Few educational studies have investigated how well information learned by medical students is retained over time. The primary aim of this study was to investigate how much of the paediatric core curriculum undergraduates remembered a year after originally passing their paediatrics examination. In addition, we looked at whether students' repeat performance is related to their approach to learning. Medical students were presented with 8 out of a possible 46 core curriculum short answer questions (Mark 1). A year later these same students were re-tested, without prior warning, on the same 8 questions (Mark 2) and a further 8 questions (Mark 3) from the bank of 46. The participants also completed the Revised two-factor Study Process Questionnaire to characterise their approach to learning. After a year, students scores had diminished by 51.2 % (95 % CI 48.2-54.2 %, p < 0.0001) from a Mark 1 average of 89.1 % (standard deviation, SD = 9.2 %) to a Mark 2 average of 37.9 % (SD 6.1 %). Students who reported a superficial approach to learning achieved higher scores for mark 1 (4.1 % increase (95 % CI 0.9-7.4 %) per one standard deviation unit increase in Surface Approach score (p = 0.01)). Neither deep nor surface approach to learning significantly predicted performance a year later (Marks 2 and 3). Students had forgotten more than half of the paediatric core curricular content that they had previously proven that they knew for their summative assessment. Adopting either a deep or superficial approach to learning did not predict ability to retain this information a year later.

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The challenge was to make these care pathways available to all within the system. Our primary aim was to provide families and healthcare professionals with consistent evidencedbased information through home, primary and secondary care. Methods Across these healthcare settings no single IT solution existed to communicate these pathways to all. We set out to develop our own: prioritising secure, robust and safe technical programming whilst delivering an accessible user-friendly interface. This led to the use of smartphone technology.Comprehensive integrated-care pathways were devised for all six high-volume conditions. Pathways were reformulated into algorithms suitable for app format. Outcome tools included data on app usage, data dashboard to monitor 'zeroday length of stay admissions' for the six conditions and qualitative feedback from stakeholders. Results 24 months quantitative data from in-built analytic programme as a measure of usage and retention:-Total unique user events: 7937 (69% parents/carers; 14% primary care; 17% secondary care). Retention: 16% of users revisited app within 1 month with an average number of 2.5 sessions per user.Admission dashboard data to monitor admissions for 6 high-volume conditions: key data is presented in table 1. Data demonstrates 15% reduction in total admissions, with fever and minor infection showing the greatest reduction.Abstract G105 Table 1 % change in admissions from 12 months before to 12 months