Interested in participating in a fun, meaningful and needed med-ed project from the start? Do you like gaming and want to bring in fun gaming strategies into an interactive curriculum? Then read on!

Background

Developmental & Behavioral Pediatric (DBP) issues are quite common in resident continuity clinic, particularly when those clinics are in underserved areas (e.g., FQHCs). Residents often feel underprepared to handle Developmental & Behavioral Pediatric (DBP) concerns in their continuity clinics. However, providing training to residents can be difficult! Barriers include contending with time/space in busy morning/noon conference schedules, residents not completing pre/post surveys for statistical analysis/outcomes, getting all residents at one go and making training interactive rather than passive or asynchronous. Few residents pursue careers in DBP despite there being great need for providers, which means those in primary care are often left to manage DBP issues...however these residents and even primary care attendings report feeling underprepared to handle DBP issues. Additionally, finding faculty to teach this content can be difficult, and when relying on advanced trainees to deliver content (e.g., fellows) it is helpful to have curricular resources for them to use to ensure standardization of material delivery and content as well as to make best use of busy fellow time. Lastly, the ACGME requires knowledge in DBP domains, and our program scores shows there is room for improvement in this area.

To develop a curriculum that promotes practical resident knowledge acquisition in the initial evaluation and management of common DBP issues ((behavioral/parenting concerns, ADHD, autism) in primary care.

To increase resident knowledge about resources in the management of the above, and to support families and their children.

To strengthen the interaction of our DBP team with residents, with the hopes of attracting them into primary care and or DBP.

To create an easy to use set of curricular resources for DBP fellows to use to teach residents about the management of common DBP issues and for other programs to be able to implement at their institutions.

- We are looking for one or more research associates (RAs) to assist with our project

- We are currently at the early stages, determining curricular goals and objectives, and delivery format

- We are collaborating with our DBP colleagues at UW-Madison, in addition with our DBP here at UofC - so this will be a two site project

- We are looking to create three sessions for this initial pilot, with plans to build out other topics in the following year

- Sessions are 1 hour, including 5 mins pre and post survey time built in with unique identifiers

- Sessions will be INTERACTIVE and PRACTICALLY FOCUSED, with take away resources (e.g., QR code to online folder with handout of resources, flow charts / pathways to assist in management and resource familiarity)

- As such, we want to bring in gamification techniques to enhance interactivity of sessions, as well as the use of Video Cases (especially parenting / toddler behavior cases - examples & how to respond to behaviors)

- Outcomes will include Resident Pre-simulation knowledge/attitudes test - one for each module, Resident Post-simulation knowledge/attitudes test - one for each module, Resident 6mo follow-up regarding use of skills learned, attitudes, & impact of course interest in primary care/DBP, analysis of program in-training exam scores (ITE) pre/post curricular launch

- Note, we'll need to apply for IRB, but anticipate this will be IRB exempt based on it being a curricular innovation that we plan to institute as part of our program

No required software, but looking for RA(s) that have a background in RedCAP for data collection & analysis, and particularly looking for students that have an interest or background in gaming strategies and incorporating these into our sessions in a meaningful, fun and engaging way! Some examples:

Gaming strategies, others

https://nearpod.com/activities-learning-games (Time to climb, Matching Pairs, Draw it)

https://kahoot.com/ (create interactive quizzes that include challenges, rewards, competition)

https://www.edapp.com/template-library/games/ (learning management system that allows gamification of lesson plans)

https://quizlet.com/features/live

Serious Games

Ready Made:

https://dev.thebrainarchitecturegame.com/ Brain Architecture Game

https://www.povertysimulation.net/about/ Poverty Simulator

Maternal Child Health Life Course https://www.citymatch.org/mch-life-course/

Ones that could be made:

ADOS Jenga, Milestones Jeopardy, Nam that Disorder

Modules for Evaluation of Educational Games (MEEGA) http://www.gqs.ufsc.br/quality-evaluation/meega-plus/

Flipped Classroom: https://www.mededonthego.com/pediatrics

Pitt MB, Borman-Shoap EC, Eppich WJ. Twelve tips for maximizing the effectiveness of game-based learning. Med Teach. 2015;37(11):1013-7. doi: 10.3109/0142159X.2015.1020289. Epub 2015 Mar 17. PMID: 25776226.

Dissemination Avenues includes publication of our curricula and resources on MedEd PORTAL, as well as presentation in forums like the Pediatric Academic Societies (PAS) Meeting, Association of Pediatric Program Directors meetings, and DBP related conferences like the Society for Developmental and Behavioral Pediatrics.