Evidence map›Paper›PMID 30964435›Full record

Trial reportJMIR mHealth and uHealth2019

Use of the Smartphone App WhatsApp as an E-Learning Method for Medical Residents: Multicenter Controlled Randomized Trial.

Thomas Clavier, Julie Ramen, Bertrand Dureuil, Benoit Veber, Jean-Luc Hanouz, Hervé Dupont, Gilles Lebuffe, Emmanuel Besnier, Vincent Compere

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in JMIR mHealth and uHealth, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. What's up with WhatsApp in supplementing surgical education: an objective assessment.Annals of the Royal College of Surgeons of England · 2022
    Trial
  5. Article
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  12. Harnessing Social Media to Enhance Nephrology Academia.JNMA; journal of the Nepal Medical Association · 2023
    Review
  13. The role of messaging services in day-to-day practice in pediatric neurosurgery, advantages of a bubble network, and an international survey.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2023
    Article
  14. Article
  15. Review
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  18. [Twitter in cardiology : Tips and tricks].Herzschrittmachertherapie & Elektrophysiologie · 2020
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Thomas Clavier *Department of Anesthesiology and Critical Care, Rouen University Hospital, Rouen, France.ORCID 0000-0001-8630-7537
Julie Ramen *Department of Anesthesiology and Critical Care, Rouen University Hospital, Rouen, France.ORCID 0000-0003-0299-3213
Bertrand DureuilDepartment of Anesthesiology and Critical Care, Rouen University Hospital, Rouen, France.ORCID 0000-0002-2802-5504
Benoit VeberDepartment of Anesthesiology and Critical Care, Rouen University Hospital, Rouen, France.ORCID 0000-0002-5938-7284
Jean-Luc HanouzDepartment of Anesthesiology and Critical Care, Caen University Hospital, Normandie Université, Caen, France.ORCID 0000-0003-1845-8610
Hervé DupontDepartment of Anesthesiology and Critical Care, Amiens University Hospital, Amiens, France.ORCID 0000-0002-5644-3412
Gilles LebuffePôle d'Anesthésie-Réanimation, Lille University Hospital, Lille, France.ORCID 0000-0001-8992-7061
Emmanuel BesnierDepartment of Anesthesiology and Critical Care, Rouen University Hospital, Rouen, France.ORCID 0000-0002-0267-0986
Vincent CompereDepartment of Anesthesiology and Critical Care, Rouen University Hospital, Rouen, France.ORCID 0000-0001-5977-7090

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe WhatsApp smartphone app is the most widely used instant messaging app in the world. Recent studies reported the use of WhatsApp for educational purposes, but there is no prospective study comparing WhatsApp's pedagogical effectiveness to that of any other teaching modality.

objectiveThe main objective of this study was to measure the impact of a learning program via WhatsApp on clinical reasoning in medical residents.

methodsThis prospective, randomized, multicenter study was conducted among first- and second-year anesthesiology residents (offline recruitment) from four university hospitals in France. Residents were randomized in two groups of online teaching (WhatsApp and control). The WhatsApp group benefited from daily delivery of teaching documents on the WhatsApp app and a weekly clinical case supervised by a senior physician. In the control group, residents had access to the same documents via a traditional computer electronic learning (e-learning) platform. Medical reasoning was self-assessed online by a script concordance test (SCT; primary parameter), and medical knowledge was assessed using multiple-choice questions (MCQs). The residents also completed an online satisfaction questionnaire.

resultsIn this study, 62 residents were randomized (32 to the WhatsApp group and 30 to the control group) and 22 residents in each group answered the online final evaluation. We found a difference between the WhatsApp and control groups for SCTs (60% [SD 9%] vs 68% [SD 11%]; P=.006) but no difference for MCQs (18/30 [SD 4] vs 16/30 [SD 4]; P=.22). Concerning satisfaction, there was a better global satisfaction rate in the WhatsApp group than in the control group (8/10 [interquartile range 8-9] vs 8/10 [interquartile range 8-8]; P=.049).

conclusionsCompared to traditional e-learning, the use of WhatsApp for teaching residents was associated with worse clinical reasoning despite better global appreciation. The use of WhatsApp probably contributes to the dispersion of attention linked to the use of the smartphone. The impact of smartphones on clinical reasoning should be studied further.

Indexed as

AdultClinical CompetenceEducational MeasurementEducation, Medical, GraduateFemaleFranceHumansInternship and ResidencyMaleMobile ApplicationsProspective StudiesSocial MediaSurveys and Questionnairesanesthesiologyeducational measurementeducation, medical, graduate/methodshemorrhageinternship and residencymobile applicationsmobile phonesmartphoneteaching materialstraumaWhatsApp

Identifiers

PMID30964435
PMCPMC6477573

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.