ESPE Abstracts (2016) 86 P-P1-341

ESPE2016 Poster Presentations Gonads & DSD P1 (48 abstracts)

Application of on Line Learning in Assessment of Competencies of Fellows Pediatric Endocrinology

Laura Kranenburg a , Sam Reerds b , Martine Cools c , Miriam Muscarella d , Kalinka Grijpink e , Charmian Quigley f & Stenvert Drop b


aMaasstad Hospital, Rotterdam, The Netherlands; bSophia
Children’s Hospital/ErasmusMC, Rotterdam, The Netherlands; cDepartment of Pediatrics, Ghent University, Ghent, Belgium; dInternational DSD Steering Committee, USSF School of Medicine, San Francisco, USA; eDivision Education and Student Support, Faculty EEMS, Delft University of Technology, Delft,
The Netherlands; fUnkown, Sydney, Australia

Background: The European Society for Paediatric Endocrinology (ESPE) developed an interactive e-learning portal for pre-and postdoctoral training: (

Objective and hypotheses: The aim of the study was to evaluate the role of e-learning in the formative assessment of competencies (medical expert, communicator) of fellows in pediatric endocrinology in informing patients and parents with a difference in sex development (DSD) about diagnosis and management and to assess religious, regional and cultural aspects.

Method: Sixty-two fellows and 32 experts with global distribution participated in the study. Fellows answered on line Multiple Choice (MC) and open questions of two clinical interactive problem solving cases. Experts provided anonymously feedback on line, using prepared response elements. Evaluation followed by online questionnaires and acknowledgements. All answers of the fellows were evaluated on completeness and wording. A subset of 10 answers of both cases was evaluated by 20 experts on wording and completeness.

Results: 50% of fellows achieved the correct answer on the first attempt on the MC questions. They answered only 50% of the key elements on the open questions. The evaluation of the subset of 10 answers by 20 distinct experts showed great inter-observer variability. Personalized feedback from various experts was highly appreciated by the fellows. The cultural, religious and regional items most frequently mentioned by the experts were fertility and role of the family. Fellows did not mention any but acknowledged their importance.

Conclusion: The ESPE e-learning portal offering direct interaction between trainee and trainer is applicable in on line formative assessment of trainees.

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