Academic half days, noon conferences and classroom-based education in postgraduate medical education: a scoping review
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* Luke Y.C. Chen
* Tien T.T. Quach
* Riki Dayan
* Dean Giustini
* Pim W. Teunissen

## Abstract

**Background:** Classroom-based education (CBE) is ubiquitous in postgraduate medical education (PGME), but to date no studies have synthesized the literature on the topic. We conducted a scoping review focusing on academic half days and noon conferences.

**Methods:** We searched 4 databases (MEDLINE [OVID], Embase [OVID], ERIC [EBSCO] and Web of Science) from inception to December 2021, performed reference and citation harvesting, and applied predetermined inclusion and exclusion criteria to our screening. We used 2 frameworks for the analysis: “experiences, trajectories and reifications” and “description, justification and clarification.”

**Results:** We included 90 studies, of which 55 focused on resident experiences, 29 on trajectories and 6 on reification. We classified 44 studies as “description,” 38 as “justification” and 8 as “clarification.” In the description studies, 12 compared academic half days with noon conferences, 23 described specific teaching topics, and 9 focused on resources needed for CBE. Justification studies examined the effects of CBE on outcomes, such as examination scores (17) and use of teaching strategies in team-based learning, principles of adult learning and e-learning (15). Of the 8 clarification studies, topics included the role of CBE in PGME, stakeholder perspectives and transfer of knowledge between classroom and workplace.

**Interpretation:** Much of the existing literature is either a description of various aspects of CBE or justification of particular teaching strategies. Few studies exist on how and why CBE works; future studies should aim to clarify how CBE facilitates resident learning within the sociocultural framework of PGME.

Workplace learning centred on authentic participation in patient care is the foundation of post-graduate medical education (PGME).1,2 Many residency programs supplement learning through regular, scheduled classroom-based education (CBE) by scheduling academic half days or noon conferences. Although workplace learning and CBE complement one another, they often compete for time and attention.3 Residents report an overabundance of “service” training and favour formal learning (“education”) such as lectures over work experience.4 These tensions between service and education in PGME are explored in detail by the experiences, trajectories and reifications (ETR) framework.5 This framework is used for examining practice-based learning in health care settings, wherein a range of situations lead to experiences; individuals’ experiences join to form their different developmental trajectories. The intersection of, and interaction between, individual trajectories in the workplace leads to reification of practice and learning.5 Reification refers to processes and products (objects or artifacts) by which we enact practices.6 One example of this is how residents dictate their discharge summaries, which is both a process and product of their practice. Practice creates, and is created by, recurring activities that are the result of, and shape, our experiences.

Classroom-based education helps to shape the interpretation and reification of clinical experiences.7 For example, residents on call may have a string of experiences, including seeing their first case of lobar pneumonia and presenting at a noon conference. Noon conferences afford opportunities for reflection and knowledge acquisition, and how to learn the more subtle aspects of microbiology and pharmacology. Together, experiences facilitate a trajectory toward being competent as a physician. Repetition of discrete experiences, presented later in the classroom, reifies the importance of overnight call as an educational activity (and not just “service”) and the complementary role of CBE in acquiring deeper knowledge. Although workplace learning theory has been well studied in PGME,8–10 less is perhaps known about CBE and its role. For example, there seems to be no compelling argument for or against CBE in residency, and lectures and other classroom activities are still widely used. Given the uncertainties and gaps in this domain, our research questions for this scoping review were as follows: 1) What is the scope of the literature on classroom-based learning in PGME? 2) What do residents and faculty see as the value of classroom-based learning in PGME? 3) What are the gaps in the literature and priorities for future studies in CBE?

Our literature search focused on retrieval of studies on academic half days and noon conferences, which are common forms of CBE in Canada and the United States.3,11 Postgraduate medicine learning is highly social and participatory, and not focused solely on individual acquisition of knowledge or skills.12 Thus, we examined individual cognitive aspects as well as sociocultural aspects.

## Methods

### Study design

In our scoping review, we were guided by Arksey and O’Malley’s framework for scoping reviews and, for our reporting, by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) scoping review extension.13–18 We used 5 steps for our review: formulating the research objectives; identifying relevant studies; selecting the studies; charting the data; and collating, summarizing and reporting the results.

### Literature search

We iteratively developed searches in consultation with a medical librarian (D.G.) and a peer reviewer who used the Peer Review of Electronic Search Strategies (PRESS) checklist.19 We searched 4 bibliographic databases that index medical education research: MEDLINE and Embase on Ovid, Education Resources Information Center (ERIC) on EBSCO, and the Web of Science Core Collection, from inception to January 2022. We restricted searches to English but imposed no date limits. Search terms included relevant controlled terms and the free-text search phrases: “academic half day*”; morning conference*, noon conference*; flipped classroom*; resident lecture*, etc., and postgraduate medical education (Appendix 1, available at [www.cmajopen.ca/content/11/3/E411/suppl/DC1](http://www.cmajopen.ca/content/11/3/E411/suppl/DC1)). To increase search sensitivity of highly relevant papers, we performed reference harvesting of key included articles and citation searching in Google Scholar.

Our inclusion criteria were that studies from any publication be primary research examining CBE in PGME. We included qualitative and quantitative studies. We excluded studies if they were not primary research (e.g., editorials) or were not focused on CBE or postgraduate medical learners. Two authors (T.Q. and L.C.) iteratively developed a screening process based on the inclusion criteria to determine the final set of included studies for review. Our review focuses on traditional face-to-face CBE. However, the related topics of simulation, e-learning (or blended learning) and flipped classrooms were not included for 2 reasons: because they are not central in face-to-face teaching and learning, and because high-quality reviews already exist on those topics (e.g., simulation;20 e-learning or blended learning;21,22 and flipped classrooms23–25).

### Data analysis

We used 2 frameworks to analyze the included studies. First, we tabulated the articles according to the ETR framework and whether they focused on resident experiences, trajectories or reifications. Within these tables, we also determined where each study best fit in the “description, justification and clarification” framework.26 This second framework addresses the purposes of medical education research. Description studies ask: “What was done?” Justification studies ask: “Did [the intervention] work?” Clarification studies ask: “Why or how did it work?” This framework can be used in parallel with ETR, and to our knowledge, this is the first article to use both. Two authors (L.C. [a clinician educator] and T.Q. [experienced in physical sciences and qualitative educational research]) categorized the included studies; disagreement was resolved by discussion and consensus.

### Ethics approval

We did not require ethics approval as all data were available in published records.

## Results

We screened 521 full-text studies and identified 90 that met our inclusion criteria (Figure 1). Most included articles were from Canada and the US, 3 from Europe27–29 and 1 from Thailand.30 Three studies reported on collaborations between North American or European and African training programs.31–33 Studies from numerous specialties, such as anesthesia, surgery, pediatrics, internal medicine, family medicine and psychiatry, were included. The results of the review are structured to show whether the purpose of the study can be classified as description, justification or clarification, followed by the main level(s) of analysis in the study according to the ETR framework; and finally, the principal research topics or questions addressed.

![Figure 1:](http://www.cmajopen.ca/https://www.cmajopen.ca/content/cmajo/11/3/E411/F1.medium.gif)

[Figure 1:](http://www.cmajopen.ca/content/11/3/E411/F1)

Figure 1: 
PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) diagram of study identification and selection process. Note: CBE = classroom-based education, ERIC = Education Resources Information Center, PGME = postgraduate medical education.

