Why create the AIR Series?
We created the ALiEM Approved Instructional Resources (AIR) series because we have observed residencies struggle in evaluating which blog posts and podcasts are appropriate and high quality for resident education. Often residents independently access FOAM resources available online, but do not receive training credit for this. We seek to use our expertise to bridge this divide by assisting residency programs to promote asynchronous learning, online education, as well as reward residents who already effectively utilize FOAM resources.
What is III and how does this count for credit?
In 2008, the Council of Residency Directors (CORD) in Emergency Medicine as well as the Accreditation Council for Graduate Medical Education (ACGME) endorsed a change in the education hours requirements for residencies. Previously, five hours of educational conference time was required per week. The new recommendation allows residencies to decrease their conference time to four hours per week with an additional one hour of documented asynchronous learning outside the classroom. This asynchronous learning opportunity has been termed Individualized Interactive Instruction (III).
More specifically, the 4 III criteria are the following:
- The program director must monitor resident participation. – We provide PDs administrative access to the Educator Dashboard on ALiEMU, the learning management platform for the AIR Series.
- There must be an evaluation component. – We have a post-module quiz.
- There must be faculty oversight. – We have faculty who are automatically emailed whenever there is a comment placed in the blog. If there is a question, we reply in a timely fashion.
- The activity must be monitored for effectiveness. – We have an internal QI process as well as a post-module survey to incorporate learner feedback.
We thus feel that this ALiEM AIR Series abides by these III requirements.
How are the AIR articles selected?
The 9-person Executive Board reviews numerous FOAM resources and scores each on an objective grading system designed for this series. We curate relevant posts from top blogs and podcasts, as graded by the Social Media Index, with the inclusion criteria of publication date within the past 12 months. If this list of posts is insufficient, we broaden to a longer time interval. We do not claim an exhaustively comprehensive search, but feel that we ultimately highlight quality posts for residency education.
The cumulative highest scoring posts from each module are selected. To decrease any obvious bias, members of the Executive Board recuse themselves from evaluating posts they wrote or were directly involved in writing. Our scoring tool looks at five measurement outcomes, each using a Likert 7-point scale:
- BEEM Score
- Content Accuracy
- Educational Utility
- Evidence Based Medicine
Definitions: AIR Stamp of Approval and Honorable Mentions
In an effort to truly emphasize the highest quality posts, we have now adjusted our selections into two subsets. The AIR stamp of approval will only be given to posts scoring above a new, strict scoring cut-off of ≥30 points (out of 35 total), based on our scoring instrument. The other subset is for “Honorable Mention” posts. These posts have been flagged by and agreed upon by AIR Board members as worthwhile to highlight regardless of the point score (but still reflect accurate, appropriately referenced, and unbiased content). All posts will still be part of the quiz needed to obtain III credit.
The actual grading instrument can be viewed in this AIR Series Grading Tool PDF.
AIR Modules (2014-present)
Go to the ALiEMU AIR page to take all the quizzes.
Participating Residency Programs
As of June 2017, we now have over 125 US EM residency programs registered with over 1200 residents completing at least one module.
I am an EM Resident desiring III credit
Please speak with your program director about this possibility. If you are told that the AIR series is approved for credit, complete the end-of-module quiz and your participation will be tracked. Of course, you are always welcome to take the quiz for your own learning purposes.
I am an EM residency program interested in implementing this series for III credit
Frequency of AIR Series Modules
We plan to release new curated lists to correspond with the EM modular curriculum.
Members of AIR Executive Board
- Felix Ankel MD, Vice President and Executive Director of Health Professional Education, HealthPartners Institute for Education and Research; Associate Professor of EM; University of Minnesota
- Jeremy Branzetti MD, Associate Program Director and Assistant Professor of EM; University of Washington Department of EM
- Andrew Grock MD, Associate Director AIR Executive Board, EM Resident at Kings County EM Program
- Nikita Joshi MD, Associate Director AIR Executive Board, ALiEM Associate Editor; Clinical Instructor, Stanford University, Division of EM
- Jay Khadpe, MD, Assistant Residency Director andClinical Assistant Professor, SUNY-Downstate Department of EM
- Michelle Lin MD, Associate Director AIR Executive Board, ALiEM Editor-in-Chief, UCSF Associate Professor and Academy Endowed Chair for EM Education, San Francisco General Hospital
- Kasey Mekonnen, MD, Highland-Alameda Health System EM resident
- Eric Morley MD, Associate Director AIR Executive Board, Associate Program Director of EM; Stony Brook University
- Lynn Roppolo, MD, Associate Program Director and Associate Professor, University of Texas Southwestern Department of EM
- Anand Swaminathan MD MPH, Assistant Program Director and Assistant Professor of EM, NYU Medical Center; Faculty Reviewer of EMLyceum.com
- Taku Taira MD, Associate Program Director and Assistant Professor of EM, USC School of Medicine
- Lalena Yarris MD MCR, Program Director and Associate Professor of EM; Oregon Health Sciences University