Web-Based Learning Portfolios in Pediatric Rheumatology
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Abstract
The national deficit of pediatric rheumatologists compounded by recent changes in residency training negatively impacts residents’ exposure to the field of pediatric rheumatology as well as their preparation in managing rheumatic illness and chronic illness in children. In response to these training constraints, we describe the development of a web-based construct called Web-Based Learning Portfolios (WBLP) in Pediatric Rheumatology that supports a longitudinal experiential curriculum through simulated problem-based learning about pediatric rheumatology. We discuss the feasibility and acceptability of Web-Based Learning Portfolios to promote a learner centered environment that motivates and engages learners to develop clinical reasoning in pediatric rheumatology. A curriculum for Web-based Learning Portfolios is developed based on a consensus of rheumatic concepts. A storyboard of the curriculum organizes the content into a longitudinal learning experience and links it to learning activities which enhance content interaction as well as instructional interaction with educators and peer learners. The curriculum is aligned with Bloom’s digital taxonomy. Learning and teaching transparency within the WBLP is developed by 1) linking the web-based construct’s content to ACGME (Accreditation Council on Graduate Medical Education) sub-competencies, and (2) strategically embedding formative assessments within it. Residents are administered satisfaction surveys about the web-based construct . In addition, residents are administered a pre and post clinical reasoning test in pediatric rheumatology based on script concordance ( SCT-PR). The effectiveness of Web-Based Learning Portfolios to promote a learner centered environment that develops learners’ ability to articulate and present their learning will enable its widespread dissemination to enhance clinical instruction and problem solving in pediatric rheumatology within pediatric residency training.
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