Tables 1, 2 and 3 provide an overview of included studies, grouped and labelled according to the ETR framework. Of these studies, 55 were primarily about resident experiences, 29 about learning trajectories and 6 about reifications. We classified 54 studies as description articles,27,31–83 28 as justification articles11,28,30,84–108 and 8 as clarification articles.3,7,29,109–113 Figure 2 shows the number of included studies published from 1996 to 2022.

View this table:
[Table 1:](http://www.cmajopen.ca/content/11/3/E411/T1)

Table 1: 
Studies focusing on “experiences”

View this table:
[Table 2:](http://www.cmajopen.ca/content/11/3/E411/T2)

Table 2: 
Studies focusing on “trajectories”

View this table:
[Table 3:](http://www.cmajopen.ca/content/11/3/E411/T3)

Table 3: 
Studies focusing on “reifications”

![Figure 2:](http://www.cmajopen.ca/https://www.cmajopen.ca/content/cmajo/11/3/E411/F2.medium.gif)

[Figure 2:](http://www.cmajopen.ca/content/11/3/E411/F2)

Figure 2: 
Number of included studies (*n* = 94) published from 1996 to 2022.

### Description studies

The level of analysis in nearly all these studies was on trainees’ experiences. Description studies (Table 1) focused on CBE format, such as transitioning from noon conferences to academic half days; some focused on specific content or topics for CBE, and others on the resources required to create and maintain CBE.

#### Format of CBE

A recurring topic is the merits of blocked versus dispersed formats. Dispersed formats are regular, short (e.g., 30–90 min) sessions such as noon conferences, which occur multiple times a week. Blocked formats such as academic half days are longer and less frequent (e.g., weekly 3- to 5-hour sessions).46 Dispersed formats entail minimal interruption of acute clinical services, as residents are typically onsite at academic hospitals. By contrast, blocked formats require attending physicians or others to cover clinical duties for residents who have 3 or more hours of “protected time.” Blocked formats emerged from American rural family medicine programs in the 1990s as an alternative to dispersed formats, with the purpose of improving attendance and facilitating novel educational methods such as simulation.108,114 Academic half days are relatively common in North America; for example, 20 of 21 Canadian neurology programs had academic half days in 2003,46 and 55.6% of American family medicine programs had them once a year in 2016.45,52 Other broad categories of CBE may include other trainees (e.g., medical students) and faculty with presentations or case discussions. Many programs have a “morning report,” in which a case from the previous call shift or recent admission is discussed.51,75 Morbidity and mortality rounds are an opportunity to discuss adverse events with the intention of improving quality and reducing medical errors.27,44 Many programs include journal clubs to teach evidence-based medicine and to enhance medical literature critical appraisal skills.72

#### Classroom-based education content and topics

The literature describes specific topics delivered in classrooms, ranging from traditional topics such as insulin pump use39 and psychopharmacologic interventions,54 to competencies such as communication skills and transition to practice.32,67,71 Accreditation Council for Graduate Medical Education and CanMEDS standards are cited often as the impetus for nonmedical expert topics such as global health and surgical safety.67,81

#### Resources required for CBE

Classroom-based education requires faculty, administrative and infrastructure resources. One academic psychiatry training program implemented “flipped” biannual academic half days for faculty development, wherein residents cover clinical services and faculty members are able to attend faculty development.42 Near-peer and peer-to-peer are effective and decrease faculty teaching load.63,79 One pediatric residency program reported that providing lunch with noon conferences was associated with statistically significant improvements in attendance and punctuality.48

### Justification studies

We identified justification studies as surveys and quasi-experimental before-or-after intervention studies that examined the effectiveness of CBE as well as used different teaching strategies (Table 2). The outcomes examined in these studies included in-training examination scores and resident satisfaction. No studies examined patient care outcomes. Most studies focused their analysis on the learning trajectories of residents.

#### Effectiveness of CBE

Residents reported that they were more likely to attend lectures and pursue self-directed learning when topics were clinically relevant, well presented and focused on clinical reasoning.89 Two studies found a positive association between noon conference attendance and in-training examination scores,93,94 but 4 did not.85,87,90,96 A transition from noon conferences to academic half days was associated with improvements in resident attendance, satisfaction and in-training examination scores.11,86,100 One prospective cohort study comparing dispersed versus massed delivery of a nutrition course for gastroenterology fellows showed better long-term knowledge in the dispersed cohort.99

#### Teaching strategies

Many studies focusing on teaching strategies were motivated by poor resident attendance, difficulty in planning CBE, and lack of perceived resident and faculty engagement in classroom learning. These studies aimed to revive or refresh attendance and impact of their classroom-based learning by applying principles of andragogy and active learning.50,57,104 Team-based learning improved resident engagement and satisfaction in a pediatrics program.105 The wide availability of Web-based resources has facilitated use of the flipped classroom model in several programs.28,102,103 Videos have been used in CBE to enhance teaching of topics such as bone marrow biopsy and communication skills.81,83

### Clarification studies

A few studies were aimed at clarifying issues in CBE (Table 3). These included studies examining the role of CBE in resident education, the perspectives of faculty and residents on CBE, and the issue of learning transfer between classroom and workplace. We found all 3 levels of the ETR framework in the clarification papers, and many focused on the reification of learning in the classroom setting.

#### The role of CBE in resident education

One of the few multicentre studies examined the transition from noon conferences to academic half days in 3 internal medicine programs.109 This study retrospectively identified 6 core principles for implementation of CBE: protect time and space to facilitate learning, nurture active learning in residents, choose and sequence curricular content deliberately, develop faculty, encourage resident preparation and accountability for learning and employ a continuous improvement approach to curriculum development and evaluation. In identifying these principles, the investigators reified what they intended CBE in their institutions to be.

A qualitative study from internal medicine, orthopedic surgery and hematology showed that residents believe knowledge acquisition is CBE’s primary purpose.3 Specifically, residents believe that learning in the classroom should complement that in the workplace and guide self-directed learning. Moreover, CBE is an important space for social support and forming communities of practice. For residents rotating through many different disciplines and training sites, CBE can provide an academic “home base,” important to their individual professional identity formation.7

#### Faculty and resident perspectives on CBE

Two studies at the University of Colorado examined faculty perspectives of CBE. In one, faculty said they valued the opportunity to get to know residents in smaller classroom settings, but struggled with ascertaining the optimal content for academic half days and also expressed uncertainty about the long-term impact of their teaching.111 The second study focused on the impact of academic half days on faculty, which included increased difficulty in dealing with ward- and systems-based care issues while residents were away.115 These challenges were amplified by resident absences owing to duty hour restrictions and continuity clinics, highlighting the importance of considering the entire “curriculum” in residency when designing educational experiences. Another qualitative study of internal medicine and internal medicine–pediatrics residents explored learning preferences regarding noon conferences.112 Residents wanted content that was clinically relevant, practical and linked to evidence. They also wanted sessions that were structured around cases and questions, and that used active learning with resident engagement.

