Evidence map›Paper›PMID 33389233›Full record

Trial reportAdvances in health sciences education : theory and practice2021

Does spaced education improve clinical knowledge among Family Medicine residents? A cluster randomized controlled trial.

Roland Grad, Daniel Leger, Janusz Kaczorowski, Tibor Schuster, Samara Adler, Marya Aman, Douglas Archibald, Marie-Claude Beaulieu, John Chmelicek, Evelyn Cornelissen and 17 more

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Advances in health sciences education : theory and practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
5.2field-weighted citation impact, top 5% of its field
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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Trial
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

27 authors at 14 institutions in 1 country.

Roland GradHerzl Family Practice Centre, McGill University, 3755 Cote Ste Catherine Road, Montreal, H3T 1E2, Canada. Roland.grad@mcgill.ca.ORCID 0000-0002-1591-613X
Daniel LegerWestern University, London, Canada.
Janusz KaczorowskiUniversité de Montréal, Montreal, Canada.
Tibor SchusterFamily Medicine, McGill University, Montreal, Canada.
Samara AdlerUniversité de Montréal, Montreal, Canada.
Marya AmanUniversity of Alberta, Edmonton, Canada.
Douglas ArchibaldUniversity of Ottawa, Ottawa, Canada.
Marie-Claude BeaulieuUniversité de Sherbrooke, Sherbrooke, Canada.
John ChmelicekUniversity of Alberta, Edmonton, Canada.
Evelyn CornelissenUniversity of British Columbia, Vancouver, Canada.
Bethany DellemanMcMaster University, Hamilton, Canada.
Sonia Hadj-MimouneUniversité de Montréal, Montreal, Canada.
Samantha HorveyUniversity of Alberta, Edmonton, Canada.
Steven MacalusoWestern University, London, Canada.
Stephen MintsioulisUniversity of Calgary, Calgary, Canada.
Stuart MurdochUniversity of Toronto, Toronto, Canada.
Brian NgUniversity of British Columbia, Vancouver, Canada.
Alain PapineauUniversité de Montréal, Montreal, Canada.
Sohil RangwalaUniversity of Ottawa, Ottawa, Canada.
Mathieu RousseauUniversity of Toronto, Toronto, Canada.
Teresa RudkinFamily Medicine, McGill University, Montreal, Canada.
Inge SchabortMcMaster University, Hamilton, Canada.
Karen SchultzQueen's University, Kingston, Canada.
Pamela SnowMemorial University of Newfoundland, St. John's, Canada.
Eric WongWestern University, London, Canada.
Pearson WuHerzl Family Practice Centre, McGill University, 3755 Cote Ste Catherine Road, Montreal, H3T 1E2, Canada.
Carlos BrailovskyUniversité Laval, Quebec City, Canada.
Université de Montréal · CAMcGill University · CAUniversity of Alberta · CAWestern University · CAMcMaster University · CAUniversity of British Columbia · CAUniversity of Ottawa · CAUniversity of Toronto · CAMcGill University Health Centre · CAMemorial University of Newfoundland · CAQueen's University · CAUniversité de Sherbrooke · CAUniversité Laval · CAUniversity of Calgary · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Spaced education is a learning strategy to improve knowledge acquisition and retention. To date, no robust evidence exists to support the utility of spaced education in the Family Medicine residency. We aimed to test whether alerts to encourage spaced education can improve clinical knowledge as measured by scores on the Canadian Family Medicine certification examination.

methodWe conducted a cluster randomized controlled trial to empirically and pragmatically test spaced education using two versions of the Family Medicine Study Guide mobile app. 12 residency training programs in Canada agreed to participate. At six intervention sites, we consented 335 of the 654 (51%) eligible residents. Residents in the intervention group were sent alerts through the app to encourage the answering of questions linked to clinical cases. At six control sites, 299 of 586 (51%) residents consented. Residents in the control group received the same app but with no alerts. Incidence rates of case completion between trial arms were compared using repeated measures analysis. We linked residents in both trial arms to their knowledge scores on the certification examination of the College of Family Physicians of Canada.

resultsOver 67 weeks, there was no statistically significant difference in the completion of clinical cases by participants. The difference in mean exam scores and the associated confidence interval did not exceed the pre-defined limit of 4 percentage points.

conclusionFurther research is recommended before deploying spaced educational interventions in the Family Medicine residency to improve knowledge.

Indexed as

Family PracticeInternship and ResidencyCanadaEducational MeasurementHumansKnowledgeEducation, Medical, GraduateFamily practiceRandomized controlled trialSpaced educationSpaced training

Identifiers

PMID33389233
PMCPMC8338813
OpenAlexW3119788336

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.