Teaching Splinting Techniques Using a Just-in-Time Training Instructional Video

Yu Tsun Cheng, Deborah R. Liu, Vincent J. Wang

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Objective Splinting is a multistep procedure that is seldom performed by primary care physicians. Just-in-time training (JITT) is an emerging teaching modality and can be an invaluable asset for infrequently performed procedures or in locations where teaching resources and trained professionals are limited. Our objective was to determine the utility of JITT for teaching medical students the short-arm (SA) volar splinting technique. Methods This was a prospective randomized controlled pilot study. An instructional video on SA volar splinting was produced. Students viewed the video or had access to standard medical textbooks (control group) immediately before applying an SA volar splint. The students were assessed for the quality of the splint via a standard 6-point skills checklist. The times required for presplinting preparation and for completion of the splint were also measured. Results Just-in-time training group students scored higher on the splint checklist (mean [SD], 5.45 [1.06]; 95% confidence interval [CI], 4.99-5.92 vs mean [SD], 1.58 [1.12]; 95% CI, 1.04-2.12; P < 0.0001), had higher pass rates (73%; 95% CI, 53%-93% vs 0%; P < 0.0001), and required less time (minutes) for presplinting preparation (mean [SD], 7.86 [2.45]; 95% CI, 6.78-8.94 vs mean [SD], 9.89 [0.46]; 95% CI, 9.67-10.12; P < 0.0001) compared with the control group. No difference was seen in the time required to complete a splint, successful or not. Conclusions In comparison with reading standard textbooks, watching a brief JITT instructional video before splinting yielded faster learning times combined with more successful procedural skills. The use of a JITT instructional video may have potential applications, including globally, as an alternative resource for teaching and disseminating procedural skills, such as SA volar splinting.

Original languageEnglish (US)
Pages (from-to)166-170
Number of pages5
JournalPediatric Emergency Care
Volume33
Issue number3
DOIs
StatePublished - Mar 1 2017
Externally publishedYes

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Teaching
Splints
Confidence Intervals
Textbooks
Students
Checklist
Control Groups
Primary Care Physicians
Medical Students
Reading
Learning

Keywords

  • just-in-time training
  • medical education
  • splinting

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Emergency Medicine

Cite this

Teaching Splinting Techniques Using a Just-in-Time Training Instructional Video. / Cheng, Yu Tsun; Liu, Deborah R.; Wang, Vincent J.

In: Pediatric Emergency Care, Vol. 33, No. 3, 01.03.2017, p. 166-170.

Research output: Contribution to journalArticle

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abstract = "Objective Splinting is a multistep procedure that is seldom performed by primary care physicians. Just-in-time training (JITT) is an emerging teaching modality and can be an invaluable asset for infrequently performed procedures or in locations where teaching resources and trained professionals are limited. Our objective was to determine the utility of JITT for teaching medical students the short-arm (SA) volar splinting technique. Methods This was a prospective randomized controlled pilot study. An instructional video on SA volar splinting was produced. Students viewed the video or had access to standard medical textbooks (control group) immediately before applying an SA volar splint. The students were assessed for the quality of the splint via a standard 6-point skills checklist. The times required for presplinting preparation and for completion of the splint were also measured. Results Just-in-time training group students scored higher on the splint checklist (mean [SD], 5.45 [1.06]; 95{\%} confidence interval [CI], 4.99-5.92 vs mean [SD], 1.58 [1.12]; 95{\%} CI, 1.04-2.12; P < 0.0001), had higher pass rates (73{\%}; 95{\%} CI, 53{\%}-93{\%} vs 0{\%}; P < 0.0001), and required less time (minutes) for presplinting preparation (mean [SD], 7.86 [2.45]; 95{\%} CI, 6.78-8.94 vs mean [SD], 9.89 [0.46]; 95{\%} CI, 9.67-10.12; P < 0.0001) compared with the control group. No difference was seen in the time required to complete a splint, successful or not. Conclusions In comparison with reading standard textbooks, watching a brief JITT instructional video before splinting yielded faster learning times combined with more successful procedural skills. The use of a JITT instructional video may have potential applications, including globally, as an alternative resource for teaching and disseminating procedural skills, such as SA volar splinting.",
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