APGO

Background: As demand on the resident physician’s time increases, finding innovative, time efficient and effective ways to educate residents is becoming increasingly important. GNOSIS, an e-learning module manufactured by APS, aims to educate and improve resident clinical knowledge and judgement. 

Methods: A retrospective and prospective cohort study was performed at Baylor University Medical Center using 20 current Baylor OBGYN residents and 10 past residents between May 1st, 2013 and June 1st, 2016. Each resident completed the GNOSIS fetal heart assessment module and learning path, at least once. Some residents completed repeat assessments. Performance scores from all completed modules were included in data analysis. Performance was compared, using two-tailed t-tests, among Baylor residents and between Baylor residents and residents across the nation. A p value of 0.05 was used as the cutoff for statistical significance.

Results: Every BUMC resident class showed improvement in knowledge and judgement performance scores on second assessment. Baylor residents surpassed the national average on repeat assessment (78.4% vs. 69.4% on knowledge and 70.3 vs. 60.6% on judgment). Senior residents performed better on repeat assessment when compared to seniors who took the module once (83 % vs 79% on knowledge; 76% vs. 61 % on judgement).

Discussions: GNOSIS is a valuable tool for resident education on fetal heart tracing assessment. Improvement in clinical knowledge and judgement scores was noted for each group of residents following repeat assessments. GNOSIS is time efficient with 50% time savings.

Keywords: Ambulatory Education, Assessment, Curriculum Development/Evaluation, Evaluation of Clinical Performance, Instructional Materials/Methods