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Self-Directed Learning among Internal Medicine Residents in the Information Age
Matthew Kelleher1, Rebecca E Miller1, Ashley Duckett1
1From the Department of Internal Medicine, University of Cincinnati College of Medicine, Cincinnati, Ohio, the Department of Internal Medicine, Virginia Commonwealth University, Richmond, the Division of General Internal Medicine, Medical University of South Carolina, Charleston, the Division of General Internal Medicine, Johns Hopkins Bayview Medical Center, Baltimore, Maryland, the Office of Population Health Surveillance, Tennessee Department of Health, Nashville, and the Department of Biostatistics, Virginia Commonwealth University, Richmond.
Residents dedicate significant time to self-directed learning (SDL), often during clinical duties. Modern medical trainees prioritize online resources over textbooks for their learning needs.
Area of Science:
- Medical Education
- Information Technology in Healthcare
- Resident Training
Background:
- The landscape of medical residency training is evolving due to technological advancements and a growing body of evidence.
- Understanding self-directed learning (SDL) habits among trainees is crucial for effective education.
Purpose of the Study:
- To describe the contemporary self-directed learning (SDL) practices of internal medicine residents.
- To identify current trends in resource utilization and time allocation for SDL.
Main Methods:
- A survey was administered to internal medicine residents across four university-affiliated programs in Spring 2017.
- Residents reported weekly hours spent on SDL, frequency of resource use, and preferred access methods (online vs. print, device type).
Main Results:
- 254 out of 384 residents (66%) responded to the survey.
- Residents spent more time on SDL during non-inpatient rotations (median 11 hours) versus inpatient rotations (median 7 hours).
- Nearly all residents (99%) used online point-of-care resources weekly, while most (77%) never used printed textbooks; desktop/laptop access was most common (47%).
Conclusions:
- Residents continue to engage in substantial SDL, with a significant portion occurring during clinical service.
- Current SDL practices reflect a shift towards digital resources and integrated learning during patient care.
- Educators must adapt to these evolving habits to effectively support and guide resident learning.
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