Benefits of a LearningManagement System and the Use of

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Benefits of a Learning-Management System and the
Use of E-Learning Technology in a Geriatric
Medicine Fellowship Program Francois Phancao,
Alan Katz, Marcos Milanez, Maria H. van Zuilen,
and Jorge G. Ruiz The Geriatrics Institute, VAMC
GRECC, University of Miami Miller School of
Medicine, and the Stein Gerontological Institute,
Miami, FL
The work reported on this poster was supported by
the authors institutions and the state of
Florida Teaching Nursing Home Program. The
investigators retained full independence in the
conduct of this work.

• BACKGROUND
• GERIATRIC MEDICINE FELLOWSHIP
• The geriatric medicine fellowship is an
  ACGME-accredited program with 9-10 fellows per
  year.
• Fellows rotate through diverse clinical venues
  dispersed over a wide geographical area.
• A recently implemented evaluation program targets
  the 6 ACGME competencies patient care (PC),
  medical knowledge (K), practice-based learning
  improvement (PBLI), interpersonal and
  communications skills (ICS), professionalism (P),
  and systems-based practice (SBP).
• The new evaluation program, in addition to global
  subjective evaluations (ICS, PBLI), includes the
  following
• Chart reviews (PC, K, SBP)
• 360-degree peer evaluations (P, SBP)
• Patient surveys (P, PC)
• Checklists (PC)
• Multiple-choice exams (K)
• The implementation of this new program introduced
  important challenges for faculty and
  administrators
• Increased documentation requirements
• Evaluation of complex competencies (PBLI, SBP, P)
• GeriU
• GeriU is a Web-based learning-management system.
• A learning-management system (LMS) is
  Internet-based software that facilitates the
  delivery and tracking of e-learning across an
  institution.
• It simplifies and automates administrative and
  supervisory tasks.
• It tracks learners achievement of competencies.

• AIMS
• To determine the usage pattern and usability by
  geriatric medicine fellows of the GeriU
  learning-management system (LMS).
• METHODS
• GeriU is powered by Angel LMS, a
  SCORM-conformant learning- management system.
• Angel monitors and tracks all activities on
  GeriU.
• Activities of all fellows were tracked over a
  6-month period.
• Number of log-ins
• Time spent on the LMS
• Score on weekly quizzes
• Score on knowledge MCQ test (240 questions)

Average Log-Ins / Month
Average Score on Knowledge MCQ Test (240
Questions)
Online Course Content Shown Mainpage, Learning
Objects (POMA, Get Up and Go Test), and Multimedia
Percentage of Weekly Quizzes Answered Correctly
by Each Fellow

• RESULTS
• Fellows logged in an average of 7.23 times per
  month.
• When logged in, a fellow stays about 2.89
  minutes per session.
• Average time spent online per month is 19.14
  minutes.
• As a group, the geriatric medicine fellows
  answered the weekly quizzes correctly 62.48 of
  the time with a standard deviation of 15.92.
• Knowledge MCQ test averaged a score of 58.96
  with a standard deviation of 9.78.
• Fellows find the LMS easy to use.
• Faculty were able to incorporate tracking data
  into their comprehensive evaluation according to
  the ACGME competencies.

• GeriU Sections
• Didactic activities
• Forms
• Geriatric assessment tools
• Instructional resources
• Links
• Clinical rotations
• Question of the week
• Geriatrics QA board review
• ePortfolio
• Research and education projects

• DISCUSSION AND CONCLUSIONS
• The geriatric medicine fellows use the GeriU LMS
  regularly for their academic activities.
• The use of GeriU has remained stable, showing
  ease of use and acceptance of the system as a
  tool.
• GeriU has allowed the tracking of fellows
  progress through weekly quizzes and knowledge MCQ
  tests.
• The LMS assists faculty in the evaluation of key
  ACGME competencies.