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

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Summary
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Just-in-time training (JITT) using instructional videos significantly improved medical students' ability to apply short-arm (SA) volar splints compared to textbooks. JITT led to faster preparation and higher success rates in splinting procedures.

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Area of Science:

  • Medical Education
  • Surgical Skills Training
  • Procedural Skills Development

Background:

  • Splinting is a complex procedure infrequently performed by primary care physicians.
  • Just-in-time training (JITT) offers a solution for teaching infrequent procedures, especially with limited resources.
  • Medical students require effective training methods for procedural skills like short-arm (SA) volar splinting.

Purpose of the Study:

  • To evaluate the effectiveness of JITT for teaching the SA volar splinting technique to medical students.
  • To compare JITT via instructional video with traditional textbook learning for splinting skills.
  • To assess the impact of JITT on learning time and procedural accuracy.

Main Methods:

  • A prospective randomized controlled pilot study was conducted.
  • Medical students were randomized to receive JITT via instructional video or standard textbook learning before applying an SA volar splint.
  • Assessments included a 6-point skills checklist for splint quality and measurement of preparation and completion times.

Main Results:

  • JITT group students achieved significantly higher scores on the splint checklist (5.45 vs. 1.58) and had higher pass rates (73% vs. 0%).
  • The JITT group demonstrated reduced presplinting preparation time (7.86 minutes vs. 9.89 minutes).
  • No significant difference was found in the time required to complete the splint itself.

Conclusions:

  • JITT instructional videos are more effective than textbooks for teaching SA volar splinting, leading to faster learning and improved skills.
  • JITT provides a valuable, efficient method for disseminating procedural skills in medical education.
  • This approach has global potential for teaching and standardizing procedural skills like splinting.