268 - Windshield Surveys in Pediatric Resident Education: A Landscape Analysis

Poster Number: 268
Publication Number: 268.419

Ana C. Monterrey, Baylor College of Medicine, Houston, TX, United States; Emma A. Omoruyi, McGovern Medical School at the University of Texas Health Science Center at Houston, Houston, TX, United States; Nancy R. Kelly, UT Southwestern.edu, Dallas, TX, United States; Shilpa Pai, Rutgers-Robert Wood Johnson Medical School, Princeton, NJ, United States; Christin Traba, Rutgers New Jersey Medical School, Bayonne, NJ, United States; Aditi Gupta, Baylor College of Medicine, Houston, TX, United States

Background: A windshield survey (WS) is a visual assessment of community characteristics. While some pediatric residency programs use WSs to teach trainees about communities and social determinants of health, there is limited data about best practices in using this educational tool.

Objective: Determine the number of pediatric residency programs using a WS and compare implementation across programs.

Design/Methods: Pediatric educators involved in community and advocacy training developed an electronic survey to understand the use of WSs in pediatric residency education. The survey explored WS curriculum development, implementation, and evaluation. Questions were created using an iterative process and the survey was piloted before being finalized. Basic demographic information including role of respondent, and program characteristics was collected. IRB approval was obtained from the American Academy of Pediatrics and the lead author’s institution. Respondents were recruited through 3 professional societies’ email listservs 6 times from Aug-Nov 2021.

Results: 57 U.S. pediatric residency training programs responded (19% response rate). 39 (68.4%) programs use a WS in their curriculum with most adapted from another institution (n=12 of 30 replies) or literature (n=10 of 30 replies). For most, the WS is required as part of a rotation or activity (n=29 of 30 replies), usually in PGY1 (n=22 of 30 replies). Programs varied in options for WS completion: 30 use car or public transport, 8 use walking/biking and 13 use virtual (Nf31). The factor rated “Most important” in determining the WS location was related to hospital or continuity clinic population (Nf16 of 29 replies). Methods of WS assessment are shown in Figure 1. Methods of obtaining feedback on the WS are shown in Figure 2. Conclusion(s): WSs are a commonly required activity in the residency programs surveyed. Most programs use a structured curriculum, but variability exists in the method and timing of completion, and assessment/feedback. Further collaboration is needed to identify best strategies for using these teaching tools and evaluating their intended educational impact. Future directions include creating a WS tool residency programs can broadly implement and evaluate easily.
Figure 1: Methods of Assessment
Figure 2: Methods of Feedback