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Text vs Email for a Question of the Day: Which do Today’s Medical Students Prefer?
Purpose: Compare completion rates and satisfaction of
question of the day(QOD) received via text vs email.
Background: Fast, hands on learning e-tools are a popular
effective technique with current generation of medical learners.
Methods: Twenty-eight questions of the day(QOD) developed
focusing on commonly missed NBME exam concepts. A prospective cohort study of
ob/gyn clerkship students conducted. Students self-selected to receive QOD by
text or email from 1/19-7/19. Students received QOD nightly on weekdays via
text or email, completion was optional.
Primary outcome was overall response rate(RR). Secondary outcomes include
RR/question and average weekly RR. Qualitative feedback regarding satisfaction,
time spent, and utility also obtained.
Results: Eighty-one medical students participated, 40 selecting
text and 41 email. In sum, 863 texts and 1269 emails sent during study
period. Overall text RR was significantly lower than
email(55.2%vs78.6%,p< 0.001). For no question was text RR greater than email
RR. Average RR did not vary by week(wk1: text 55% vs 83% email, wk6: text 64%
vs email 77%).
43/81(53%) students gave qualitative feedback, 28/41 from email cohort, and
15/40 text. 86% found the QOD helpful/very helpful(no difference by mode of
receipt). However, email recipients more likely to find it very
helpful(54%vs13%,p=0.02). 77% found the level of difficulty to be “just
right”,(no difference by mode of receipt). The QOD took all students less than
5 minutes. Nearly all(93%) students found the QOD worthwhile and 98% would
recommend to future students.
Discussions: Surprisingly, QOD completion rates were higher with
email than text, though satisfaction and perceived utility high in both
CREOG & APGO Annual Meeting, 2020, Student, Faculty, Clerkship Director, Medical Knowledge, Practice-Based Learning & Improvement, UME, Assessment, Independent Study, General Ob-Gyn,