According to a 2017 report by the American Medical Association (AMA), the new focus of medical education is on “creating physicians who are self-directed, critically thinking, expert workplace learners. These learners learn how to know what they don’t know and appropriately use just-in-time knowledge resources and decision support systems to address identified gaps1.”

Physicians must adapt and learn new ways to solve different and more complex clinical problems. Use of the metacognitive approach — the ability to think about learning based on understanding what you know and what you do not know — is gaining traction in many areas of education including healthcare education.

JBJS Clinical Classroom supports this educational paradigm shift by applying the metacognitive approach — prompting learners to assess their competence in the material before submitting an answer.. Even well-trained experienced surgeons must update their knowledge and skills to diagnose and treat increasingly complex patient conditions and improve patient outcomes.


  • JBJS Clinical Classroom is a learning system that specializes in adaptive learning. It observes what and how a person learns, tailoring their experience to their identified knowledge gaps. 3
  • Users of JBJS Clinical Classroom may spend up to 50% less time than users of traditional e-learning methods learning the same material3.
  • Study tools that ask hundreds of questions provide experience aimed at passing exams versus mastery and reinforcement of information. By contrast, Clinical Classroom quickly identifies learner strengths and weaknesses during the test-taking process so that they can continually focus on areas they have not yet mastered or about which they are uncertain.
  • Clinical Classroom allows learners to review not only the probes they have missed but also which learning objectives they are finding most challenging to master. The platform also contains an automated “refresh” function to help learners retain previously learned content and to relearn things they may have forgotten over time.


JBJS recruited experts across orthopaedic subspecialties to develop learning objectives that require higher-order thinking, such as an ability to evaluate and diagnose a patient’s condition and to select an appropriate treatment. Writers then developed probes to address each learning objective, provided learning resources with supporting information for the questions, and supplied references for additional information.

All questions and learning resources are peer-reviewed by several subspecialty content experts and the JBJS Editor-in-Chief then revises as needed before integrating into JBJS Clinical Classroom. The platform is updated regularly to add new learning objectives and probes, revising any material that is no longer current.


When preparing for an exam, a learner’s time is limited. Because users of Clinical Classroom avoid spending time on content they have already mastered and can focus on areas where they need reinforcement, they may spend up to 50% less time than users of traditional e-learning methods learning the same materials3.

Clinical Classroom is a perfect studying tool for In-Training and Board examinations, as well as beyond residency.  In addition to residency faculty developing curated exams for their residents, learners can develop their own practice sets that can be customized for focused study or exam prep.

Often, learners require a handful of learning resources and textbooks – why not add one that adapts to you as you learn and improve? JBJS published content is right at your fingertips every step of the way.