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Updated: Nov 8, 2025

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
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Can Text Messaging Teach Residents? A Randomized Controlled Trial.

Hovig K Artinian1,2, Thomas G Keens1, Roberta Kato1

  • 1Children's Hospital Los Angeles, University of Southern California, Keck School of Medicine, Los Angeles, California; and.

ATS Scholar
|April 19, 2021
PubMed
Summary

Text messaging education improved resident perception but did not significantly increase pediatric pulmonary knowledge. Further research is needed to optimize spaced education strategies for resident learning.

Keywords:
resident educationtext messagingtexting

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Area of Science:

  • Medical Education
  • Pediatric Pulmonology
  • Digital Health Interventions

Background:

  • Spaced education and testing effect enhance memory but are challenging in residency.
  • Text messaging, a ubiquitous tool, has not been evaluated for spaced education in medical training.

Purpose of the Study:

  • To evaluate the impact of text message-based spaced education on resident knowledge in pediatric pulmonology.
  • To assess resident perceptions of text message-based learning interventions.

Main Methods:

  • Prospective randomized controlled study involving pediatric residents during an inpatient pulmonary rotation.
  • Intervention group received daily text message scenarios and feedback; control group received standard education.
  • Knowledge assessed via pretest/posttest; perceived value using Likert scales; data analyzed with t-tests and ANOVA.

Main Results:

  • 81% response rate; posttest scores were lower than pretest in both arms due to question difficulty.
  • Intervention arm scored higher on posttest (P=0.04), but knowledge gain (delta) was not significantly different (P=0.6).
  • 80% of intervention participants perceived texting as effective.

Conclusions:

  • Text message-based learning is perceived as effective by residents.
  • This intervention did not demonstrate a measurable increase in resident knowledge in pediatric pulmonology.