Using just-in-time teaching and peer instruction in a residency program's core curriculum: Enhancing satisfaction, engagement, and retention

Mary C. Schuller*, Debra A. Darosa, Marie L. Crandall

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

22 Scopus citations

Abstract

Purpose To assess use of the combined just-intime teaching (JiTT) and peer instruction (PI) instructional strategy in a residency program's core curriculum. Method In 2010-2011, JiTT/PI was piloted in 31 core curriculum sessions taught by 22 faculty in the Northwestern University Feinberg School of Medicine's general surgery residency program. JiTT/PI required preliminary and categorical residents (n = 31) to complete Webbased study questions before weekly specialty topic sessions. Responses were examined by faculty members "just in time" to tailor session content to residents' learning needs. In the sessions, residents answered multiple-choice questions (MCQs) using clickers and engaged in PI. Participants completed surveys assessing their perceptions of JiTT/PI. Videos were coded to assess resident engagement time in JiTT/ PI sessions versus prior lecture-based sessions. Responses to topic session MCQs repeated in review sessions were evaluated to study retention. Results More than 70% of resident survey respondents indicated that JiTT/PI aided in the learning of key points. At least 90% of faculty survey respondents reported positive perceptions of aspects of the JiTT/PI strategy. Resident engagement time for JiTT/PI sessions was significantly greater than for prior lecture-based sessions (z = -2.4, P = .016). Significantly more review session MCQ responses were correct for residents who had attended corresponding JiTT/PI sessions than for residents who had not (chisquare = 13.7; df = 1; P < .001). Conclusions JiTT/PI increased learner participation, learner retention, and the amount of learner-centered time. JiTT/PI represents an effective approach for meaningful and active learning in core curriculum sessions.

Original languageEnglish (US)
Pages (from-to)384-391
Number of pages8
JournalAcademic Medicine
Volume90
Issue number3
DOIs
StatePublished - Mar 4 2015

ASJC Scopus subject areas

  • Education

Fingerprint Dive into the research topics of 'Using just-in-time teaching and peer instruction in a residency program's core curriculum: Enhancing satisfaction, engagement, and retention'. Together they form a unique fingerprint.

Cite this