How it Works

What is JBJS Clinical Classroom and how does it work? 
JBJS Clinical Classroom is a learning system that uses a biological model of adaptive learning technology. It observes what and how a person learns and individualizes that person’s experience with a precise focus on knowledge, skill, and confidence deficits.1

After answering each question in Clinical Classroom, learners must choose: “I know it,” “Think so,” “Unsure,” or “No idea” to describe their confidence in the answer that they selected. The adaptive algorithm looks at how the question was answered (right or wrong), the self-reported confidence level, and the time it took to answer the question. It then presents questions about content not yet mastered or about which the learner is not confident. In this way, by continually directing users away from subjects in which they are proficient and confident and toward weaker areas, it “adapts” as the user learns.

Importantly, Clinical Classroom identifies learners who are “unconsciously incompetent”—i.e., those who don’t know what they don’t know. This can direct individual learning as well as provide focus for faculty and residency directors when planning learning experiences.

How is JBJS Clinical Classroom different from question-bank study tools? 
Study tools that ask hundreds of questions provide experience aimed at passing an exam, not mastery and reinforcement of the information. Question banks ask questions about subjects that the learner already knows as well those that they don’t know. Once a learner has answered 200 questions, all they have are 200 answered questions.

In contrast, Clinical Classroom quickly identifies learners’ strengths and weaknesses DURING the test-taking process so that they can continually focus on areas that they have not mastered or about which they are uncertain. Clinical Classroom allows learners to see not only missed questions but also the learning objectives that they found the most challenging, to help focus review on areas where it is needed and avoid those where it isn’t. Clinical Classroom also contains an automated “recharge” function to help learners retain previously learned content and relearn things they may have forgotten over time.

How are the questions in JBJS Clinical Classroom developed? 
Experts across the orthopaedic subspecialties were recruited to develop learning objectives that require higher-order thinking, such as the ability to evaluate and diagnose a patient’s condition and select an appropriate treatment.

Writers then develop questions to test each learning objective, provide learning resources with supporting information for the questions, and list references for additional information. All questions and learning resources are peer-reviewed by several subspecialty content experts and the Editor-in-Chief of JBJS and revised as needed before being accepted for use in Clinical Classroom. Clinical Classroom is updated regularly to provide new learning objectives and questions and to revise or remove those that are no longer current.

1. Area9 Learning. Adaptive learning: eliminating corporate e-learning fatigue. 2017.