#### Transfer between classroom and workplace

Transfer of learning, defined as “the application and refinement of competencies in a context that is different from that in which the competencies were acquired,” is a challenge.116 Transfer can be affected by characteristics of the classroom (relevance of classroom activities to clinical practice), characteristics of the clinical workplace (attending-resident contact) or resident characteristics (e.g., motivation). One qualitative study examined transfer between the classroom and clinical workplace in first-year general-practice residents in Belgium.29 The study produced 3 key findings: 1) There are 3 distinct phases to the transfer process: a) preparing for transfer of learning; b) being at the workplace and connecting back to classroom-based learning; c) reflecting on transfer of learning and continuing the process. 2) Clarifying who is responsible for transfer of learning is critical. At times, the trainees felt medical teachers and workplace supervisors needed to take more responsibility for transfer of learning, and vice versa. 3) Participants’ conceptions about each phase of the transfer process reflected their opinions about who was responsible for enabling the transfer.

Gregor and Taylor have reviewed the literature on morbidity and mortality rounds, applying experiential learning theory to show how this type of CBE can contribute to individual development of clinical mastery as well as systems-based quality improvement.110

## Interpretation

The studies included in our review show that classroom-based learning in PGME is hindered by a lack of an agreed-upon conceptual terminology to describe educational interventions. This lack presents a number of challenges in gathering and studying this literature. For future studies, we propose the use of a more inclusive, umbrella term such as “classroom-based education” to facilitate better alignment of practice and theory, and the labelling of studies.

Further classifying the literature using the ETR and description, justification and clarification frameworks sheds light on which areas may benefit from clarification studies. Almost all description studies focus on experiences offered to residents, such as the format or topic of CBE or residents’ descriptions of their experiences. Several justification studies examined resident learning trajectories, albeit indirectly, through association between residents’ attendance at CBE and their in-training examination scores. Description studies generally examined CBE using an individual, cognitivist lens rather than sociocultural theories of learning.4 Clarification studies focus their analysis at the experience, trajectory or reification level by examining how CBE in residency affects learning and practice and how both interact. For example, resident academic half days, when combined with other resident absences owing to duty hour restrictions and continuity clinics, have unintended system outcomes of emotional strain and patient safety concerns for attending physician faculty members.115

The examination of CBE shows the tensions between residents’ clinical service and their ongoing education. Sociocultural theories such as cultural–historical activity theory, practice architectures and situated learning are highly relevant in understanding these tensions.4 Residents participate in CBE primarily for knowledge acquisition but also for its social aspects, including peer support and forming communities of practice.3 Peters and colleagues are in favour of placing learning in classrooms and workplaces as a contextual, socially mediated process rather than as individual cognitive processes.29 An investigator examining the various topics “covered” in CBE through the lens of cultural–historical activity theory, which uses the educational system rather than the individual learner as the unit of analysis, might ask how the various components of PGME fit together, and what role CBE might play in relation to other components such as workplace learning and self-study.

Classroom-based education should aim to promote the goals of residency programs and residents’ educational needs. Many residents and faculty view CBE as the primary way for training programs to promote their commitment to education.7,117 Activities that occur in the workplace are determined primarily by the needs of patients and health care systems, and only secondarily by the teaching and learning concerns of faculty and residents. The classroom is where faculty can exercise more control over the format and content of teaching, which may be used to carry out accreditation requirements in addition to primary teaching concerns. Both within and beyond these 2 spaces of classroom and workplace, residents can exercise agency in determining their own learning trajectories. Importantly, medical education should complement and enhance rather than thwart the health care system in which it occurs.1

This review has provided a foundation for research into academic half days, noon conferences and CBE in PGME. As a potential future direction, focusing on threshold concepts known as “portals of entry into expertise” during classroom time may present opportunities for meeting faculty and resident goals.118,119 Debriefing to facilitate transfer of learning between simulation and workplace has recently been described120 and could potentially be applied to link the classroom and workplace. The impact of CBE on resident wellness and affective dimensions such as empathy could be explored in future studies.121

### Limitations

The protocol for our review was not formally registered. We did not set alerts for the searches. The searches were English only. We included only indexed, peer-reviewed studies and did not search the grey literature for this topic, except for those papers we found during reference harvesting, which may have had a negative impact on our overall yield. We chose the ETR and description, justification and clarification framework to examine this body of research, although other theories, such as the sociocultural theories reviewed by Cleland and Durning,4 would also be relevant to this body of literature.

### Conclusion

This review provides an overview of classroom-based learning in PGME and recommends a common vocabulary and framework for future research. Classroom-based learning in PGME has been explored extensively from an individual, cognitivist perspective. Future studies using a sociocultural lens to examine CBE or examining the interplay of CBE with workplace learning may help to clarify the best use of time and resources.

## Footnotes

*   **Competing interests:** None declared.

*   This article has been peer reviewed.

*   **Contributors:** All of the authors contributed to the conception and design of the work. Pim Teunissen, Luke Chen, Tien Quach and Riki Dayan contributed to the acquisition, analysis and interpretation of data. All of the authors drafted the manuscript, revised it critically for important intellectual content, gave final approval of the version to be published and agreed to be accountable for all aspects of the work.

*   **Funding:** Luke Chen’s research is supported by salary support from the University of British Columbia Hematology Research Program for unrestricted educational research.

*   **Data sharing:** All data presented are available in the published record.

*   **Supplemental information:** For reviewer comments and the original submission of this manuscript, please see [www.cmajopen.ca/content/11/3/E411/suppl/DC1](http://www.cmajopen.ca/content/11/3/E411/suppl/DC1).

This is an Open Access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY-NC-ND 4.0) licence, which permits use, distribution and reproduction in any medium, provided that the original publication is properly cited, the use is noncommercial (i.e., research or educational use), and no modifications or adaptations are made. See: [https://creativecommons.org/licenses/by-nc-nd/4.0/](https://creativecommons.org/licenses/by-nc-nd/4.0/)

## References

1.  Teunissen PW, Scheele F, Scherpbier AJJA, et al. (2007) How residents learn: qualitative evidence for the pivotal role of clinical activities. Med Educ 41:763–70.
    
    [CrossRef](http://www.cmajopen.ca/lookup/external-ref?access_num=10.1111/j.1365-2923.2007.02778.x&link_type=DOI) 
    
    [PubMed](http://www.cmajopen.ca/lookup/external-ref?access_num=17661884&link_type=MED&atom=%2Fcmajo%2F11%2F3%2FE411.atom) 
    
    [Web of Science](http://www.cmajopen.ca/lookup/external-ref?access_num=000248789500007&link_type=ISI) 

2.  Teunissen PW, Boor K, Scherpbier AJ, et al. (2007) Attending doctors’ perspectives on how residents learn. Med Educ 41:1050–8.
    
    [CrossRef](http://www.cmajopen.ca/lookup/external-ref?access_num=10.1111/j.1365-2923.2007.02858.x&link_type=DOI) 
    
    [PubMed](http://www.cmajopen.ca/lookup/external-ref?access_num=17973765&link_type=MED&atom=%2Fcmajo%2F11%2F3%2FE411.atom) 
    
    [Web of Science](http://www.cmajopen.ca/lookup/external-ref?access_num=000251278600005&link_type=ISI) 

3.  Chen LY, McDonald JA, Pratt DD, et al. (2015) Residents’ views of the role of classroom-based learning in graduate medical education through the lens of academic half days. Acad Med 90:532–8.
    
