MKSAP Marathon meets Poll Everywhere: Implementation of a dedicated team-based learning curriculum 
                                   with the use of novel live audience technology to engage resident participation for board preparation
                                                                               Tony Hung, MD, MBA; Guilianne Morden, MD; DumindaSuraweera, MD; Erica Tate, MD; Arash Nafisi, MD 
                                                                      Department of Medicine: Olive View – UCLA Medical Center
       1       Background                                                                              4       Results & Discussion                                                                                                                               5       Conclusions
     •ABIM: The Trend                                                                                 •MKSAP Marathon: Ready, Get-Set, Go!                                                                                                                       •MKSAP Marathon introduces a novel, 
     While the American Board of Internal Medicine (ABIM) pass                                                                                                                                                                                                     replicable learning environment for 
     rates for first-time initial certification exam takers have                                       All 75 residents in an internal medicine residency participated in the                                                                                      board preparation in residency 
     remained fairly stable in the eightieth percentile, many                                          MKSAP Marathon, at which time residents would work through a 
     residency programs have actually experienced an                                                   selected 20 high-yield MKSAP questions.                                                                                                                     With the implementation of MKSAP Marathon with 
     unexpected decline in ABIM initial certification exam pass                                                                                                                                                                                                    incorporation of Poll Everywhere, we hope to introduce a 
     rate over the past several years according to the statistics                                                                                                                                                                                                  novel, replicable learning environment for Board 
     released annually by ABIM.                                                                                                                                                                                                                                    preparation in any internal medicine residency. 
     •Cleveland Clinic Study: The Predictors
     In 2012, researchers at the Cleveland Clinic found that the                                                                                                          •600 MKSAP questions in 30 hours                                                         6       Future Directions
     strongest predictors for passing the ABIM to be scores on                                                                                                            For a total of 10 sessions annually through a traditional 3-year internal 
     other standard exams and making more time available for                                                                                                              medicine residency, 600 MKSAP questions (approximately 50% of all                     •Correlation to ABIM pass rate
     dedicated study.                                                                                                                                                     MKSAP questions) will be efficiently covered in only 30 dedicated 
                                                                                                                                                                                                                                                                Ultimately implementation of the novel board preparation 
                                                                                                                                                                          hours during MKSAP Marathon alone.                                                    curriculum is to enhance successful passing of ABIM for residents 
                                                                                                                                                                                                                                                                and to create a more manageable process in doing so during the 
                                                                                                                                                                                                                                                                busy clinical training of residency.
      2       Objective                                                                                                                                                                                                                                         •Building on sustainability 
     •A Novel Approach To Board Preparation                                                                                                                                                                                                                     MKSAP Marathon has been voted as highly valuable for resident 
     In an effort to engage resident participation for board preparation, a dedicated                                                                                                                  •More aware of                                           learning, especially for the seniors residents, and will be 
     team-based learning curriculum with incorporation of a novel live audience                                                                                                                          personal gaps                                          incorporated for future academic years.
     technology was implemented in an internal medicine residency.                                             •More comfortable                                                                       …are more aware of personal gaps                         •Extending the utility of the system
                                                                                                                 answering board-type                                                                  in medical knowledge necessary for                       The ease of use of Poll Everywhere allows for adaptability in 
                                                                                                                 questions                                                                             more focused learning                                    other settings (i.e. noon conference, other institutions).
      3                                                                                                        After the 5 month pilot of MKSAP 
              Innovation                                                                                       Marathon, preliminary focus group 
                                                                                                               analysis found that residents feel more                                                                                                             7       Critiques
     •Team-Based Learning                                                                                      comfortable in answering Board-type 
     Every five-weeks for a dedicated one-hour session, residents                                              questions…                                                                                                                                         •Participation of house staffs 
     participated in a team-based learning environment to study a                                                                                                                                                                                                 Given the team- and technology- based nature of the 
     set of selected, high-yield questions from the Medical                                                                                                                                                                                                       curriculum, housestaff and institution with less familiarity of 
     Knowledge Self Assessment Program (MKSAP).                                                                                                                                                                                                                   such teaching style may find difficulty to adapt to new 
                                                                                                                                                                                                                                                                  learning environment.
     •Protected Time                                                                                                                                                                                                                                              •Financial sustainability
     The session coined as the “MKSAP Marathon” is structured as a                                                                                                                                  •Learning is fun                                              While minimal cost was spent in the development of the 
     protected learning period prior to any clinical work during the                                                                                                                                                                                              curriculum (including tablet and MKSAP 17), successful 
     outpatient block of a well-established “4+1” resident rotation                                                                                                                                 …and the interactive,                                         implement of curriculum requires intuitional buy-in for 
     schedule.                                                                                                                                                                                      nonjudgmental environment                                     purchase of curriculum materials and loss of clinical 
                                                                                                                                                                                                    created by Poll Everywhere makes                              productivity from protected learning time.
     •Poll Everywhere                                                                                                                                                                               learning comfortable and engaging. 
     Poll Everywhere, a novel live audience technology, was 
     incorporated to promote a professional audience engagement                                                                                                                                                                                                 References
     during the session as residents work together through the                                                                                                                                                                                                  1. Michaelsen, L., Sweet, M. & Parmalee, D. (2009) Team-Based 
     MKSAP questions.                                                                                                                                                                                                                                           Learning: Small Group Learning’s Next Big Step. New Directions in 
                                                                                                                                                                                                                                                                Teaching and Learning, 7-27.