Deconstructing Pediatric Acute Lymphocytic Leukemia

Abstract This is an online module which is aimed at teaching medical students key concepts about Pediatric Acute Lymphocytic Leukemia. At the end of this module, the learner will be able to: (1) Recognize different presenting symptoms of leukemia in pediatric patients; (2) Describe proper and improp...

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Main Authors: David Gass, Harris Burstin, Sabrina Lee, So-Young Oh, Linda Tewksbury
Format: Article
Language:English
Published: Association of American Medical Colleges 2012-03-01
Series:MedEdPORTAL
Subjects:
Online Access:http://www.mededportal.org/doi/10.15766/mep_2374-8265.9112
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author David Gass
Harris Burstin
Sabrina Lee
So-Young Oh
Linda Tewksbury
author_facet David Gass
Harris Burstin
Sabrina Lee
So-Young Oh
Linda Tewksbury
author_sort David Gass
collection DOAJ
description Abstract This is an online module which is aimed at teaching medical students key concepts about Pediatric Acute Lymphocytic Leukemia. At the end of this module, the learner will be able to: (1) Recognize different presenting symptoms of leukemia in pediatric patients; (2) Describe proper and improper techniques used when delivering bad news to parents and patients; (3) Interpret complete blood count data and bone marrow aspirates to help create differential diagnoses, and (4) Recognize specific lab data and patient information to be able to categorize patients as having high- or low-risk Acute Lymphoblastic Leukemia. The learner will work on three representative cases: David's limp, Amy's rash, and Kevin's fever. Background: Different styles of computer-based learning are used in medical education to teach students concepts in time-efficient and interactive ways. Learning Activity Management System (LAMS), is a novel educational tool, which allows educators to use various multimedia formats (videos, images, audio clips and website links) to create a sequence of activities to teach specific concepts. Objective: To create an effective online interactive case-based module integrating basic and clinical science which teaches medical students about leukemia. Design/Method: After creating a module using LAMS, we asked all 3rd and 4th year medical students to complete the module and feedback questions during their pediatric clerkship. Our sample size consisted of 198 students over 2 years. 167 students completed both the module and online feedback survey and their responses were analyzed. In the survey, the students responded to 13 statements with a response of strongly disagree, somewhat disagree, neutral, somewhat agree or strongly agree. Also, there were four additional open-ended questions for students to provide comments. Results: 89% of respondents felt that the module integrated an adequate balance of basic and clinical science concepts. Over 70% felt that the module was an efficient use of their time and was more effective than studying using text. However, only 48% would use this module to specifically study for the pediatric shelf exam. Students felt that the module was interactive and allowed them to “think about the cases,” because of the case-based question/short answer format. Additionally, students enjoyed use of bone marrow aspirates in cases and the audio explanation of the details of the pathology. The least favorite portion of the module was the video demonstrating delivering bad news in an improper manner feeling that the video was “unnecessary” and at times “comical”. They felt the video with delivering bad news in a proper manner was “too long”, but “somewhat helpful.” Conclusion: Medical students felt this module was a nice supplemental tool to use, however, should not be the sole source of information for studying for the shelf exam. The LAMS online learning modules were relatively easy to create and use a variety of multimedia to explain concepts within pediatric clerkships.
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spelling doaj.art-3d9e9779eb2b41f8a75157eb4d26540e2022-12-21T19:38:09ZengAssociation of American Medical CollegesMedEdPORTAL2374-82652012-03-01810.15766/mep_2374-8265.9112Deconstructing Pediatric Acute Lymphocytic LeukemiaDavid Gass0Harris Burstin1Sabrina Lee2So-Young Oh3Linda Tewksbury41 New York Presbyterian Hospital2 New York University3 New York University4 New York University5 New York UniversityAbstract This is an online module which is aimed at teaching medical students key concepts about Pediatric Acute Lymphocytic Leukemia. At the end of this module, the learner will be able to: (1) Recognize different presenting symptoms of leukemia in pediatric patients; (2) Describe proper and improper techniques used when delivering bad news to parents and patients; (3) Interpret complete blood count data and bone marrow aspirates to help create differential diagnoses, and (4) Recognize specific lab data and patient information to be able to categorize patients as having high- or low-risk Acute Lymphoblastic Leukemia. The learner will work on three representative cases: David's limp, Amy's rash, and Kevin's fever. Background: Different styles of computer-based learning are used in medical education to teach students concepts in time-efficient and interactive ways. Learning Activity Management System (LAMS), is a novel educational tool, which allows educators to use various multimedia formats (videos, images, audio clips and website links) to create a sequence of activities to teach specific concepts. Objective: To create an effective online interactive case-based module integrating basic and clinical science which teaches medical students about leukemia. Design/Method: After creating a module using LAMS, we asked all 3rd and 4th year medical students to complete the module and feedback questions during their pediatric clerkship. Our sample size consisted of 198 students over 2 years. 167 students completed both the module and online feedback survey and their responses were analyzed. In the survey, the students responded to 13 statements with a response of strongly disagree, somewhat disagree, neutral, somewhat agree or strongly agree. Also, there were four additional open-ended questions for students to provide comments. Results: 89% of respondents felt that the module integrated an adequate balance of basic and clinical science concepts. Over 70% felt that the module was an efficient use of their time and was more effective than studying using text. However, only 48% would use this module to specifically study for the pediatric shelf exam. Students felt that the module was interactive and allowed them to “think about the cases,” because of the case-based question/short answer format. Additionally, students enjoyed use of bone marrow aspirates in cases and the audio explanation of the details of the pathology. The least favorite portion of the module was the video demonstrating delivering bad news in an improper manner feeling that the video was “unnecessary” and at times “comical”. They felt the video with delivering bad news in a proper manner was “too long”, but “somewhat helpful.” Conclusion: Medical students felt this module was a nice supplemental tool to use, however, should not be the sole source of information for studying for the shelf exam. The LAMS online learning modules were relatively easy to create and use a variety of multimedia to explain concepts within pediatric clerkships.http://www.mededportal.org/doi/10.15766/mep_2374-8265.9112ChildhoodAcute Lymphocytic LeukemiaALLBlood CountBlood Smear
spellingShingle David Gass
Harris Burstin
Sabrina Lee
So-Young Oh
Linda Tewksbury
Deconstructing Pediatric Acute Lymphocytic Leukemia
MedEdPORTAL
Childhood
Acute Lymphocytic Leukemia
ALL
Blood Count
Blood Smear
title Deconstructing Pediatric Acute Lymphocytic Leukemia
title_full Deconstructing Pediatric Acute Lymphocytic Leukemia
title_fullStr Deconstructing Pediatric Acute Lymphocytic Leukemia
title_full_unstemmed Deconstructing Pediatric Acute Lymphocytic Leukemia
title_short Deconstructing Pediatric Acute Lymphocytic Leukemia
title_sort deconstructing pediatric acute lymphocytic leukemia
topic Childhood
Acute Lymphocytic Leukemia
ALL
Blood Count
Blood Smear
url http://www.mededportal.org/doi/10.15766/mep_2374-8265.9112
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AT lindatewksbury deconstructingpediatricacutelymphocyticleukemia