates

• Partly supported by NBME •Goals: Examine feasibility of instruments for

assessing 9 Milestones in inpatient setting •Methods

• Direct observation (SCO, MSF instruments) • Feedback to residents • Overall milestone classifications • Learner survey

•Data collection complete (18 sites, 239 learners) • 7 manuscripts in process

Pediatrics Milestones Assessment Pilot

•Member-initiated study (Li and Gifford, PIs) •Research questions: How do residents

assess themselves using the Peds Milestones? How well do these self-assessments agree with assessments by CCCs and PDs? What factors affect the level of agreement? •Recruitment complete (48 active sites) •First round of data collection (self-

assessment) completed December 2013.

Validity of Resident Self-Assessment using Pediatric Milestones

•Member-initiated study (Kesselheim, PI) •Research questions:

• How do residents perceive their use of social networking sites?

• What do residents consider lapses of professionalism online, and how frequently are they observed?

• Do programs have policies/curricula about online professionalism, and how aware are residents of these?

• Data collection completed March 2014 (497 participating residents from 15 sites)

New Professionalism Challenges in Medical Training: An Exploration of Social Networking

Upcoming highlights

•Collaborative project with NBME and ABPF, follow-up to the PMAP study •Key inference: • Readiness to perform in the inpatient setting

without direct supervision

•Look for an RFA for content experts next week! •APPD LEARN member site recruitment

to begin in late Spring

Pediatrics Milestones Assessment Collaborative (Phase 1)

•Member-initiated study (Boyer, PI) •Research questions: •How do residents assess the balance of service

and education in their programs and does it change over time?

•How do residents and program directors differ in their perceptions of service and education using a set of standardized vignettes?

•Scheduled to begin in Fall 2014

Striving for the Optimal Balance between Service and Education

• Infrastructure pilot (Schwartz, PI) •Research question:

• How many and what proportion of residents applying to an APPD LEARN member program are ranked or matched at any APPD LEARN member program?

•To facilitate future member-initiated studies of admissions processes •Requests (encrypted) ROLs and match lists

from all APPD LEARN programs •Deidentified data will be made available to

all participating APPD LEARN programs

Resident admission feasibility study (RAFS) – enroll now!

And more…

•(Join APPD LEARN)

•Find a call for proposals on http://learn.appd.org

•Discuss your draft proposal with Alan

•Submit the proposal by email

•Respond to reviews by the Proposal Review Committee

How to propose a study

•Archives all APPD LEARN study data

•Will archive relevant non-APPD LEARN study data on request on similar terms • IIPE project data •APPD Special Projects data •Pediatrics Milestones data

APPD LEARN Dataverse

Advocate Lutheran General Hospital, Albany Medical Center, Baylor College of Medicine, Blank Children's Hospital, Boston Children’s Hospital, Boston Medical Center Program: Boston Combined Residency Program, Case Western Reserve University/University Hospital Case Medical Center/Rainbow Babies and Children's Hospital, Children's Hospital Medical Center of Akron/NEOUCOM, Children's Hospital of Philadelphia, Children's Hospital of Pittsburgh of UPMC, Children's National Medical Center, Cincinnati Children's Hospital, Cohen Children’s Medical Center, Mayo Clinic (Rochester), Dartmouth, East Tennessee State, Emory University School of Medicine, Erlanger (UT-COM Chattanooga), Florida State University, Harbor-UCLA, Indiana University, Inova Children’s Hospital, Jefferson Dupont, LSU - New Orleans, Massachusetts General Hospital for Children - MGHFC, Monmouth Medical Center, Morehouse, Nationwide Children’s Medical Center, Naval Medical Center -San Diego, New York Medical College at Westchester Medical Center, Northwestern University, Oregon Health and Science University, Our Lady of the Lake RMC, Penn State University/Milton S. Hershey Medical Center, Phoenix Children's Hospital, Rush University, Southern Illinois University, Stanford University, St Christopher's Hospital for Children, Stony Brook Long Island Children’s Hospital, Texas Tech University Health Science Center - Lubbock, UC Davis, UCLA, University of Arizona, University of Chicago Comer Children's Hospital, University of Colorado, University of Florida, University of Hawaii - Kapiolani MC, University of Illinois at Chicago, University of Kansas SOM - Witchita, University of Louisville School of Medicine, University of Michigan CS Mott Children's Hospital, University of South Alabama, University of South Carolina -Greenville Hospital System, University of South Florida, University of Tennessee, University of Texas Medical Branch - Galveston, University of Utah, University of Virginia Health System, University of Washington, University of Wisconsin - Madison, UTSW-Austin, Vanderbilt University, Vermont Children’s Hospital, Winthrop-University Hospital, Wright State University

Thanks to programs already engaged in APPD LEARN studies:

• Proposal Review Committee • Z. Leah Harris, MD, PRC Chair • Erika Abramson, MD • Jerry Larrabee, MD • Adam Rosenberg, MD • Heather McPhillips, MD • Daniel West, MD

• Educational Development Committee • Beatrice Boateng, PhD, EDC Chair • Marsha Anderson, MD • Priya Garg, MD • Susan Izak, MD

Thanks to APPD LEARN committee members (2012-2014)

•Join us!

•Keep in touch with us: http://learn.appd.org • Details on how to propose new studies • Information about training opportunities • How to obtain access to archived data

• Email us at: learn@appd.org

APPD LEARN: Connections