Just In Time: Technology to Disseminate Curriculum and Manage Educational Requirements With Mobile Technology

Background: Learning objectives intended to guide clinical education may be of limited usefulness if they are unavailable to students when interacting with patients. Description: We developed, implemented, and evaluated a Web-based process to disseminate the Clerkship Directors of Internal Medicine curricular objectives to students via handheld computers and for students to upload patient logs to a central database. Evaluation: We delivered this program to all students in our geographically dispersed system, with minimal technological problems. The total number of “hits” on curricular objectives was 8,932 (averaging 149 per student or approximately 2.7 times daily). The average number of “hits” per problem was 470, ranging from 18 for smoking cessation to 1,784 for chest pain. The total number of patient problems logged by students was 9,579, and 91% of students met our prespecified criteria for numbers and types of patients. Conclusions: Dissemination and use of curricular learning objectives and related tools is enhanced with mobile technology.

[1]  Amy C. Brodkey,et al.  Trends in Undergraduate Medical Education: Clinical Clerkship Learning Objectives , 2006, Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry.

[2]  E. Bass,et al.  Reforming the Core Clerkship in Internal Medicine: The SGIM/CDIM Project , 2001, Annals of Internal Medicine.

[3]  Lisa D Howley,et al.  Direct Observation of Students during Clerkship Rotations: A Multiyear Descriptive Study , 2004, Academic medicine : journal of the Association of American Medical Colleges.

[4]  D. Beech,et al.  Health Professions Education: A Bridge to Quality , 2004 .

[5]  J. Woodard,et al.  Use of Clerkship Learning Objectives by Members of the Association of Directors of Medical Student Education in Psychiatry , 2006, Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry.

[6]  S. Engum Do you know your students' basic clinical skills exposure? , 2003, American journal of surgery.

[7]  Michael E Whitcomb More on competency-based education. , 2004, Academic medicine : journal of the Association of American Medical Colleges.

[8]  Sunil Kripalani,et al.  Use of handheld computers in medical education. A systematic review. , 2006, Journal of general internal medicine.

[9]  M. Donnelly,et al.  What Do Faculty Observe of Medical Students' Clinical Performance? , 2006, Teaching and learning in medicine.

[10]  P. Carney,et al.  Preclinical Preceptorships in Medical School: Can Curricular Objectives Be Met in Diverse Teaching Settings? , 2006, Teaching and learning in medicine.

[11]  J. Kogan,et al.  Feasibility, Reliability, and Validity of the Mini-Clinical Evaluation Exercise (mCEX) in a Medicine Core Clerkship , 2003, Academic medicine : journal of the Association of American Medical Colleges.

[12]  A. Olson,et al.  A national general pediatric clerkship curriculum: the process of development and implementation. , 2000, Pediatrics.

[13]  E. Bass,et al.  Evaluation of a national curriculum reform effort for the medicine core clerkship , 2000, Journal of General Internal Medicine.

[14]  R. Reznick,et al.  Assessing competency in surgery: where to begin? , 2004, Surgery.

[15]  G N Sales Assessing competency. , 1992, Hospital & community psychiatry.