Abstract Details

Title Feasibility of a Resident-Created Multiple Choice Question of the Week to Augment Case Based Learning

Topic Research Methodology, Education, and History

Presentation(s) Research Methodology and Education Posters (7:00 AM-5:00 PM)

Poster/Presentation
Number 020

Background

Multiple-choice questions (MCQs) of clinical vignettes are the primary question type on board and licensing examinations. They are widely used in medical education and are a useful mechanism to reinforce learning points. During the 2020-2021 academic year, the chief residents of our neurology training program sought the feasibility of creating board-style questions based on cases presented at Morning Report.

Objective

To assess the feasibility of a chief resident-created question of the week (QOW) to enhance case-based learning.

Design/Methods After approval by the program directors, a chief resident was selected weekly to write a MCQ based on an instructive case presented in Morning Report from the prior week. MCQs were designed to feature a clinical vignette in the question stem. Images were added to augment select cases. The MCQs were distributed using Qualtrics, which generated a web link and tracked anonymous answers. Using current literature, detailed explanations for the correct and incorrect answers were instantly provided after the residents completed the MCQ. The Qualtrics link was added to the departmental weekly newsletter and labeled QOW. A chief-resident led educational conference for all residents on MCQ writing was also convened.

Results Fourteen MCQ questions were written by the chief residents and one question was distributed weekly in the departmental newsletter. On average, 13 of the possible 29 neurology residents (range 5-29) completed the MCQ each week. Question topics included neuroimmunology, neuromuscular medicine, pediatric neurology, vascular and critical care neurology, neuro-oncology, neuroinfectious disease, and cognitive neurology. The mean percentage of correct responses was 77.8% (range 42.9-100%). The response rate was higher in the first 6 weeks of the initiative.

Conclusions A chief resident initiated QOW initiative was feasible and led to neurology resident academic engagement and enrichment, which supplemented case-based learning. Next steps may include highlighting QOW at Morning Report to increase engagement and feedback.

Authors/Disclosures
Melvin Parasram, MD (NewYork-Presbyterian Hospital Queens) PRESENTER	Dr. Parasram has nothing to disclose.
Shamelia Loiseau, MD	Dr. Loiseau has nothing to disclose.
Andrea S. Yoo, MD (Weill Cornell Medicine)	Dr. Yoo has nothing to disclose.
	No disclosure on file
Jacqueline Stone, MD (Memorial Sloan-Kettering Cancer Center)	Dr. Stone has nothing to disclose.
Matthew S. Robbins, MD, FAAN (Weill Cornell Medicine)	Dr. Robbins has received personal compensation in the range of $500-$4,999 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for Springer. Dr. Robbins has received publishing royalties from a publication relating to health care. Dr. Robbins has a non-compensated relationship as a Board of Directors member, Education Program speaker with American Headache Society that is relevant to AAN interests or activities. Dr. Robbins has a non-compensated relationship as a Board of Directors member, Education Program speaker with New York State Neurological Society that is relevant to AAN interests or activities. Dr. Robbins has a non-compensated relationship as a Editorial Board Member with Continuum, American Academy of Neurology that is relevant to AAN interests or activities.