Previously submitted to: JMIR Medical Education (no longer under consideration since Feb 10, 2026)
Date Submitted: Aug 21, 2025
Open Peer Review Period: Aug 25, 2025 - Oct 20, 2025
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Online Modules Prior to Orientation Increases Readiness for Residency
ABSTRACT
Background:
The transition to residency is a period marked by increased risk for patient safety events. Since 2017, NYU Grossman School of Medicine (NYUGSOM) has provided incoming interns with WISE-OnCall (WOC), 12 online modules designed to boost clinical readiness for residency. While features such as individualized feedback, high-yield cases, or self-assessment questions are known to enhance web-based learning, the impact of reducing required content or providing learner choice on engagement with e-learning resources is unclear
Objective:
To explore whether reducing the number of required modules and incorporating learner choice impacted interns’ engagement with, and attitudes towards WOC.
Methods:
In 2023, NYUGSOM reduced the number of required modules from 12 to 4, including a module of choice. We compared exit and six-month follow-up survey responses and time spent on the modules between the 2022 (12 modules) and 2023 (4 modules) cohorts to evaluate the impact of this shift.
Results:
458 interns completed WOC across both years, with 405 completing the exit survey (response rate: 2022=90%, 2023=87%). More interns in 2023 versus 2022 reported the modules prepared them for internship, provided clinical frameworks, and that they anticipated revisiting WOC during residency. 2023 interns spent more time on the modules. After six months, both cohorts similarly recommended WOC. Interns in both years recalled content that ‘stuck’, particularly systematic approaches to clinical reasoning; but more 2023 interns applied module content in practice.
Conclusions:
Fewer assigned modules and providing learner choice enhanced engagement and perceived relevance, informing best practices for e-learning resources during residency preparation. Clinical Trial: N/A
Citation
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