Figure 1
Categories and phenomenological descriptors with example (tremor).
Figure 2
CONSORT statement outlining the enrollment, allocation and follow-up of learners in the trial.
Table 1
Baseline characteristics of participating residents and programs (median and ranges).
| CONTROL GROUP | INTERVENTION GROUP | |
|---|---|---|
| Median (range) number of residents in program (PGY2-PGY4) | 18 (6–18) | 18.5 (10–35) |
| Residents with interest in movement disorders | 3/25 (12%) | 11/86 (13%) |
| Year of training for participating residents | ||
| – PGY-2 – PGY-3 – PGY-4 – Other | 7/25 (28%) 9/25 (36%) 9/25 (36%) 0 | 32/86 (37%) 26/86 (30%) 21/86 (24%) 5/86 (6%) |
| Median (range) number of movement disorders faculty members | 4 (1–6) | 4.5 (2–10) |
| Median (range) number of mandatory half-day clinical experiences in movement disorders throughout residency | 24 (20–70) | 7.5 (0–34) |
| Median (range) number of hours of didactic teaching in movement disorders per year | 16 (11–30) | 12.5 (5–15) |
| Median (range) time from completion of pre-test to immediate post-test, in days.* | 152 (102–157) | 26 (0–143) |
| Median (range) time from completion of pre-test to delayed post-test, in days* | 210 (167–249) | 204 (67–399) |
| Median (range) time from completion of final module to delayed post-test, in days.* | – | 173 (38–345) |
[i] * For controls, “pre-test” was defined as completed in 2018, “immediate post-test” January–March 2019, and “delayed post-test” April–June 2019, to mirror the intervention group.
Table 2
Comparison of test scores (out of 10) between control and intervention groups.
| CONTROL GROUP MEAN (STD DEV) | INTERVENTION GROUP MEAN (STD DEV) | P-VALUE | COHEN’S EFFECT SIZE (d) | |
|---|---|---|---|---|
| Pre-test | 6.92 (1.12) | 6.33 (1.50) | 0.18 | |
| Immediate post-test (<30 days) | 6.79 (1.35) | 8.00 (1.39) | 0.001 | 0.88 |
| Delayed post-test (>30 days) | 6.92 (1.71) | 7.92 (1.19) | 0.01 | 0.68 |
Table 3
Comparison of test scores (out of 10) between intervention participants who completed ≤ five modules vs. 6–10 modules.
| TEST | NUMBER OF MODULES COMPLETED | n | MEAN | STD DEV | P-VALUE | |
|---|---|---|---|---|---|---|
| Pre | t-test | 5 or Fewer | 13 | 6.22 | 1.28 | 0.763 |
| 6–10 | 61 | 6.36 | 1.56 | |||
| Immediate Post | t-test | 5 or Fewer | 7 | 6.43 | 1.27 | <0.001 |
| 6–10 | 42 | 8.26 | 1.23 |
Table 4
Individual question and categorical means of survey questions.
| CATEGORY | QUESTION (ABBREVIATED) | MEAN (SD) | CATEGORICAL MEAN (SD) |
|---|---|---|---|
| Technical | Video Image | 4.48 (0.75) | 4.48 (0.10) |
| Video Sound | 4.50 (0.68) | ||
| Ease of access | 4.54 (0.71) | ||
| Questions linked to answers | 4.45 (0.64) | ||
| Table of contents | 4.28 (0.78) | ||
| Text | 4.58 (0.59) | ||
| Embedded images | 4.55 (0.60) | ||
| Quantity | Right duration | 4.68 (0.76) | 4.63 (0.07) |
| Right number | 4.58 (0.87) | ||
| Enthusiasm | Good use of time | 4.70 (0.82) | 4.67 (0.10) |
| Enjoyment | 4.58 (0.84) | ||
| Recommend for other subspecialties | 4.72 (0.79) | ||
| Recommend for other residents | 4.79 (0.73) | ||
| Appropriate for learning level | 4.58 (0.84) | ||
| Knowledge | Understand basic concepts | 4.70 (0.82) | 4.56 (0.15) |
| Understand difficult concepts | 4.45 (0.90) | ||
| “Get” concepts didn’t understand | 4.41 (0.94) | ||
| Confident in diagnosis | 4.67 (0.84) |
[i] (SD = standard deviation).