PMID- 33961204
OWN - NLM
STAT- MEDLINE
DCOM- 20221124
LR  - 20221219
IS  - 1543-0154 (Electronic)
IS  - 0885-8195 (Print)
IS  - 0885-8195 (Linking)
VI  - 37
IP  - 6
DP  - 2022 Dec
TI  - Just-in-Time Teaching (JiTT) Screencasts: a Randomized Controlled Trial of 
      Asynchronous Learning on an Inpatient Hematology-Oncology Teaching Service.
PG  - 1711-1718
LID - 10.1007/s13187-021-02016-z [doi]
AB  - BACKGROUND: The efficacy of just-in-time teaching (JiTT) screencasts for graduate 
      medical education on an inpatient adult hematology-oncology service (HOS) setting 
      is not known. Our preceding pilot data identified six high-yield topics for this 
      setting. The study objective was to evaluate screencast educational efficacy. 
      METHODS: Internal medicine residents scheduled to start a rotation on the primary 
      HOS of an academic medical center were eligible for this parallel, unblinded, 
      randomized controlled trial with concealed allocation. Participants underwent 
      block randomization to the usual educational curriculum either with or without 
      access to a series of novel screencasts; all participants received an anonymous 
      online end-of-rotation survey and a $20 gift certificate upon completion. The 
      primary outcome was the change in attitude among learners, measured as their 
      self-reported confidence for managing the clinical topics. RESULTS: From 
      12/9/2019 through 6/15/2020, accrual was completed with 67 of 78 eligible 
      residents (86%) enrolled and randomized. Analysis was by intention-to-treat and 
      participant response rate was 91%. Sixty-four percent of residents in the 
      treatment arm rated their clinical management comfort level as "comfortable" or 
      "very comfortable" versus 21% of residents in the usual education arm (p = 
      0.001), estimated difference = 43% (95% CI: 21-66%), using a prespecified 
      cumulative cutoff score. Treatment arm participants reported that the screencasts 
      improved medical oncology knowledge base (100%), would improve their care for 
      cancer patients (92%), and had an enjoyable format (96%). CONCLUSION: Residents 
      on a busy inpatient HOS found that a JiTT screencast increased clinical comfort 
      level in the management of HOS-specific patient problems.
CI  - (c) 2021. American Association for Cancer Education.
FAU - Kuhlman, Patrick D
AU  - Kuhlman PD
AD  - Department of Internal Medicine, Wake Forest School of Medicine, Winston-Salem, 
      NC, USA.
FAU - Williams, Donna
AU  - Williams D
AD  - Department of Internal Medicine, Wake Forest School of Medicine, Winston-Salem, 
      NC, USA.
FAU - Russell, Gregory
AU  - Russell G
AD  - Department of Biostatistical Sciences, Wake Forest School of Medicine, 
      Winston-Salem, NC, USA.
FAU - Amornmarn, Amy
AU  - Amornmarn A
AD  - Department of Internal Medicine, Wake Forest School of Medicine, Winston-Salem, 
      NC, USA.
FAU - Harbaugh, Joshua
AU  - Harbaugh J
AD  - Department of Internal Medicine, Medical University of South Carolina, 
      Charleston, SC, USA.
FAU - Woods, Ryan
AU  - Woods R
AD  - Department of Internal Medicine, Wake Forest School of Medicine, Winston-Salem, 
      NC, USA.
FAU - Lycan, Thomas W Jr
AU  - Lycan TW Jr
AUID- ORCID: 0000-0001-9475-1558
AD  - Department of Internal Medicine, Wake Forest School of Medicine, Winston-Salem, 
      NC, USA. TLycan@wakehealth.edu.
LA  - eng
GR  - P30 CA012197/CA/NCI NIH HHS/United States
PT  - Journal Article
PT  - Randomized Controlled Trial
PT  - Research Support, N.I.H., Extramural
DEP - 20210507
PL  - England
TA  - J Cancer Educ
JT  - Journal of cancer education : the official journal of the American Association 
      for Cancer Education
JID - 8610343
SB  - IM
MH  - Adult
MH  - Humans
MH  - Inpatients
MH  - Education, Medical, Graduate
MH  - *Hematology/education
MH  - Medical Oncology/education
MH  - Curriculum
MH  - *Internship and Residency
MH  - Teaching
PMC - PMC8102147
OTO - NOTNLM
OT  - Graduate medical education
OT  - Hematology
OT  - Inpatient
OT  - Internal medicine
OT  - Medical oncology
OT  - Randomized controlled trial
OT  - Supportive care
COIS- Co-owner of Certus Critical Care, Inc., medical device company without devices on 
      the market (DW). Advisory board for Sanofi (RW).
EDAT- 2021/05/08 06:00
MHDA- 2022/11/25 06:00
PMCR- 2021/05/07
CRDT- 2021/05/07 12:55
PHST- 2021/04/13 00:00 [accepted]
PHST- 2021/05/08 06:00 [pubmed]
PHST- 2022/11/25 06:00 [medline]
PHST- 2021/05/07 12:55 [entrez]
PHST- 2021/05/07 00:00 [pmc-release]
AID - 10.1007/s13187-021-02016-z [pii]
AID - 2016 [pii]
AID - 10.1007/s13187-021-02016-z [doi]
PST - ppublish
SO  - J Cancer Educ. 2022 Dec;37(6):1711-1718. doi: 10.1007/s13187-021-02016-z. Epub 
      2021 May 7.