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Efficacy of an asynchronous electronic curriculum in emergency medicine education in the United States  
Alisa Wray, Kathryn Bennett, Megan Boysen-Osborn, Warren Wiechmann, Shannon Toohey
J Educ Eval Health Prof. 2017;14:29.   Published online December 11, 2017
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  • 11 Web of Science
  • 8 Crossref
AbstractAbstract PDFSupplementary Material
The aim of this study was to measure the effect of an iPad-based asynchronous curriculum on emergency medicine resident performance on the in-training exam (ITE). We hypothesized that the implementation of an asynchronous curriculum (replacing 1 hour of weekly didactic time) would result in non-inferior ITE scores compared to the historical scores of residents who had participated in the traditional 5-hour weekly didactic curriculum.
The study was a retrospective, non-inferiority study. conducted at the University of California, Irvine Emergency Medicine Residency Program. We compared ITE scores from 2012 and 2013, when there were 5 weekly hours of didactic content, with scores from 2014 and 2015, when 1 hour of conference was replaced with asynchro-nous content. Examination results were compared using a non-inferiority data analysis with a 10% margin of difference.
Using a non-inferiority test with a 95% confidence interval, there was no difference between the 2 groups (before and after implementation of asynchronous learning), as the confidence interval for the change of the ITE was −3.5 to 2.3 points, whereas the 10% non-inferiority margin was 7.8 points.
Replacing 1 hour of didactic conference with asynchronous learning showed no negative impact on resident ITE scores.


Citations to this article as recorded by  
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    Pediatric Blood & Cancer.2023;[Epub]     CrossRef
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    Rebecca E. MacDonell-Yilmaz, Angela Anderson, Priya Hirway, Jennifer G. Welch
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    Christina Mansour, Nooshin Beygui, Mamas A Mamas, Purvi J Parwani
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  • Nephrology Trainee Education Needs Assessment: Five Years and a Pandemic Later
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    Kidney Medicine.2022; 4(11): 100548.     CrossRef
  • Planning Engaging, Remote, Synchronous Didactics in the COVID-19 Pandemic Era
    Ronald Rivera, Jonathan Smart, Sangeeta Sakaria, Alisa Wray, Warren Wiechmann, Megan Boysen-Osborn, Shannon Toohey
    JMIR Medical Education.2021; 7(2): e25213.     CrossRef
  • Pediatric Resident Engagement With an Online Critical Care Curriculum During the Intensive Care Rotation*
    Dennis A. Daniel, Sue E. Poynter, Christopher P. Landrigan, Charles A. Czeisler, Jeffrey P. Burns, Traci A. Wolbrink
    Pediatric Critical Care Medicine.2020; 21(11): 986.     CrossRef
  • Asynchronous Curriculum “Socially Synchronized”: Learning Via Competition
    Jon Smart, Adriana Segura Olson, Andrew Muck
    Western Journal of Emergency Medicine.2018; 20(1): 6.     CrossRef

JEEHP : Journal of Educational Evaluation for Health Professions