Vincent Wang1, Yu-Tsun Cheng2, Deborah Liu1. 1. Pediatrics Department, Children's Hospital Los Angeles, California, USA. 2. Pediatrics Department, Rady Children's Hospital San Diego, California, USA.
Abstract
BACKGROUND:Just-in-time training (JITT) is an emerging concept in medical procedural education, but with few studies to support its routine use. Providing a brief educational intervention in the form of a digital video immediately prior to patient care may be an effective method to reteach knowledge for procedural techniques learned previously. METHODS: Paediatric resident physicians were taught to perform a volar splint in a small workshop setting. Subsequently, they were asked to demonstrate their splinting proficiency by performing a splint on another doctor. Proficiency was scored on a five-point assessment tool. After 2-12 months, participants were asked to demonstrate their splinting proficiency on one of the investigators, and were divided into the control group (no further instruction) and the intervention group, which viewed a 3-minute JITT digital video demonstrating the splinting technique prior to performing the procedure. RESULTS:Thirty subjects were enrolled between August 2012 and July 2013, and 29 of 30 completed the study. The retest splinting time was not significantly different, but if the JITT group included watching the video, the total time difference was statistically significant: 3.86 minutes (control) versus 7.07 minutes (JITT) (95% confidence interval: 2.20-3.90 minutes). The average assessment score difference was 1.87 points higher for the JITT group, which was a statistically significant difference (95% confidence interval: 1.00-3.00). Just-in-time training is an emerging concept in medical procedural education DISCUSSION: JITT seems to be an effective tool in medical education for reinforcing previously learned skills. JITT may offer other possibilities for enhancing medical education.
RCT Entities:
BACKGROUND: Just-in-time training (JITT) is an emerging concept in medical procedural education, but with few studies to support its routine use. Providing a brief educational intervention in the form of a digital video immediately prior to patient care may be an effective method to reteach knowledge for procedural techniques learned previously. METHODS: Paediatric resident physicians were taught to perform a volar splint in a small workshop setting. Subsequently, they were asked to demonstrate their splinting proficiency by performing a splint on another doctor. Proficiency was scored on a five-point assessment tool. After 2-12 months, participants were asked to demonstrate their splinting proficiency on one of the investigators, and were divided into the control group (no further instruction) and the intervention group, which viewed a 3-minute JITT digital video demonstrating the splinting technique prior to performing the procedure. RESULTS: Thirty subjects were enrolled between August 2012 and July 2013, and 29 of 30 completed the study. The retest splinting time was not significantly different, but if the JITT group included watching the video, the total time difference was statistically significant: 3.86 minutes (control) versus 7.07 minutes (JITT) (95% confidence interval: 2.20-3.90 minutes). The average assessment score difference was 1.87 points higher for the JITT group, which was a statistically significant difference (95% confidence interval: 1.00-3.00). Just-in-time training is an emerging concept in medical procedural education DISCUSSION: JITT seems to be an effective tool in medical education for reinforcing previously learned skills. JITT may offer other possibilities for enhancing medical education.
Authors: Adi Mohammed Al Owaifeer; Abdulaziz Al Taisan; Bader Alqahtani; Khalid Alburayk; Majed Alsubaie; Saad H Alenezi Journal: Adv Med Educ Pract Date: 2020-10-29
Authors: Anne Coakley; Alison Bailey; Joy Tao; Yujie L Liou; Amanda Champlain; Michael Ander; Eden Lake Journal: Int J Womens Dermatol Date: 2020-02-15
Authors: Sreeja Natesan; John Bailitz; Andrew King; Sara M Krzyzaniak; Sarah K Kennedy; Albert J Kim; Richard Byyny; Michael Gottlieb Journal: West J Emerg Med Date: 2020-07-03
Authors: Francisca L Chou; David Abramson; Charles DiMaggio; Christina W Hoven; Ezra Susser; Howard F Andrews; Stanford Chihuri; Barbara H Lang; Megan Ryan; Daniel Herman; Ida Susser; Franco Mascayano; Guohua Li Journal: Disaster Med Public Health Prep Date: 2021-06-07 Impact factor: 1.385