The Effect of Paging Reminders on Fellowship Conference Attendance: A Multi-Program Randomized Crossover Study

Smith, Joshua D.; Zaffiri, Lorenzo; Clary, Julie M.; Davis, Tyler; Bosslet, Gabriel T.

doi:10.4300/jgme-d-15-00487.1

Cited by 3 publications

(2 citation statements)

References 11 publications

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“…The results of this study differ from Smith and colleagues, who found that reminder pages had no overall effect on conference attendance for fellows; however, no sample size justification was provided in that study, making it difficult to evaluate the likelihood of a false-negative finding. 7 Our study differs in several ways: the timing of the reminder page (5 minutes vs 30 minutes prior to the conference), the method by which attendance was recorded (by an independent observer vs learner sign-in), and the time that attendance was recorded (2 prespecified times vs continuously). As far as we know, our study is the first to evaluate the nudge effect of reminder text pages on internal medicine resident attendance at conferences, with attendance taken by an observer.…”

Section: Resultsmentioning

confidence: 99%

“…5 Unfortunately, competing priorities, including patient care and trainee supervision, may contribute to an action-intention gap among house staff that reduces attendance. [6][7][8] Low attendance at morning reports represents wasted effort and lost educational opportunities; therefore, strategies to increase attendance are needed. Of several methods studied, more resource-intensive interventions (eg, providing food) were the most successful.…”

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confidence: 99%

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Are Text Pages an Effective Nudge to Increase Attendance at Internal Medicine Morning Report Conferences? A Cluster Randomized Controlled Trial

Ganatra

2023

Federal Practitioner

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Background: Despite the importance of medical educational conferences, low attendance remains an issue. The utility of reminder text pages as a behavioral nudge to increase attendance is unknown. Our objective was to determine whether reminder text pages increase daily morning report attendance. Methods: We conducted a multiple-crossover cluster randomized controlled trial among medical students and internal medicine interns and residents (learners) at the Veteran Affairs Boston Healthcare System during the 2019 to 2020 academic year. During intervention periods, all residents and interns received a text page reminder 5 minutes before the upcoming 8:00 am morning report conference; no page was sent during control periods. The primary outcome was conference attendance 10 minutes after the start of the conference. Results:The study period included 85 morning report conferences, which 211 unique learners were eligible to attend; outcome data were available for 100% of eligible learners. On days when no page was sent, 44.4% of eligible learners attended the conference by 8:10 am; on days when a reminder page was sent, 49.5% of eligible learners attended (P = .007). Accounting for clustering within individuals and controlling for date and team, the adjusted risk difference in morning report attendance associated with a reminder page was 4.0% (95% CI, 0.5%-7.6%) compared with no reminder page. No effect modification by overnight admissions was detected. Conclusions: Our results suggest that daily reminder pages may result in a small increase in conference attendance. Whether this small increase is educationally significant will vary across training programs that apply this strategy.

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Section: Resultsmentioning

confidence: 99%

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confidence: 99%

Are Text Pages an Effective Nudge to Increase Attendance at Internal Medicine Morning Report Conferences? A Cluster Randomized Controlled Trial

Ganatra

2023

Federal Practitioner

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“A friendly reminder” – Improving workflow and efficiency in a pulmonary fellows’ outpatient continuity clinic

Hyslop,

Swazo,

Smith

2024

Heart & Lung

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Academic half days, noon conferences and classroom-based education in postgraduate medical education: a scoping review

Chen

Quach

Dayan

et al. 2023

cmajo

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Background: Classroom-based education (CBE) is ubiquitous in postgraduate medical education (PGME), but to date no studies have synthesized the literature on the topic. We conducted a scoping review focusing on academic half days and noon conferences. Methods: We searched 4 databases (MEDLINE [OVID], Embase [OVID], ERIC [EBSCO] and Web of Science) from inception to December 2021, performed reference and citation harvesting, and applied predetermined inclusion and exclusion criteria to our screening. We used 2 frameworks for the analysis: “experiences, trajectories and reifications” and “description, justification and clarification.” Results: We included 90 studies, of which 55 focused on resident experiences, 29 on trajectories and 6 on reification. We classified 44 studies as “description,” 38 as “justification” and 8 as “clarification.” In the description studies, 12 compared academic half days with noon conferences, 23 described specific teaching topics, and 9 focused on resources needed for CBE. Justification studies examined the effects of CBE on outcomes, such as examination scores (17) and use of teaching strategies in team-based learning, principles of adult learning and e-learning (15). Of the 8 clarification studies, topics included the role of CBE in PGME, stakeholder perspectives and transfer of knowledge between classroom and workplace. Interpretation: Much of the existing literature is either a description of various aspects of CBE or justification of particular teaching strategies. Few studies exist on how and why CBE works; future studies should aim to clarify how CBE facilitates resident learning within the sociocultural framework of PGME.

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The Effect of Paging Reminders on Fellowship Conference Attendance: A Multi-Program Randomized Crossover Study

Abstract: Paging reminders prior to a regularly scheduled conference had no effect on overall attendance in this study. Fellows reported that clinical obligations were a major barrier to conference attendance.

Cited by 3 publications

References 11 publications

Are Text Pages an Effective Nudge to Increase Attendance at Internal Medicine Morning Report Conferences? A Cluster Randomized Controlled Trial

Are Text Pages an Effective Nudge to Increase Attendance at Internal Medicine Morning Report Conferences? A Cluster Randomized Controlled Trial

“A friendly reminder” – Improving workflow and efficiency in a pulmonary fellows’ outpatient continuity clinic

Academic half days, noon conferences and classroom-based education in postgraduate medical education: a scoping review

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