Impact on Clinical Behavior of Face-to-Face Continuing Medical Education Blended with Online Spaced Education: A Randomized Controlled Trial

Shaw, Timothy; Long, Alan K.; Chopra, Sanjiv; Kerfoot, B. Price

doi:10.1002/chp.20113

Cited by 80 publications

(77 citation statements)

References 15 publications

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“…This high level of acceptability has been found in other SE studies [12][13][14][15][16][17] but may reflect selection bias, as residents who complete the studies may be more motivated by SE. Nonetheless, SE addresses components of adult learning theory, such as selfdirected learning and integration with the demands of busy life.…”

Section: Discussionsupporting

confidence: 52%

“…[12][13][14][15][16][17] The SE approach is based on the spacing effect-the principle that exposure to concepts distributed and repeated over time improves learning. 18 Online SE with questions uses both the spacing effect and the testing effect (the principle that testing improves knowledge retention while evaluating a learner's performance).…”

Section: Introductionmentioning

confidence: 99%

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Randomized Controlled Trial of Spaced Education for Pediatric Residency Education

Mathes¹,

Frieden²,

Cho³

et al. 2014

Journal of Graduate Medical Education

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IntroductionAs work hour limits change and time for formal education in residency decreases, primary care residencies struggle to fit essential subspecialty instruction into limited didactic time. Despite the high frequency of skin-related complaints in pediatrics, dermatology remains a significant knowledge gap for pediatricians. [1][2][3][4][5][6][7][8][9][10][11] Online learning tools can provide educational opportunities unrestricted by time or location.Online spaced education (SE) has been shown to be an effective and acceptable method for addressing knowledge and practice gaps in medical education.12-17 The SE approach is based on the spacing effect-the principle that exposure to concepts distributed and repeated over time improves learning.18 Online SE with questions uses both the spacing effect and the testing effect (the principle that testing improves knowledge retention while evaluating a learner's performance). In urology studies, Kerfoot et al 16 demonstrated knowledge gains that persist for up to 2 years. The method's promising results as an instruction tool have led to the increasing use of SE in medical education. Kerfoot and colleagues measured the efficacy of SE with improved scores on repeated administration of the same questions. 13,14,16,17 We sought to assess the generalizability of SE across different domains by creating an innovative SE program with clinical images of 4 common skin conditions. Our hypothesis was that SE would be an acceptable learning method and would significantly improve pediatrics residents' knowledge of pediatric dermatology when knowledge gain and application were assessed with an outcome measure different from the intervention (unique and isomorphic questions). Methods DesignParticipating residents were randomized into 2 groups (groups A and B) and exposed to 2 different courses. Group The authors would like to thank B. Price Kerfoot for his guidance in the planning stages of the study and spaceded.com for providing a secure site for the study.Corresponding author: Erin F. Mathes, MD, 1701 Divisadero Street, Box 0316, San Francisco, CA 94143-0316, 415.353.7880, mathese@derm.ucsf.edu Received February 18, 2013 revisions received September 18, 2013, and November 12, 2013; accepted December 2, 2013. DOI: http://dx.doi.org/10.4300/JGME-D-13-00056.1 AbstractBackground Spaced education (SE) has shown promise as an instructional tool that uses repeated exposure to the same questions, but information on its utility in graduate medical education is limited, particularly in assessing knowledge gain with outcome measures that are different from repeat exposure to the intervention questions.

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Section: Discussionsupporting

confidence: 52%

Section: Introductionmentioning

confidence: 99%

Randomized Controlled Trial of Spaced Education for Pediatric Residency Education

Mathes¹,

Frieden²,

Cho³

et al. 2014

Journal of Graduate Medical Education

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“…3 Earlier, instructors' access to technology was restricted due to cost and competency; however, currently, access to technology is easier than ever, and it gives the educators an opportunity to deliver their teaching in a variety of ways. 4 Many new audio-visual aids are now available to educators, 5 and academics should take advantage of these tools to improve the teaching-learning nexus. One such tool is video technology.…”

Section: Introductionmentioning

confidence: 99%

Students' perspectives on the relevance of internet-based educational videos in dental education

Al-Jandan

Farooq

Khan

2015

Journal of Taibah University Medical Sciences

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Objectives: This cross-sectional study sought to obtain the perceptions of third year students of the University of Dammam faculty of dentistry about the usefulness of Internet-based educational videos in assisting oral biology lectures. Methods:The study was conducted at the College of Dentistry, University of Dammam during March 2014. A validated questionnaire containing 10 questions was distributed to all of the participants. The first eight questions, related to the usefulness of videos during lectures, required dichotomized (agree/disagree) responses. For the last two questions (number of videos to be added and the time period allocated to these videos in each lecture), multiple options were provided for selection. The data were analysed statistically by using the chisquare test.Results: The sample size was 70 students (39 male and 31 female), with an overall response rate of 97%. The majority of students positively perceived the role of videos in assisting lectures. However, significant differences (p < 0.05) were found between male and female students regarding their understanding of lectures with/without videos and retention of knowledge gained from lectures with videos.Conclusions: Videos should be included in the lectures, so long as any video included is analogous to the desired learning outcomes of the lecture.

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“…Online learning is ideal for medical residents because of the time constraints of a busy community hospital setting. Online educational programs are well suited for disseminating knowledge-based information and have also been shown to improve clinical behavior (Shaw et al 2011). We incorporated the coaching and pocket card reminder since a multifaceted approach to learning modalities by using face-to-face elements in conjunction with online training produces a larger effect than either alone (U.S. Department of Education, Office of Planning, Evaluation, and Policy Development 2010).…”

mentioning

confidence: 99%

Resident Physicians Using Modern Practices for Excellent Documentation and Care in Heart Failure (PUMPED CHF)

Patel¹,

Cotorruelo-Martinez²,

Gill-Duncan³

et al. 2014

Hospital Topics

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The most common indication for readmission among Medicare patients is congestive heart failure (CHF). Prior studies underscore the use of residents to bolster hospital-wide programs and reduce CHF readmissions. The authors assessed the effectiveness of a novel online training program designed to improve resident documentation and knowledge related to CHF. The findings suggest that despite a significant increase in knowledge scores following the online educational course, there was only a slight increase in documentation scores. Additional teaching modalities need to be identified to foster resident education and create sustained behavior change.

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Impact on Clinical Behavior of Face-to-Face Continuing Medical Education Blended with Online Spaced Education: A Randomized Controlled Trial

Abstract: Online spaced education following a live CME course can significantly increase the impact of a face-to-face course on providers' self-reported global clinical behaviors.

Cited by 80 publications

References 15 publications

Randomized Controlled Trial of Spaced Education for Pediatric Residency Education

Randomized Controlled Trial of Spaced Education for Pediatric Residency Education

Students' perspectives on the relevance of internet-based educational videos in dental education

Resident Physicians Using Modern Practices for Excellent Documentation and Care in Heart Failure (PUMPED CHF)

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