    

4.  Cleland J, Durning SJ (2019) Education and service: how theories can help in understanding tensions. Med Educ 53:42–55.
    
    [PubMed](http://www.cmajopen.ca/lookup/external-ref?access_num=http://www.n&link_type=MED&atom=%2Fcmajo%2F11%2F3%2FE411.atom) 

5.  Teunissen PW (2015) Experience, trajectories, and reifications: an emerging framework of practice-based learning in healthcare workplaces. Adv Health Sci Educ Theory Pract 20:843–56.
    
    [CrossRef](http://www.cmajopen.ca/lookup/external-ref?access_num=10.1007/s10459-014-9556-y&link_type=DOI) 
    
    [PubMed](http://www.cmajopen.ca/lookup/external-ref?access_num=25269765&link_type=MED&atom=%2Fcmajo%2F11%2F3%2FE411.atom) 

6.  Wenger EC (1998) Communities of practice: learning, meaning, and identity (Cambridge University Press, Cambridge (UK)).
    
    

7.  Chen LYC, Hubinette MM (2017) Exploring the role of classroom-based learning in professional identity formation of family practice residents using the experiences, trajectories, and reifications framework. Med Teach 39:876–82.
    
    

8.  Billett S (2016) Learning through health care work: premises, contributions and practices. Med Educ 50:124–31.
    
    [CrossRef](http://www.cmajopen.ca/lookup/external-ref?access_num=10.1111/medu.12848&link_type=DOI) 

9.  Dornan T (2012) Workplace learning. Perspect Med Educ 1:15–23.
    
    

10. van de Wiel MW, Van den Bossche P, Janssen S, et al. (2011) Exploring deliberate practice in medicine: How do physicians learn in the workplace? Adv Health Sci Educ Theory Pract 16:81–95.
    
    [CrossRef](http://www.cmajopen.ca/lookup/external-ref?access_num=10.1007/s10459-010-9246-3&link_type=DOI) 
    
    [PubMed](http://www.cmajopen.ca/lookup/external-ref?access_num=20848187&link_type=MED&atom=%2Fcmajo%2F11%2F3%2FE411.atom) 

11. Ha D, Faulx M, Isada C, et al. (2014) Transitioning from a noon conference to an academic half-day curriculum model: effect on medical knowledge acquisition and learning satisfaction. J Grad Med Educ 6:93–9.
    
    

12. Sfard A (2016) On two metaphors for learning and the dangers of choosing just one. Educ Res 27:4–13.
    
    

13. Tricco AC, Lillie E, Zarin W, et al. (2018) PRISMA extension for scoping reviews (PRISMA-ScR): checklist and explanation. Ann Intern Med 169:467–73.
    
    [CrossRef](http://www.cmajopen.ca/lookup/external-ref?access_num=10.7326/M18-0850&link_type=DOI) 
    
    [PubMed](http://www.cmajopen.ca/lookup/external-ref?access_num=30178033&link_type=MED&atom=%2Fcmajo%2F11%2F3%2FE411.atom) 

14. Arksey H, O’Malley L (2005) Scoping studies: towards a methodological framework. Int J Soc Res Methodol 8:19–32.
    
    [CrossRef](http://www.cmajopen.ca/lookup/external-ref?access_num=10.1080/1364557032000119616&link_type=DOI) 

15. Levac D, Colquhoun H, O’Brien KK (2010) Scoping studies: advancing the methodology. Implement Sci 5:69.
    
    [CrossRef](http://www.cmajopen.ca/lookup/external-ref?access_num=10.1186/1748-5908-5-69&link_type=DOI) 
    
    [PubMed](http://www.cmajopen.ca/lookup/external-ref?access_num=20854677&link_type=MED&atom=%2Fcmajo%2F11%2F3%2FE411.atom) 

16. Sutton A, Clowes M, Preston L, et al. (2019) Meeting the review family: exploring review types and associated information retrieval requirements. Health Info Libr J 36:202–22.
    
    [CrossRef](http://www.cmajopen.ca/lookup/external-ref?access_num=10.1111/hir.12276&link_type=DOI) 
    
    [PubMed](http://www.cmajopen.ca/lookup/external-ref?access_num=http://www.n&link_type=MED&atom=%2Fcmajo%2F11%2F3%2FE411.atom) 

17. McGaghie WC (2015) Varieties of integrative scholarship: why rules of evidence, criteria, and standards matter. Acad Med 90:294–302.
    
    [CrossRef](http://www.cmajopen.ca/lookup/external-ref?access_num=10.1097/ACM.0000000000000585&link_type=DOI) 
    
    [PubMed](http://www.cmajopen.ca/lookup/external-ref?access_num=25494401&link_type=MED&atom=%2Fcmajo%2F11%2F3%2FE411.atom) 

18. Tricco AC, Lillie E, Zarin W, et al. (2018) PRISMA Extension for Scoping Reviews (PRISMA-ScR): checklist and explanation. Ann Intern Med 169:467–73.
    
    [CrossRef](http://www.cmajopen.ca/lookup/external-ref?access_num=10.7326/M18-0850&link_type=DOI) 
    
    [PubMed](http://www.cmajopen.ca/lookup/external-ref?access_num=30178033&link_type=MED&atom=%2Fcmajo%2F11%2F3%2FE411.atom) 

19. McGowan J, Sampson M, Salzwedel DM, et al. (2016) PRESS peer review of electronic search strategies: 2015 guideline statement. J Clin Epidemiol 75:40–6.
    
    [CrossRef](http://www.cmajopen.ca/lookup/external-ref?access_num=10.1016/j.jclinepi.2016.01.021&link_type=DOI) 
    
    [PubMed](http://www.cmajopen.ca/lookup/external-ref?access_num=27005575&link_type=MED&atom=%2Fcmajo%2F11%2F3%2FE411.atom) 

20. Brydges R, Hatala R, Zendejas B, et al. (2015) Linking simulation-based educational assessments and patient-related outcomes: a systematic review and meta-analysis. Acad Med 90:246–56.
    
    [CrossRef](http://www.cmajopen.ca/lookup/external-ref?access_num=10.1097/ACM.0000000000000549&link_type=DOI) 
    
    [PubMed](http://www.cmajopen.ca/lookup/external-ref?access_num=25374041&link_type=MED&atom=%2Fcmajo%2F11%2F3%2FE411.atom) 

21. Cook DA (2009) The failure of e-learning research to inform educational practice, and what we can do about it. Med Teach 31:158–62.
    
    [CrossRef](http://www.cmajopen.ca/lookup/external-ref?access_num=10.1080/01421590802691393&link_type=DOI) 
    
    [PubMed](http://www.cmajopen.ca/lookup/external-ref?access_num=19330674&link_type=MED&atom=%2Fcmajo%2F11%2F3%2FE411.atom) 

22. Maggio LA, Daley BJ, Pratt DD, et al. (2018) Honoring thyself in the transition to online teaching. Acad Med 93:1129–34.
    
    

23. Chen F, Lui AM, Martinelli SM (2017) A systematic review of the effectiveness of flipped classrooms in medical education. Med Educ 51:585–97.
    
