title: Interactive case-based learning improves resident knowledge and confidence in reproductive endocrinology and infertility.
abstract: Resident physicians' scores on the REI section of the CREOG exam are traditionally low, and nearly 40% of house staff nation-wide perceive their REI knowledge to be poor. We aimed to assess whether an interactive case-based group-learning curriculum would narrow the REI knowledge gap by improving understanding and retention of core REI concepts under the time constraints affecting residents. A three-hour case-based workshop was developed to address four primary CREOG objectives. A multiple-choice test was administered immediately before and after the intervention and 7 weeks post-workshop, to evaluate both knowledge and confidence. Following the intervention, residents self-reported increased confidence with counseling and treatment of PCOS, ovulation induction cycle monitoring, counseling and treatment of POI, and breaking bad news related to infertility (p < 0.05). The multiple-choice exam was re-administered 7 weeks post-intervention, and scores remained significantly improved compared to pre-workshop scores (p < 0.05). At that time, all residents either strongly agreed (91.7%) or agreed (8.3%) that the case-based interactive format was preferable to traditional lecture-based teaching. In conclusion, a nontraditional curriculum aimed at teaching core REI concepts to residents through interactive case-based learning can be successfully integrated into a residency curriculum, and significantly improves knowledge and confidence of critical concepts in REI.
authors.affiliation: a Reproductive Endocrinology and Infertility, Obstetrics and Gynecology , New York University Fertility Center , New York , NY , USA and.
authors.forename: Kara N
authors.initials: KN
authors.lastname: Goldman
authors.affiliation: b Obstetrics and Gynecology , New York University Langone Medical Center , New York , NY , USA.
authors.forename: Ashley W
authors.initials: AW
authors.lastname: Tiegs
authors.affiliation: b Obstetrics and Gynecology , New York University Langone Medical Center , New York , NY , USA.
authors.forename: Kristen
authors.initials: K
authors.lastname: Uquillas
authors.affiliation: b Obstetrics and Gynecology , New York University Langone Medical Center , New York , NY , USA.
authors.forename: Margaret
authors.initials: M
authors.lastname: Nachtigall
authors.affiliation: a Reproductive Endocrinology and Infertility, Obstetrics and Gynecology , New York University Fertility Center , New York , NY , USA and.
authors.forename: M Elizabeth
authors.initials: ME
authors.lastname: Fino
authors.affiliation: b Obstetrics and Gynecology , New York University Langone Medical Center , New York , NY , USA.
authors.forename: Abigail F
authors.initials: AF
authors.lastname: Winkel
authors.affiliation: b Obstetrics and Gynecology , New York University Langone Medical Center , New York , NY , USA.
authors.forename: Veronica
authors.initials: V
authors.lastname: Lerner
mesh_terms: D004704:Endocrinology / Q000193:education*; D006801:Humans; D007396:Internship and Residency; D018794:Problem-Based Learning; D018456:Reproductive Medicine / Q000193:education*; D012153:Retention, Psychology
keywords: CREOG; Case-based learning; interactive learning; reproductive endocrinology and infertility; resident education