Randomized Controlled Trial of Spaced Education for Pediatric Residency Education

Overview

Journal J Grad Med Educ

Date 2014 Jun 21

PMID 24949130

Citations 10

Authors

Erin F Mathes

Ilona J Frieden

Christine S Cho

Christy Kim Boscardin

Affiliations

Soon will be listed here.

Abstract

Background: 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.

Objective: We examined whether SE is an effective instructional tool for pediatrics residents learning dermatology using an outcome measure that included both unique and isomorphic questions.

Methods: We randomized 81 pediatrics residents into 2 groups. Group A completed an SE course on atopic dermatitis and warts and molluscum. Group B completed an SE course on acne and melanocytic nevi. Each course consisted of 24 validated SE items (question, answer, and explanation) delivered 2 at a time in 2 e-mails per week. Both groups completed a pretest and posttest on all 4 topics. Each group served as the comparison for the other group.

Results: Fifty residents (60%) completed the study. The course did not have a statistically significant effect on the posttest scores for either group. Overall, test scores were low. Eighty-eight percent of residents indicated that they would like to participate in future SE courses.

Conclusions: Using primarily novel posttest questions, this study did not demonstrate the significant knowledge gains that other investigators have found with SE.

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References

Pletcher B, Rimsza M, Cull W, Shipman S, Shugerman R, OConnor K . Primary care pediatricians' satisfaction with subspecialty care, perceived supply, and barriers to care. J Pediatr. 2010; 156(6):1011-1015.e1. DOI: 10.1016/j.jpeds.2009.12.032. View

Tunnessen Jr W . A survey of skin disorders seen in pediatric general and dermatology clinics. Pediatr Dermatol. 1984; 1(3):219-22. DOI: 10.1111/j.1525-1470.1984.tb01120.x. View

Sherertz E . Learning dermatology on a dermatology elective. Int J Dermatol. 1990; 29(5):345-8. DOI: 10.1111/j.1365-4362.1990.tb04757.x. View

Kerfoot B, Brotschi E . Online spaced education to teach urology to medical students: a multi-institutional randomized trial. Am J Surg. 2008; 197(1):89-95. DOI: 10.1016/j.amjsurg.2007.10.026. View

Kerfoot B, Baker H, Pangaro L, Agarwal K, Taffet G, Mechaber A . An online spaced-education game to teach and assess medical students: a multi-institutional prospective trial. Acad Med. 2012; 87(10):1443-9. DOI: 10.1097/ACM.0b013e318267743a. View

Auvin S, Imiela A, Catteau B, Hue V, Martinot A . Paediatric skin disorders encountered in an emergency hospital facility: a prospective study. Acta Derm Venereol. 2005; 84(6):451-4. DOI: 10.1080/00015550410021448. View

Kerfoot B, Fu Y, Baker H, Connelly D, Ritchey M, Genega E . Online spaced education generates transfer and improves long-term retention of diagnostic skills: a randomized controlled trial. J Am Coll Surg. 2010; 211(3):331-337.e1. DOI: 10.1016/j.jamcollsurg.2010.04.023. View

Prose N . Dermatology training during the pediatric residency. Clin Pediatr (Phila). 1988; 27(2):100-3. DOI: 10.1177/000992288802700207. View

Jack M, Kenkare S, Saville B, Beidler S, Saba S, West A . Improving education under work-hour restrictions: comparing learning and teaching preferences of faculty, residents, and students. J Surg Educ. 2010; 67(5):290-6. DOI: 10.1016/j.jsurg.2010.07.001. View

10.

Pashler H, Rohrer D, Cepeda N, Carpenter S . Enhancing learning and retarding forgetting: choices and consequences. Psychon Bull Rev. 2007; 14(2):187-93. DOI: 10.3758/bf03194050. View

11.

Dolan O, Bingham E, Glasgow J, Burrows D, Corbett J . An audit of dermatology in a paediatric accident and emergency department. J Accid Emerg Med. 1994; 11(3):158-61. PMC: 1342421. DOI: 10.1136/emj.11.3.158. View

12.

KOSOWER E, Berman N . Comparison of pediatric resident and faculty learning styles: implications for medical education. Am J Med Sci. 1996; 312(5):214-8. DOI: 10.1097/00000441-199611000-00004. View

13.

Kopp S, Smith H . Developing effective web-based regional anesthesia education: a randomized study evaluating case-based versus non-case-based module design. Reg Anesth Pain Med. 2011; 36(4):336-42. DOI: 10.1097/AAP.0b013e3182204d8c. View

14.

Macnab A, Martin J, Duffy D, Murray G . Measurement of how well a paediatric training programme prepares graduates for their chosen career paths. Med Educ. 1998; 32(4):362-6. DOI: 10.1046/j.1365-2923.1998.00215.x. View

15.

Enk C, Gilead L, Smolovich I, Cohen R . Diagnostic performance and retention of acquired skills after dermatology elective. Int J Dermatol. 2003; 42(10):812-5. DOI: 10.1046/j.1365-4362.2003.02018.x. View

16.

Kerfoot B . Learning benefits of on-line spaced education persist for 2 years. J Urol. 2009; 181(6):2671-3. DOI: 10.1016/j.juro.2009.02.024. View

17.

Hester E, McNealy K, Kelloff J, Diaz P, Weston W, Morelli J . Demand outstrips supply of US pediatric dermatologists: results from a national survey. J Am Acad Dermatol. 2004; 50(3):431-4. DOI: 10.1016/j.jaad.2003.06.009. View

18.

Hansra N, OSullivan P, Chen C, Berger T . Medical school dermatology curriculum: are we adequately preparing primary care physicians?. J Am Acad Dermatol. 2009; 61(1):23-29.e1. DOI: 10.1016/j.jaad.2008.11.912. View

19.

Shaw T, Long A, Chopra S, Kerfoot B . Impact on clinical behavior of face-to-face continuing medical education blended with online spaced education: a randomized controlled trial. J Contin Educ Health Prof. 2011; 31(2):103-8. DOI: 10.1002/chp.20113. View

20.

Hayden G . Skin diseases encountered in a pediatric clinic. A one-year prospective study. Am J Dis Child. 1985; 139(1):36-8. DOI: 10.1001/archpedi.1985.02140030038023. View