    [PubMed](http://www.cmajopen.ca/lookup/external-ref?access_num=http://www.n&link_type=MED&atom=%2Fcmajo%2F11%2F3%2FE411.atom) 

24. King AM, Gottlieb M, Mitzman J, et al. (2019) Flipping the classroom in graduate medical education: a systematic review. J Grad Med Educ 11:18–29.
    
    

25. Chen KS, Monrouxe L, Lu YH, et al. (2018) Academic outcomes of flipped classroom learning: a meta-analysis. Med Educ 52:910–24.
    
    [PubMed](http://www.cmajopen.ca/lookup/external-ref?access_num=http://www.n&link_type=MED&atom=%2Fcmajo%2F11%2F3%2FE411.atom) 

26. Cook DA, Bordage G, Schmidt HG (2008) Description, justification and clarification: a framework for classifying the purposes of research in medical education. Med Educ 42:128–33.
    
    [CrossRef](http://www.cmajopen.ca/lookup/external-ref?access_num=10.1111/j.1365-2923.2007.02974.x&link_type=DOI) 
    
    [PubMed](http://www.cmajopen.ca/lookup/external-ref?access_num=18194162&link_type=MED&atom=%2Fcmajo%2F11%2F3%2FE411.atom) 
    
    [Web of Science](http://www.cmajopen.ca/lookup/external-ref?access_num=000252588700005&link_type=ISI) 

27. Ksouri H, Balanant PY, Tadie JM, et al. (2010) Impact of morbidity and mortality conferences on analysis of mortality and critical events in intensive care practice. Am J Crit Care 19:135–45, quiz 46.
    
    [Abstract/FREE Full Text](http://www.cmajopen.ca/lookup/ijlink/YTozOntzOjQ6InBhdGgiO3M6MTQ6Ii9sb29rdXAvaWpsaW5rIjtzOjU6InF1ZXJ5IjthOjQ6e3M6ODoibGlua1R5cGUiO3M6NDoiQUJTVCI7czoxMToiam91cm5hbENvZGUiO3M6NDoiYWpjYyI7czo1OiJyZXNpZCI7czo4OiIxOS8yLzEzNSI7czo0OiJhdG9tIjtzOjIxOiIvY21ham8vMTEvMy9FNDExLmF0b20iO31zOjg6ImZyYWdtZW50IjtzOjA6IiI7fQ==) 

28. Marchalot A, Dureuil B, Veber B, et al. (2018) Effectiveness of a blended learning course and flipped classroom in first year anaesthesia training. Anaesth Crit Care Pain Med 37:411–5.
    
    

29. Peters S, Clarebout G, van Nuland M, et al. (2018) A qualitative exploration of multiple perspectives on transfer of learning between classroom and clinical workplace. Teach Learn Med 30:22–32.
    
    

30. Limvorapitak W (2016) Correlation of academic activity attendance and examination scores of internal medicine residents. J Med Assoc Thai 99(Suppl 4):S10–5.
    
    

31. Dreyer J, Hannay J, Lane R (2014) Teaching the management of surgical emergencies through a short course to surgical residents in East/Central Africa delivers excellent educational outcomes. World J Surg 38:830–8.
    
    

32. Lin Y, Scott JW, Yi S, et al. (2018) Improving surgical safety and nontechnical skills in variable-resource contexts: a novel educational curriculum. J Surg Educ 75:1014–21.
    
    [CrossRef](http://www.cmajopen.ca/lookup/external-ref?access_num=10.1016/j.jsurg.2017.09.014&link_type=DOI) 
    
    [PubMed](http://www.cmajopen.ca/lookup/external-ref?access_num=http://www.n&link_type=MED&atom=%2Fcmajo%2F11%2F3%2FE411.atom) 

33. Stokes W, Ruzycki S, Jainarine R, et al. (2017) The Canada-Guyana medical education partnership: using videoconferencing to supplement post-graduate medical education among internal medicine trainees. Can Med Educ J 8:e18–24.
    
    

34. Acosta A, Azzalin A, Emmons CJ, et al. (2014) Improving residents’ clinical approach to obesity: impact of a multidisciplinary didactic curriculum. Post-grad Med J 90:630–7.
    
    [Abstract/FREE Full Text](http://www.cmajopen.ca/lookup/ijlink/YTozOntzOjQ6InBhdGgiO3M6MTQ6Ii9sb29rdXAvaWpsaW5rIjtzOjU6InF1ZXJ5IjthOjQ6e3M6ODoibGlua1R5cGUiO3M6NDoiQUJTVCI7czoxMToiam91cm5hbENvZGUiO3M6MTI6InBvc3RncmFkbWVkaiI7czo1OiJyZXNpZCI7czoxMToiOTAvMTA2OS82MzAiO3M6NDoiYXRvbSI7czoyMToiL2NtYWpvLzExLzMvRTQxMS5hdG9tIjt9czo4OiJmcmFnbWVudCI7czowOiIiO30=) 

35. Al Achkar M, Hanauer M, Colavecchia C, et al. (2018) Interprofessional education in graduate medical education: survey study of residency program directors. BMC Med Educ 18:11.
    
    

36. Albert TJ, Redinger J, Starks H, et al. (2021) Internal medicine residents’ perceptions of morning report: a multicenter survey. J Gen Intern Med 36:647–53.
    
    

37. Anderson JE, Jurkovich GJ, Galante JM, et al. (2021) A survey of the Surgical Morbidity and Mortality Conference in the United States and Canada: A dying tradition or the key to modern quality improvement? J Surg Educ 78:927–33.
    
    

38. Audcent TA, Macdonnell HM, Moreau KA, et al. (2013) Development and evaluation of global child health educational modules. Pediatrics 132:e1570–6.
    
    [CrossRef](http://www.cmajopen.ca/lookup/external-ref?access_num=10.1542/peds.2013-1534&link_type=DOI) 
    
    [PubMed](http://www.cmajopen.ca/lookup/external-ref?access_num=24218464&link_type=MED&atom=%2Fcmajo%2F11%2F3%2FE411.atom) 

39. Bansal S, Marwa A, Kasturi K, et al. (2018) Improving paediatric residents’ knowledge and perspectives regarding the insulin pump using a novel educational workshop. Postgrad Med J 94:87–91.
    
    [Abstract/FREE Full Text](http://www.cmajopen.ca/lookup/ijlink/YTozOntzOjQ6InBhdGgiO3M6MTQ6Ii9sb29rdXAvaWpsaW5rIjtzOjU6InF1ZXJ5IjthOjQ6e3M6ODoibGlua1R5cGUiO3M6NDoiQUJTVCI7czoxMToiam91cm5hbENvZGUiO3M6MTI6InBvc3RncmFkbWVkaiI7czo1OiJyZXNpZCI7czoxMDoiOTQvMTEwOC84NyI7czo0OiJhdG9tIjtzOjIxOiIvY21ham8vMTEvMy9FNDExLmF0b20iO31zOjg6ImZyYWdtZW50IjtzOjA6IiI7fQ==) 

40. Barnwell JC, Halvorson JJ, Teasdall RD, et al. (2017) Finding value in surgical didactics: longitudinal resident feedback from case-based and traditional lectures in an orthopaedic residency. J Surg Educ 74:61–7.
    
