Educational Impact of a Podcast Curriculum for Hematology/Oncology Fellows: Final Results of the Multicenter Cluster Randomized PODCAST-HOF Trial.
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Patel Vivek G, Tawagi Karine, Armstrong Samantha A, Hausrath Daniel J, Abuali Inas A, Biswas Ankoor N, Valasapalli Srijan, Pachika Pranali S, Forster Moriah K, Stoen Ericson, Lee Yurhee, Berardi Giuliana G, Berry Jonathan L, Nassar Ahmad M, Egert Daniel, Miranda Kayla W, Mendelson Lauren S, Mian Agrima, Kidwell Kyle M, Fitzpatrick Madeline C, Abdallah Maya, Melody Megan, Stempel Jessica M, Chung Victoria, Taasan Sean M, Cockrell Dillon C, Taza Fadi, Wilson Nathaniel R, Itani Aleena S, Danak Shivang U, Bloom Matthew D, Mistry Ronak H
Аннотация
METHODS: Twenty-seven US Accreditation Council for Graduate Medical Education-accredited hematology/oncology fellowship programs were randomized to receive either PC plus standard didactics (podcast arm, n = 14) or standard didactics alone (control arm, n = 13). The PC included curated podcast episodes and detailed show notes on breast cancer (BC), multiple myeloma (MM), bleeding disorders (BDs), and heparin-induced thrombocytopenia (HIT), developed by The Fellow on Call and Two Onc Docs. Fellows completed preintervention and postintervention comfort surveys (Likert scale 1-7) and a 16-item knowledge assessment. Coprimary end points were improvement in mean comfort (≥0.5 points) and knowledge (≥10%). Mixed-effects ANCOVA was used to adjust for baseline scores and program clustering.
RESULTS: Of 420 eligible fellows, 221 (52%) completed baseline surveys and 186 (44%) completed the knowledge assessment. Ninety-nine fellows (53 podcast, 46 control) completed both postintervention assessments. Baseline comfort was similar across groups. The podcast arm demonstrated significantly greater adjusted mean improvements in comfort: BC (0.48; P < .01), MM (0.65; P < .01), BD (0.70; P < .01), and HIT (0.40; P < .01). Knowledge scores improved from 39.7% to 62.0% in the podcast arm versus 43.5% to 50.3% in the control arm (adjusted mean difference, 15.5%; P < .01). Most fellows in the podcast arm (83%) rated show notes as highly useful, and 89% planned continued podcast use.
CONCLUSION: The PODCAST-HOF trial showed that adding curated podcasts and show notes significantly improved fellow comfort and knowledge. These findings support incorporating The Fellow on Call and Two Onc Docs as a recommended supplement to traditional fellowship didactics.