{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T13:18:32Z","timestamp":1790083112053,"version":"4.0.1"},"reference-count":27,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2018,8,27]],"date-time":"2018-08-27T00:00:00Z","timestamp":1535328000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>Otolaryngology residents face time\u2010management challenges between clinical duties and self\u2010directed learning. Mobile devices provide a new medium for education that could aid with educational efficiency. The objective of this study was to investigate whether spaced repetition mobile app use of an otolaryngology question bank was associated with improving factual knowledge as measured by in\u2010service exam performance.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>For approximately 6 months prior to the 2016 in\u2010service examination, 12 otolaryngology residents at a single institution were provided access to a spaced\u2010repetition app with a preloaded licensed otolaryngology review question bank. The number of questions answered, as well as the time spent on the app, were electronically tracked. The associations of app usage on in\u2010service results were analyzed using an autoregressive model adjusted for prior historical Otolaryngology Trainee Examination performance and postgraduate year.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Eleven residents used the mobile app and were included in the analysis for an average of 304 minutes (range: 3 to 1,020) and reviewed on average 679 questions (range: 6 to 1,934). Controlling for residency year and prior performance, app usage was associated with an improvement by 2.92 percentage points (pp) (95% confidence interval [CI]: 0.14, 5.70) on overall in\u2010service score. Allergy and pediatric subsection scores improved by 11.3 pp (95% CI: 3.8, 18.8) and 15.2 pp. (95% CI: 8.9, 21.5), respectively. Increased app use was associated with a score improvement by 0.008 pp per minute of use (95% CI: 0.004, 0.012).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Use of mobile spaced\u2010repetition technology can aid resident factual knowledge retention measured by improved in\u2010service exam performance.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>4 <jats:italic>Laryngoscope<\/jats:italic>, 129:E15\u2013E20, 2019<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.27299","type":"journal-article","created":{"date-parts":[[2018,8,28]],"date-time":"2018-08-28T23:12:28Z","timestamp":1535497948000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Mobile app technology is associated with improved otolaryngology resident in\u2010service performance"],"prefix":"10.1002","volume":"129","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1577-9964","authenticated-orcid":false,"given":"Jacob E.","family":"Kuperstock","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Boston University School of Medicine Boston Massachusetts U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michal","family":"Horn\u00fd","sequence":"additional","affiliation":[{"name":"Department of Health Law, Policy, and Management Boston University School of Public Health Boston Massachusetts U.S.A."},{"name":"Department of Radiology and Imaging Sciences Emory University School of Medicine Atlanta Georgia U.S.A."},{"name":"Department of Health Policy and Management Emory University Rollins School of Public Health Atlanta Georgia U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael P.","family":"Platt","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Boston University School of Medicine Boston Massachusetts U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,8,27]]},"reference":[{"key":"e_1_2_6_2_1","volume-title":"ACGME Program Requirements for Graduate Medical Education in Otolaryngology [Internet]","year":"2017"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2016.01.017"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/0003489417691300"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000001576"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/coa.12772"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0172827"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.3352\/jeehp.2016.13.36"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/j.0022-0337.2015.79.4.tb05902.x"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.5858\/arpa.2016-0228-OA"},{"key":"e_1_2_6_11_1","article-title":"An app to enhance resident education in otolaryngology","author":"Hsueh WD","year":"2017","journal-title":"Laryngoscope"},{"key":"e_1_2_6_12_1","unstructured":"Pew Research Center Internet Science and Technology.Mobile Fact Sheet. 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