    

41. Barrett DL, Supapannachart KJ, Caleon RL, et al. (2021) Interactive session for residents and medical students on dermatologic care for lesbian, gay, bisexual, transgender, and queer patients. MedEdPORTAL 17:11148.
    
    

42. Bhatt-Mackin SM, Gagliardi JP (2016) “Flipping” the academic half-day to create an opportunity for faculty development. Acad Psychiatry 40:617–9.
    
    

43. Bowman J, Duran A, Duffy B, et al. (2015) Teaching high-value care: a novel morning report. Clin Teach 12:165–70.
    
    

44. Brown PA, Hiremath S, Clark EG, et al. (2018) Implementation and evaluation of structured nephrology morbidity and mortality conferences: a quality education report. Int Urol Nephrol 50:929–38.
    
    

45. Butler DJ, Brocato J, Yeazel M (2017) Family medicine didactics revisited. Fam Med 49:778–84.
    
    

46. Chalk C (2004) The academic half-day in Canadian neurology residency programs. Can J Neurol Sci 31:511–3.
    
    [PubMed](http://www.cmajopen.ca/lookup/external-ref?access_num=15595258&link_type=MED&atom=%2Fcmajo%2F11%2F3%2FE411.atom) 

47. Clay RD, Lee EC, Kurtzman MF, et al. (2016) Teaching the internist to see: effectiveness of a 1-day workshop in bedside ultrasound for internal medicine residents. Crit Ultrasound J 8:11.
    
    

48. Cosimini MJ, Mackintosh L, Chang TP (2016) Number needed to eat: pizza and resident conference attendance. Med Educ 50:1204–7.
    
    

49. Denizard-Thompson N, Feiereisel KB, Pedley CF, et al. (2018) Musculoskeletal basics: the shoulder and the knee workshop for primary care residents. Med-EdPORTAL 14:10749.
    
    

50. Di Genova T, Valentino PL, Gosselin R, et al. (2015) The academic half-day redesigned: improving generalism, promoting CanMEDS and developing self-directed learners. Paediatr Child Health 20:30–4.
    
    

51. Durning SJ, Sweet JM, Cation LJ (2003) Morning Report: an analysis of curricular content and comparison to national guidelines. Teach Learn Med 15:40–4.
    
    [CrossRef](http://www.cmajopen.ca/lookup/external-ref?access_num=10.1207/S15328015TLM1501_08&link_type=DOI) 
    
    [PubMed](http://www.cmajopen.ca/lookup/external-ref?access_num=12632707&link_type=MED&atom=%2Fcmajo%2F11%2F3%2FE411.atom) 
    
    [Web of Science](http://www.cmajopen.ca/lookup/external-ref?access_num=000181017500007&link_type=ISI) 

52. Hill SJ, Butler DJ, Guse C (2000) Conference formats in family practice residencies. Fam Med 32:417–21.
    
    [PubMed](http://www.cmajopen.ca/lookup/external-ref?access_num=10879325&link_type=MED&atom=%2Fcmajo%2F11%2F3%2FE411.atom) 

53. Juo YY, Lewis C, Hanna C, et al. (2019) An innovative approach for familiarizing surgeons with malpractice litigation. J Surg Educ 76:127–33.
    
    

54. Kavanagh EP, Cahill J, Arbuckle MR, et al. (2017) Psychopharmacology prescribing workshops: a novel method for teaching psychiatry residents how to talk to patients about medications. Acad Psychiatry 41:491–6.
    
    

55. Klein D, Schipper S (2008) Family medicine curriculum: improving the quality of academic sessions. Can Fam Physician 54:214–8.
    
    [Abstract/FREE Full Text](http://www.cmajopen.ca/lookup/ijlink/YTozOntzOjQ6InBhdGgiO3M6MTQ6Ii9sb29rdXAvaWpsaW5rIjtzOjU6InF1ZXJ5IjthOjQ6e3M6ODoibGlua1R5cGUiO3M6NDoiQUJTVCI7czoxMToiam91cm5hbENvZGUiO3M6MzoiY2ZwIjtzOjU6InJlc2lkIjtzOjg6IjU0LzIvMjE0IjtzOjQ6ImF0b20iO3M6MjE6Ii9jbWFqby8xMS8zL0U0MTEuYXRvbSI7fXM6ODoiZnJhZ21lbnQiO3M6MDoiIjt9) 

56. Logan AA, Rao M, Cornia PB, et al. (2021) Virtual Interactive Case-Based Education (VICE): a conference for deliberate practice of diagnostic reasoning. MedEdPORTAL 17:11159.
    
    

57. Mickelson JJ, Kaplan WE, Macneily AE (2009) Active learning: a resident’s reflection on the impact of a student-centred curriculum. Can Urol Assoc J 3:399–402.
    
    [PubMed](http://www.cmajopen.ca/lookup/external-ref?access_num=19829736&link_type=MED&atom=%2Fcmajo%2F11%2F3%2FE411.atom) 

58. Moreno MA, Kota R, McIntosh GC, et al. (2013) PEARLs of wisdom: impact of a new block conference on pediatrics resident attendance, satisfaction, and learning. J Grad Med Educ 5:323–6.
    
    

59. Naumburg EH, Harp J (1997) Another program’s use of extended teaching sessions. Acad Med 72:160.
    
    [PubMed](http://www.cmajopen.ca/lookup/external-ref?access_num=9075415&link_type=MED&atom=%2Fcmajo%2F11%2F3%2FE411.atom) 

60. Ozuah PO, Curtis J, Stein RE (2001) Impact of problem-based learning on residents’ self-directed learning. Arch Pediatr Adolesc Med 155:669–72.
    
    [CrossRef](http://www.cmajopen.ca/lookup/external-ref?access_num=10.1001/archpedi.155.6.669&link_type=DOI) 
    
    [PubMed](http://www.cmajopen.ca/lookup/external-ref?access_num=11386954&link_type=MED&atom=%2Fcmajo%2F11%2F3%2FE411.atom) 
    
    [Web of Science](http://www.cmajopen.ca/lookup/external-ref?access_num=000169092000008&link_type=ISI) 

61. Parikh F (2016) Infections and thrombocytopenia. J Assoc Physicians India 64:11–2.
    
    [PubMed](http://www.cmajopen.ca/lookup/external-ref?access_num=http://www.n&link_type=MED&atom=%2Fcmajo%2F11%2F3%2FE411.atom) 

62. Pembroke CA, Alfieri J, Biron A, et al. (2018) Creation of an educational quality improvement program for radiation oncology residents. Pract Radiat Oncol 8:81–9.
    
    [PubMed](http://www.cmajopen.ca/lookup/external-ref?access_num=http://www.n&link_type=MED&atom=%2Fcmajo%2F11%2F3%2FE411.atom) 

63. Pentiuk S, Baker R (2012) Development of a gastroenterology educational curriculum for pediatric residents using fellows as teachers. J Pediatr Gastroenterol Nutr 54:281–4.
    
    [CrossRef](http://www.cmajopen.ca/lookup/external-ref?access_num=10.1097/MPG.0b013e31822cd2b7&link_type=DOI) 
    
    [PubMed](http://www.cmajopen.ca/lookup/external-ref?access_num=21768883&link_type=MED&atom=%2Fcmajo%2F11%2F3%2FE411.atom) 

64. Pereira J, Palacios M, Collin T, et al. (2008) The impact of a hybrid online and classroom-based course on palliative care competencies of family medicine residents. Palliat Med 22:929–37.
    
