1. Scott Bragg, PharmD Kristen Hood Watson, MD Alexander Chessman, MD
Texting to Teach and Teaching to Text: Preliminary Results and Tutorial
Scott Bragg, PharmD
Kristen Hood Watson, MD
Alexander Chessman, MD

3. Disclosures
None to report

4. Objectives
At the end of this presentation, texting participants will:
Identify the advantages and disadvantages of text messages as a teaching tool
Recall techniques to generate active learning among millennial learners
Engage learners with text messaging to improve learning satisfaction with teaching

5. Background
Family medicine rural clerkship students throughout South Carolina
2-day orientation has a 2 hour diabetes workshop from a physician & pharmacist
No standard curriculum for rotation
IDEA

6. Hypothesis
Our intervention of text messaging diabetes management strategies throughout rural clerkship training will improve medical student learning as assessed through post-intervention examinations and student satisfaction surveys

7. Methods Students randomized to emails vs. text messages
group sent all content at once
Text group sent 3 texts per week
Both groups encouraged to respond back

8. Example Text Message
A 45 y/o man has a blood sugar of 305 in the ED. His A1c is 12%. He weighs 250lbs. How much basal insulin would you start?
20 units
Great job! Shoot for 0.2 units/kg

11. Assessment
Study authors created a difficult 10 question post-text applying texted or ed content
6 survey questions
3rd party safety analysis performed on diabetes questions from the fmCASES exam

12. Post-Test
Which diabetes medication is most commonly associated with peripheral neuropathies?
Metformin
Glipizide
Pioglitazone (Actos)
Exenatide (Byetta, Bydureon)

13. Study Demographics 45 randomized to texting and 33 to email
5 participants failed to take the post-test (3 from texting and 2 from group)
46 male and 32 female
Expect to study another 20 participants by the end of the pilot

14. Study Results

15. Study Results

16. Study Results
No statistically significant differences between the groups
Only 28 of 45 participants randomized to texting signed up for the messages
Mixed responses seen with survey questions

17. “Should be more Q&A, send prior to starting clinic”
“This was helpful. I think this should be more incorporated into our other rotations”
“Daily questions with answers & links to articles, maybe an incentive like bonus points”
“I think weekly/biweekly texts covering a topic of the week for us to consider on the boards would be great. It’s not overbearing, is practical, and enhances our education”
Participant Quotes
“Maybe difficult to get students to read long messages. An app that sends interaction notifications may work well”
“Should be more Q&A, send prior to starting clinic”

18. Group Discussion from Audience Texts

19. Advantages of Text Messages
Low cost
Easy to send messages
Actively engages some students
Interactive format
Concise way to share information

20. Disadvantages of Text Messages
Challenging to pick the best time to text
Interactive participation varied
Some participants lacked cell service
Content varied based on student responses
You’ve got mail

21. Conclusions Assess satisfaction questions
Evaluate questions for difficulty and how they match the content
Make the content more interactive
Consider messages as part of an educational app

22. QUESTIONS?

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