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Development of a student-created internal medicine frameworks website for healthcare trainees

  • H. Moses Murdock EMAIL logo , Jarrod Ehrie , Nadia L. Bennett and Jennifer R. Kogan
Published/Copyright: April 21, 2023

Abstract

Objectives

Describe medical student perspectives on framework learning and develop a free, online, mobile-friendly framework website.

Methods

Internal medicine clerkship students were surveyed at a single U.S. medical school regarding how they learn frameworks. We used Draw.io to create frameworks, which were edited by expert clinicians. Frameworks were hosted online through an academic server, and Google analytics was used to track website activity.

Results

Most medical students report learning frameworks from attending clinicians. We developed 87 frameworks on the “Penn Frameworks’’ website, which was visited by 9,539 unique users from 124 countries over three years.

Conclusions

Most medical students perceive that they learn frameworks during clinical rotations from attending clinicians. We found that it is feasible to develop a low-cost, expert-curated, mobile-friendly resource to supplement in-person learning.


Corresponding author: H. Moses Murdock, MD, Department of Medicine, Brigham and Women’s Hospital, Harvard Medical School, Internal Medicine Resident, 75 Francis Street, Boston 02120, MA, USA, Phone: 617-732-5775, E-mail:

Acknowledgments

We thank the clinical fellows and faculty who generously gave their time to edit the frameworks: Dr. Orr, Dr. Wang, Dr. Fleitman, Drs. Stacey and Stuart Prenner, Dr. Treat, Dr. Punati, Dr. White, Dr. Palchaudhuri, Dr. Vedula, Dr. Cuker, Dr. Levinson, Dr. Pruitt, Dr. Price, Dr. Clancy, Dr. Flesch, Dr. Dawson, Dr. Geara, Dr. Karpoff, and Dr. Dunham.

  1. Research funding: SPARK-Ed Medical Education Research and Innovation grant (University of Pennsylvania, 2018).

  2. Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.

  3. Competing interests: Authors state no conflict of interest.

  4. Informed consent: Not applicable.

  5. Ethical approval: The local Institutional Review Board deemed the study exempt from review.

References

1. Definition of “framework”. Merriam-Webster Dictionary. Available from: https://www.merriam-webster.com/dictionary/framework Search in Google Scholar

2. Cammarata, M, Dhaliwal, G. Diagnostic schemas: form and function. J Gen Intern Med 2023;38:513–6. https://doi.org/10.1007/s11606-022-07935-1.Search in Google Scholar PubMed PubMed Central

3. Penn frameworks website. Available from: https://www.med.upenn.edu/frameworks/ Search in Google Scholar

4. Agabegi, S. Step up to medicine, 5th ed Philadelphia: LWW; 2019.Search in Google Scholar

5. Draw.io. Available from: https://app.diagrams.net/ Search in Google Scholar

6. Clinical problem solvers. Available from: https://clinicalproblemsolving.com/ Search in Google Scholar

7. Mansoor, A. Frameworks for internal medicine, 1st ed Philadelphia: LWW; 2018.Search in Google Scholar

8. Stern, S, Cifu, A, Altkorn, D. Symptom to diagnosis: an evidence based guide, 4th ed New York: McGraw Hill/Medical; 2019.Search in Google Scholar

Received: 2023-02-17
Accepted: 2023-04-11
Published Online: 2023-04-21

© 2023 Walter de Gruyter GmbH, Berlin/Boston

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