    [CrossRef](http://www.cmajopen.ca/lookup/external-ref?access_num=10.1177/0269216308094561&link_type=DOI) 
    
    [PubMed](http://www.cmajopen.ca/lookup/external-ref?access_num=18772211&link_type=MED&atom=%2Fcmajo%2F11%2F3%2FE411.atom) 
    
    [Web of Science](http://www.cmajopen.ca/lookup/external-ref?access_num=000262078400007&link_type=ISI) 

65. Richardson KM, Singh J, Muñoz D, et al. (2018) Improving practice guideline adherence through peer feedback: impact of an ambulatory cardiology curriculum. Teach Learn Med 30:328–36.
    
    

66. Robbins R, Sullivan S, Smith B (2018) Implementation of an academic half day in a vascular surgery residency program improves trainee and faculty satisfaction with surgical indications conference. Surgery 163:1197–200.
    
    

67. Salib S, Glowacki EM, Chilek LA, et al. (2015) Developing a communication curriculum and workshop for an internal medicine residency program. South Med J 108:320–4.
    
    

68. Salib S, Valencia V, Moreno A (2018) And now, please sign on the dotted line: teaching residents about professional life after residency. South Med J 111:256–60.
    
    

69. Sawatsky AP, Zickmund SL, Berlacher K, et al. (2015) Understanding the challenges to facilitating active learning in the resident conferences: a qualitative study of internal medicine faculty and resident perspectives. Med Educ Online 20:27289.
    
    

70. Schynoll G, Irish E, Wayne J, et al. (2018) Feasibility of a comprehensive medical knowledge curriculum in internal medicine using team-based learning. J Grad Med Educ 10:78–83.
    
    

71. Shaffer R, Piro N, Katznelson L, et al. (2017) Practice transition in graduate medical education. Clin Teach 14:344–8.
    
    

72. Shifflette V, Mitchell C, Mangram A, et al. (2012) Current approaches to journal club by general surgery programs within the Southwestern surgical congress. J Surg Educ 69:162–6.
    
    [PubMed](http://www.cmajopen.ca/lookup/external-ref?access_num=22365860&link_type=MED&atom=%2Fcmajo%2F11%2F3%2FE411.atom) 

73. Smith J, Zaffiri L, Clary J, et al. (2016) The effect of paging reminders on fellowship conference attendance: a multi-program randomized crossover study. J Grad Med Educ 8:372–7.
    
    

74. Solbach-Sabbach C, Adar T, Alperin M, et al. (2019) Engaging family medicine residents in research training: an innovative research skills program in Israel. Educ Health (Abingdon) 32:79–83.
    
    

75. Stiles BM, Reece TB, Hedrick TL, et al. (2006) General surgery morning report: a competency-based conference that enhances patient care and resident education. Curr Surg 63:385–90.
    
    [CrossRef](http://www.cmajopen.ca/lookup/external-ref?access_num=10.1016/j.cursur.2006.06.005&link_type=DOI) 
    
    [PubMed](http://www.cmajopen.ca/lookup/external-ref?access_num=17084766&link_type=MED&atom=%2Fcmajo%2F11%2F3%2FE411.atom) 

76. Tam J, Wadhwa A (2017) A child with limb pain: a case-based learning module and teaching resource for pediatric infectious diseases. MedEdPORTAL 13:10605.
    
    

77. Tanaka P, Yanez D, Lemmens H, et al. (2016) Impact of an innovative classroom-based lecture series on residents’ evaluations of an anesthesiology rotation. Anesthesiol Res Pract 2016:8543809.
    
    

78. Tarabichi S, DeLeon M, Krumrei N, et al. (2018) Competition as a means for improving academic scores and attendance at education conference. J Surg Educ 75:1437–40.
    
    

79. Theophanous C, Itani R (2020) Residents teaching residents: the case for interdepartmental resident lecture programs. Med Educ 54:1058–9.
    
    

80. Thomas KG, Thomas MR, York EB, et al. (2005) Teaching evidence-based medicine to internal medicine residents: the efficacy of conferences versus small-group discussion. Teach Learn Med 17:130–5.
    
    [CrossRef](http://www.cmajopen.ca/lookup/external-ref?access_num=10.1207/s15328015tlm1702_6&link_type=DOI) 
    
    [PubMed](http://www.cmajopen.ca/lookup/external-ref?access_num=15833722&link_type=MED&atom=%2Fcmajo%2F11%2F3%2FE411.atom) 

81. Wong RY, Saber SS, Ma I, et al. (2009) Using television shows to teach communication skills in internal medicine residency. BMC Med Educ 9:9.
    
    [PubMed](http://www.cmajopen.ca/lookup/external-ref?access_num=19187563&link_type=MED&atom=%2Fcmajo%2F11%2F3%2FE411.atom) 

82. Zanotti K, Somasegar S, Hooper MW, et al. (2019) Improving value-based care education in a fellowship by incorporating ACGME competencies. J Grad Med Educ 11:668–73.
    
    

83. Zeller M, Cristancho S, Mangel J, et al. (2015) Back to anatomy: improving land-marking accuracy of clinical procedures using a novel approach to procedural teaching. South Med J 108:310–7.
    
    

84. Armson H, Wycliffe-Jones K, Mackay MP, et al. (2020) Academic half-days: facilitated small groups to promote interactive learning. Fam Med 52:53–64.
    
    

85. Cacamese SM, Eubank KJ, Hebert RS, et al. (2004) Conference attendance and performance on the in-training examination in internal medicine. Med Teach 26:640–4.
    
    [PubMed](http://www.cmajopen.ca/lookup/external-ref?access_num=15763856&link_type=MED&atom=%2Fcmajo%2F11%2F3%2FE411.atom) 

86. Eid A, Hsieh P, Shah P, et al. (2015) Cross-sectional longitudinal study of the academic half-day format in a hematology-oncology fellowship training program. BMC Med Educ 15:139.
    
    

87. FitzGerald JD, Wenger NS (2003) Didactic teaching conferences for IM residents: Who attends, and is attendance related to medical certifying examination scores? Acad Med 78:84–9.
    
    [PubMed](http://www.cmajopen.ca/lookup/external-ref?access_num=12525414&link_type=MED&atom=%2Fcmajo%2F11%2F3%2FE411.atom) 

88. Franklin CC, Bosch PP, Grudziak JS, et al. (2017) Does a weekly didactic conference improve resident performance on the pediatric domain of the orthopaedic in-training examination? J Pediatr Orthop 37:149–53.
    
    

89. Fraser T, Sargsyan Z, Baggett TP, et al. (2016) Quantitative study of the characteristics of effective internal medicine noon conference presentations. J Grad Med Educ 8:185–90.
    
    

90. Hern GH Jr., Wills C, Alter H, et al. (2009) Conference attendance does not correlate with emergency medicine residency in-training examination scores. Acad Emerg Med 16(Suppl 2):S63–6.
    
    

91. Goyal A, Garibaldi B, Liu G, et al. (2019) Morning report innovation: case oriented report and exam skills. Diagnosis (Berl) 6:79–83.
    
