Cross analysis of knowledge and learning methods followed by French residents in cardiology

• Published in: Archives of cardiovascular diseases 2015-08, Vol.108 (8), p.420-427
• Main Authors: Menet, Aymeric, Assez, Nathalie, Lacroix, Dominique
• Format: Article
• Language: English
• Subjects: Attitude of Health Personnel; Attitude to Computers; Auto-évaluation; Cardiologie; Cardiology; Cardiology - education; Cardiovascular; Computer-Assisted Instruction; Curriculum; Distance learning; E-learning; Education, Distance; Education, Medical, Graduate - methods; Educational Measurement; Educational Status; Enseignement; France; Humans; Internal Medicine; Internes; Internship and Residency; Learning; Residency; Self-Assessment; Surveys and Questionnaires; Teaching - methods; Training
• ISSN: 1875-2136; 1875-2128
• DOI: 10.1016/j.acvd.2015.03.001

Summary Background No scientific assessment of the theoretical teaching of cardiology in France is available. Aim To analyse the impact of the available teaching modalities on the theoretical knowledge of French residents in cardiology. Methods Electronic questionnaires were returned by 283 residents. In the first part, an inventory of the teaching/learning methods was taken, using 21 questions (Yes/No format). The second part was a knowledge test, comprising 15 multiple-choice questions, exploring the core curriculum. Results Of the 21 variables tested, four emerged as independent predictors of the score obtained in the knowledge test: access to self-assessment ( P = 0.0093); access to teaching methods other than lectures ( P = 0.036); systematic discussion about clinical decisions ( P = 0.013); and the opportunity to prepare and give lectures ( P = 0.039). The fifth variable was seniority in residency ( P = 0.0003). Each item of the knowledge test was analysed independently: the score was higher when teaching the item was driven by reading guidelines and was lower if the item had not been covered by the programme ( P < 0.001). Finally, 91% of students would find it useful to have a national source for each topic of the curriculum; 76% of them would often connect to an e-learning platform if available. Conclusions It is necessary to rethink teaching in cardiology by involving students in the training, by using teaching methods other than lectures and by facilitating access to self-assessment. The use of digital tools may be a particularly effective approach.