2. Rand CM, Patwari PP, Rodikova, et al. Rapid-onset obesity with hypothalamic dysfunction, hypoventilation, and autonomic dysregulation: analysis of hypothalamic and autonomic candidate genes. Pediatr Res. 2011; 70:375-8. 3. Bougneres P, Pantalone L, et al. Endocrine manifestations of the rapid-onset obesity with hypoventilation, hypothalamic, autonomic dysregulation, and neural tumor syndrome.Introduction Students presently rely on the internet both as a data source and for educational needs; therefore, medical education should embrace changes in the learning landscape in light of technological advancements [1]. The RCSI Paediatrics undergraduate programme utilises an e-learning platform to support and reinforce didactic teaching. A quality audit of RCSI's Paediatric e-learning platform was conducted 2015 to 2018. In 2015, 75% of students surveyed reported poor platform accessibility, difficulty finding the desired information, and out-dated content. Aim To identify effective ways of utilising an e-learning platform and improve support for learning and teaching online. Methods Students were surveyed (n=330) and stakeholder meetings (n=20) were conducted to discuss and better understand our learners and their learning needs. User reports from the e-learning platform indicated changes in users' frequency of access and duration online. Results Feedback in 2015 showed student engagement and satisfaction were poor. To address this problem, students were surveyed and asked to identify aspects of the e-learning environment they liked and which could be improved.Effort were made to identify e-learning platform areas requiring attention. By 2018 following implementation of platform improvements, there was a 79% increase in student visits.Improvements included usability, making the e-learning platform layout and organisation more user friendly; compatibility, improving compatibility across interfaces for better access on mobile devices; diversity, creating multimedia content allowing users to select the media options that best suit their learning needs; medical educational videos, created to demonstrate how to conduct a physical exam, take patient history, and communicate and interact with patients and their parents; and selfdirected learning, students take increasing responsibility for their learning [2]. Gaining independent learning skills aid students in becoming lifelong, self-directed learners [3]. Conclusion This audit aimed to improve medical students' user experience and create a helpful e-learning environment to prepare future paediatricians. The 2018 user reports and student feedback showed greater student satisfaction and higher e-learning engagement.
screen (from those with history of in-utero exposure) were significant predictors for onset of NAS requiring pharmacological intervention at >96 HOL (OR 0.21; p value 0.011). Conclusions The majority of infants who required pharmacological treatment for NAS during their postnatal observation period were diagnosed within the first 120 HOL. Those atrisk infants, born to mothers with a known history of exposure, who have a negative urine toxicology screen for both baby and mother, should be monitored beyond 5 days as they tend to have a later presentation.
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