Cross analysis of knowledge and learning methods followed by French residents in cardiology.
BACKGROUND
No scientific assessment of the theoretical teaching of cardiology in France is available.


OBJECTIVE
To analyse the impact of the available teaching modalities on the theoretical knowledge of French residents in cardiology.


METHODS
Electronic questionnaires were returned by 283 residents. In the first part, an inventory of the teaching/learning methods was taken, using 21 questions (Yes/No format). The second part was a knowledge test, comprising 15 multiple-choice questions, exploring the core curriculum.


RESULTS
Of the 21 variables tested, four emerged as independent predictors of the score obtained in the knowledge test: access to self-assessment (P=0.0093); access to teaching methods other than lectures (P=0.036); systematic discussion about clinical decisions (P=0.013); and the opportunity to prepare and give lectures (P=0.039). The fifth variable was seniority in residency (P=0.0003). Each item of the knowledge test was analysed independently: the score was higher when teaching the item was driven by reading guidelines and was lower if the item had not been covered by the programme (P<0.001). Finally, 91% of students would find it useful to have a national source for each topic of the curriculum; 76% of them would often connect to an e-learning platform if available.


CONCLUSIONS
It is necessary to rethink teaching in cardiology by involving students in the training, by using teaching methods other than lectures and by facilitating access to self-assessment. The use of digital tools may be a particularly effective approach.
Department of Cardiology, CHU de Lille, 59037 Lille cedex, France.
Aymeric
A
Menet
Department of Emergency Medicine, CHU de Lille, 59037 Lille cedex, France.
Nathalie
N
Assez
Department of Cardiology, CHU de Lille, 59037 Lille cedex, France; Faculty of Medicine, université Lille-2, 59000 Lille, France. Electronic address: dlacroix@chru-lille.fr.
Dominique
D
Lacroix
D001291:Attitude of Health Personnel; D001292:Attitude to Computers; D002309:Cardiology / Q000193:education*; D003194:Computer-Assisted Instruction; D003479:Curriculum; D020375:Education, Distance; D004503:Education, Medical, Graduate / Q000379:methods*; D004521:Educational Measurement; D004522:Educational Status; D005602:France; D006801:Humans; D007396:Internship and Residency; D007858:Learning; D012647:Self-Assessment; D011795:Surveys and Questionnaires; D013663:Teaching / Q000379:methods*
Auto-évaluation; Cardiologie; Cardiology; Distance learning; E-learning; Enseignement; Internes; Residency; Self-assessment; Training