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Initial results of a structured rotation in hematology and transfusion medicine for anesthesiology residents
Annette Rebel1, Zaki-Udin Hassan, Leonard Boral
1Department of Anesthesiology, University of Kentucky Medical Center, Lexington, KY 40536, USA. arebe2@email.uky.edu
Study Objective:
To develop and evaluate a new curriculum in transfusion medicine for anesthesiology residents.
Study Design:
Quasi-experimental study.
Setting:
Single center, pilot curriculum in the anesthesiology residency program at a university-affiliated medical center.
Participants:
Group TM consisted of residents who participated in the one month-long transfusion medicine rotation in postgraduate year 2 (PGY2; n = 9). The comparison group (non-TM) consisted of residents who had no exposure to the transfusion medicine rotation (n = 21).
Measurements:
We compared results of the 2009 American Board of Anesthesiology In-Training Exam (ABA-ITE) 2009 by residents of our program with the national performance of residents in the first clinical anesthesia year (AMG CA1 = PGY-2) and second clinical anesthesia year (AMG CA2 = PGY-3) on transfusion medicine/hematology knowledge. Performance on a pre-test and post-test of those who took part in the transfusion medicine curriculum, and overall performance on the ABA-ITE, of departmental residents who had and had not participated in the Transfusion Medicine curriculum within the target knowledge area of hematology/transfusion medicine and compared against national peer performance data, was assessed. An anonymous electronic survey (5-Point Likert scale) was used to assess the perceived educational value of the curriculum.
Main Results:
Transfusion medicine-related knowledge of anesthesia residents markedly improved from the pre- to post-rotation examination and on the ABA-ITE. In the ABA-ITE 2009, the TM group performed better than their national peers (AMG CA1 and CA2) in the hematology content area. The post-rotation anonymous resident survey indicated high resident satisfaction.
Conclusions:
A structured transfusion medicine curriculum improved anesthesiology resident knowledge in transfusion medicine and was associated with high learner satisfaction.
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