    

92. House H, Monuteaux MC, Nagler J (2017) A randomized educational interventional trial of spaced education during a pediatric rotation. AEM Educ Train 1:151–7.
    
    

93. McDonald FS, Zeger SL, Kolars JC (2007) Factors associated with medical knowledge acquisition during internal medicine residency. J Gen Intern Med 22:962–8.
    
    [CrossRef](http://www.cmajopen.ca/lookup/external-ref?access_num=10.1007/s11606-007-0206-4&link_type=DOI) 
    
    [PubMed](http://www.cmajopen.ca/lookup/external-ref?access_num=17468889&link_type=MED&atom=%2Fcmajo%2F11%2F3%2FE411.atom) 

94. McDonald FS, Zeger SL, Kolars JC (2008) Associations of conference attendance with internal medicine in-training examination scores. Mayo Clin Proc 83:449–53.
    
    [CrossRef](http://www.cmajopen.ca/lookup/external-ref?access_num=10.4065/83.4.449&link_type=DOI) 
    
    [PubMed](http://www.cmajopen.ca/lookup/external-ref?access_num=18380990&link_type=MED&atom=%2Fcmajo%2F11%2F3%2FE411.atom) 

95. Mehta ST, Agarwal C, Siddiqi F, et al. (2018) The benefit of a formal plastic surgery in-service conference. J Surg Educ 75:1058–61.
    
    

96. Meyer NB, Gaetke-Udager K, Shampain KL, et al. (2018) (Lack of) measurable clinical or knowledge gains from resident participation in noon conference. Acad Radiol 25:719–26.
    
    

97. Mishra K, Snow-Lisy DC, Ross J, et al. (2013) Evaluation of a case-based urology learning program. Urology 82:1207–10.
    
    

98. Picciano A, Winter R, Ballan D, et al. (2003) Resident acquisition of knowledge during a noontime conference series. Fam Med 35:418–22.
    
    [PubMed](http://www.cmajopen.ca/lookup/external-ref?access_num=12817869&link_type=MED&atom=%2Fcmajo%2F11%2F3%2FE411.atom) 

99. Raman M, McLaughlin K, Violato C, et al. (2010) Teaching in small portions dispersed over time enhances long-term knowledge retention. Med Teach 32:250–5.
    
    [PubMed](http://www.cmajopen.ca/lookup/external-ref?access_num=20218841&link_type=MED&atom=%2Fcmajo%2F11%2F3%2FE411.atom) 

100.Randall MH, Schreiner AD, Clyburn EB, et al. (2020) Effects of an academic half day in a residency program on perceived educational value, resident satisfaction and wellness. Am J Med Sci 360:342–7.
    
    

101.Riddell J, Jhun P, Fung CC, et al. (2017) Does the flipped classroom improve learning in graduate medical education? J Grad Med Educ 9:491–6.
    
    [CrossRef](http://www.cmajopen.ca/lookup/external-ref?access_num=10.4300/JGME-D-16-00817.1&link_type=DOI) 
    
    [PubMed](http://www.cmajopen.ca/lookup/external-ref?access_num=http://www.n&link_type=MED&atom=%2Fcmajo%2F11%2F3%2FE411.atom) 

102.Rose E, Claudius I, Tabatabai R, et al. (2016) The flipped classroom in emergency medicine using online videos with interpolated questions. J Emerg Med 51:284–291e1.
    
    

103.Rucker SY, Ozdogan Z, Al Achkar M (2017) Flipped classroom model for learning evidence-based medicine. Adv Med Educ Pract 8:619–25.
    
    

104.Sawatsky AP, Berlacher K, Granieri R (2014) Using an ACTIVE teaching format versus a standard lecture format for increasing resident interaction and knowledge achievement during noon conference: a prospective, controlled study. BMC Med Educ 14:129.
    
    [PubMed](http://www.cmajopen.ca/lookup/external-ref?access_num=http://www.n&link_type=MED&atom=%2Fcmajo%2F11%2F3%2FE411.atom) 

105.Volerman A, Poeppelman RS (2019) A pilot study of team-based learning in one-hour pediatrics residency conferences. BMC Med Educ 19:266.
    
    

106.Winter RO, Picciano A, Birnberg B, et al. (2007) Resident knowledge acquisition during a block conference series. Fam Med 39:498–503.
    
    [PubMed](http://www.cmajopen.ca/lookup/external-ref?access_num=17602325&link_type=MED&atom=%2Fcmajo%2F11%2F3%2FE411.atom) 

107.Zastoupil L, McIntosh A, Sopfe J, et al. (2017) Positive impact of transition from noon conference to academic half day in a pediatric residency program. Acad Pediatr 17:436–42.
    
    

108.Zweifler J, Ringel M, Maudlin RK, et al. (1996) Extended educational sessions at three family medicine residency programs. Acad Med 71:1059–63.
    
    [PubMed](http://www.cmajopen.ca/lookup/external-ref?access_num=9177638&link_type=MED&atom=%2Fcmajo%2F11%2F3%2FE411.atom) 
    
    [Web of Science](http://www.cmajopen.ca/lookup/external-ref?access_num=A1996VN42600014&link_type=ISI) 

109.Batalden MK, Warm EJ, Logio LS (2013) Beyond a curricular design of convenience: replacing the noon conference with an academic half day in three internal medicine residency programs. Acad Med 88:644–51.
    
    

110.Gregor A, Taylor D (2016) Morbidity and mortality conference: its purpose reclaimed and grounded in theory. Teach Learn Med 28:439–47.
    
    

111.Ritchie L, Kulig E, Seltz LB (2018) Faculty teachers’ perspectives of resident academic half day. Med Sci Educ 29:131–8.
    
    

112.Sawatsky AP, Zickmund SL, Berlacher K, et al. (2014) Understanding resident learning preferences within an internal medicine noon conference lecture series: a qualitative study. J Grad Med Educ 6:32–8.
    
    

113.Wagoner H, Seltz B (2019) Attending physicians’ perspectives of resident academic half day. Teach Learn Med 31:270–8.
    
    

114.Dayan R, Ubhi J, Chen LYC (2018) Simulation and classroom-based learning in obstetrics and gynaecology residency training. J Obstet Gynaecol Can 40:287.
    
    

115.Wagoner H, Seltz B (2019) Attending physicians’ perspectives of resident academic half day. Teach Learn Med 31:270–8.
    
    

116.Peters S, Clarebout G, Diemers A, et al. (2017) Enhancing the connection between the classroom and the clinical workplace: a systematic review. Perspect Med Educ 6:148–57.
    
    

117.Kesselheim JC, Schwartz A, Boyer D, APPD LEARN Study Group on Education and Service (2017) Integrating education and service in pediatric residency training: results of a national survey. Acad Pediatr 17:907–14.
    
    

118.Chen LYC, Poole G (2018) Grappling with troublesome knowledge. Med Educ 52:584–6.
    
    

119.Chen LYC, Quach TTT (2021) COVID-19 cytokine storm syndrome: a threshold concept. Lancet Microbe 2:e49–e50.
    
    

120.Rivière E, Jaffrelot M, Jouquan J, et al. (2019) Debriefing for the transfer of learning: the importance of context. Acad Med 94:796–803.
    
    

121.Padmanabhan V (2019) The need for empathy-based medical education. Arch Med Health Sci 7:136.
    
    

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