Randomized, Controlled Trial of Spaced Education to Urology Residents in the United States and Canada

Kerfoot, B. Price; Baker, Harley; Koch, Michaël; Connelly, Donna; Joseph, David B.; Ritchey, Michael L.

doi:10.1016/j.juro.2006.11.074

Cited by 77 publications

(66 citation statements)

References 12 publications

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“…34 Multiple studies have demonstrated improved learning efficiency and knowledge retention using spaced education in surgical residencies and undergraduate medical education when material was delivered over months to years. 22,23,[25][26][27]35,36 Our study showed the utility of spaced education over a month-long rotation. Considerable attrition may have played a role in our inability to detect a significant difference in test performance at the 3-month follow up.…”

Section: Discussionmentioning

confidence: 57%

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A Randomized Educational Interventional Trial of Spaced Education During a Pediatric Rotation

House

Monuteaux

Nagler

2017

AEM Education and Training

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Objective: Spacing of educational material over time has been shown to improve learning efficiency and long-term knowledge retention. We evaluated the impact of adding a spaced education curriculum to a month-long pediatric rotation.Methods: This was a randomized controlled educational intervention trial of residents on a rotation in a pediatric emergency department. Participants were randomized to the standard curriculum or the standard curriculum with integrated spaced education. The intervention used an automated platform to electronically deliver questions to user e-mail or mobile devices and provided instant feedback. Our primary outcome was proportion of correctly answered questions following the rotation. Our secondary outcomes included test performance at 3 months, change in clinical confidence, and satisfaction with the spaced learning. Learner opinion of the platform was assessed by postrotation survey.Results: Of 194 eligible trainees, 122 were enrolled and randomized. A total of 107 of the enrolled residents (88%) completed the immediate postrotation assessment, 48 of whom received spaced education. Sixty residents completed the 3-month follow-up. There were no differences between the control and intervention groups in baseline knowledge. The intervention group performed better than the control group on the postrotation assessment (mean difference = 5.4%, 95% confidence interval = 0.1-10.7) when controlled for didactic attendance and clinical exposure. Change in confidence did not differ between groups. Eighty-seven percent of spaced education learners would participate in a similar model in the future. Conclusion:Spaced education during a pediatric emergency medicine rotation is an effective adjunct to a standard curriculum. Participants showed improvement on postrotation knowledge performance and enjoyed this educational approach.T he standard residency education prescribed by the Accreditation Council for Graduate Medical Education (ACGME) incorporates bedside teaching and didactic curricula.1-3 Studies capturing resident experience have shown gaps in clinical exposure.4-10 Many training programs incorporate simulation and online modules to standardize exposure. [11][12][13][14][15][16][17][18][19][20] Web-based modules and lectures can supplement clinical experience, most effectively when used in conjunction with face-to-face instruction. 21 An alternative strategy is the use of spaced education, which is the interval presentation of educational material over a prescribed period of time. Studies of surgical residents and medical students have demonstrated that spaced education initiatives spanning months to years improve learning efficiency and longterm knowledge retention. [22][23][24][25][26][27][28] Web-based spaced education may be an effective approach for residents on an emergency medicine rotation with asynchronous clinical schedules.

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Section: Discussionmentioning

confidence: 57%

“…Studies of surgical residents and medical students have demonstrated that spaced education initiatives spanning months to years improve learning efficiency and longterm knowledge retention. [22][23][24][25][26][27][28] Web-based spaced education may be an effective approach for residents on an emergency medicine rotation with asynchronous clinical schedules. …”

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confidence: 99%

A Randomized Educational Interventional Trial of Spaced Education During a Pediatric Rotation

House

Monuteaux

Nagler

2017

AEM Education and Training

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“…6,7 We recently completed a randomized trial of spaced education using daily noninteractive (static) e-mails to 537 urology residents in the United States and Canada. 11 In this trial, residents received in-service examination study questions (1) in a bolus format 6 months before their in-service examination or (2) in a spaced-education format consisting of daily e-mails of 1-2 study questions over these 6 months. On a validated test administered at staggered time points to both groups, the spaced-education cohort demonstrated significantly greater knowledge acquisition and retention than those in the bolus cohort.…”

Section: Introductionmentioning

confidence: 99%

Interactive Spaced-Education to Teach the Physical Examination: A Randomized Controlled Trial

2008

Self Cite

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“…Many participants suggested incorporating review time before the one month assessment because they could not recall the mnemonics at the test. Spaced learning has been shown to enhance retention of information or manual skill dexterity [4]. We hypothesize that both groups would fare well with spaced learning; however, we believe use of a mnemonic system would enhance efficiency of knowledge acquisition (i.e., require dramatically less study time).…”

Section: Discussionmentioning

confidence: 88%

The use of an imagery mnemonic to teach the Krebs cycle

Morisaki

Bon²,

Levitt

2016

Biochem Molecular Bio Educ

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The Krebs Cycle is a highly taught biochemical pathway that is traditionally difficult to learn. Twenty-seven undergraduate students were randomized to a rote memorization arm or to a mnemonic arm. They were given a pre-test, then shown a lecture corresponding to their assigned method, and then given an immediate Week 0 post-test and a Week 4 post-test. Groups scored comparably low on the pre-test (p = 0.7113). Students in the mnemonic arm performed better on the Week 0 post-test than those using rote (p = 0.0055). By Week 4, there was evidence of knowledge decay, with both arms' having comparably low scores (mnemonic vs. rote, p = 0.3739). The mnemonic assists in rapid acquisition of knowledge but probably has to be reviewed iteratively over time to demonstrate its full potential over rote memorization. A limited number of students from only one school was used. © 2016 by The International Union of Biochemistry and Molecular Biology, 44:224-229, 2016.

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Randomized, Controlled Trial of Spaced Education to Urology Residents in the United States and Canada

Abstract: Online spaced education improves the acquisition and retention of clinical knowledge.

Cited by 77 publications

References 12 publications

A Randomized Educational Interventional Trial of Spaced Education During a Pediatric Rotation

A Randomized Educational Interventional Trial of Spaced Education During a Pediatric Rotation

Interactive Spaced-Education to Teach the Physical Examination: A Randomized Controlled Trial

The use of an imagery mnemonic to teach the Krebs cycle

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