We created the 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:
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.
Go to the ALiEMU Courses page (filtered for AIR Series only) to take all the courses and quizzes. Of note, we will be retiring courses if they are older than 3 years for the sake of content accuracy, as evidence evolves over time. As of January 2021, over 35,000 certificates have been awarded for AIR courses.
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