{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T03:23:39Z","timestamp":1790133819441,"version":"4.0.1"},"reference-count":15,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T00:00:00Z","timestamp":1788134400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T00:00:00Z","timestamp":1788134400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J GEN INTERN MED"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Despite the popularity of podcasts as learning tools, publication of student-led, vignette-based podcasts that span the pre-clinical and clinical learning continuum remains underexplored.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>\n                      We describe the development, implementation, and preliminary evaluation of a student-led, vignette-based clinical reasoning podcast,\n                      <jats:italic>Alert and Oriented<\/jats:italic>\n                      , designed for medical learners.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Open-access platforms with national and international reach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Medical students, residents, and attending physicians<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Program Description<\/jats:title>\n                    <jats:p>\n                      By translating case-based pedagogical approaches into a podcast format,\n                      <jats:italic>Alert and Oriented<\/jats:italic>\n                      provides medical learners with structured exposure to diagnostic reasoning across three series spanning pre-clinical learners, clerkship-level learners, and physician interviews.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Program Evaluation<\/jats:title>\n                    <jats:p>\n                      Program impact was evaluated through audience reach, episode downloads, and listener engagement metrics.\n                      <jats:italic>Alert and Oriented<\/jats:italic>\n                      has published 59 episodes with 23,655 downloads from 40 countries and 262 cities. Median episode downloads were 244 (IQR, 174\u2013372). Apple Podcast Connect analytics recorded 6042 plays, 453 unique listeners, and 186 (41.1%) listeners meeting Apple\u2019s criteria for \u201cengaged listeners,\u201d suggesting audience retention.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>\n                      By translating case-based pedagogy into a podcast,\n                      <jats:italic>Alert and Oriented<\/jats:italic>\n                      aims to expand access to diagnostic reasoning resources. Analysis of episode downloads and engagement suggests that this model is sustainable and may be a resource in supporting clinical reasoning development.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s11606-026-10775-y","type":"journal-article","created":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T15:20:11Z","timestamp":1788189611000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Alert and Oriented: Translating Vignette-Based Reasoning Pedagogy into an Open-Access Podcast for Early Learners"],"prefix":"10.1007","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-9940-3771","authenticated-orcid":false,"given":"Caroline","family":"Wang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Mohama","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samantha","family":"Shih","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Abrams","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin","family":"Grudzinski","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,8,31]]},"reference":[{"key":"10775_CR1","unstructured":"Spotify. Internal Data, US, Spotify Free Users (Podcast includes premium). Jan\u2013June 2021 vs. Jan\u2013June 2020."},{"key":"10775_CR2","doi-asserted-by":"publisher","unstructured":"Berk J, Trivedi SP, Watto M, Williams P, Centor R. Medical Education Podcasts: Where We Are and Questions Unanswered.\u00a0J Gen Intern Med. 2020;35(7):2176-2178.\u00a0https:\/\/doi.org\/10.1007\/s11606-019-05606-2.","DOI":"10.1007\/s11606-019-05606-2"},{"key":"10775_CR3","doi-asserted-by":"publisher","unstructured":"Kelly JM, Perseghin A, Dow AW, Trivedi SP, Rodman A, Berk J. Learning Through Listening: A Scoping Review of Podcast Use in Medical Education.\u00a0Acad Med. 2022;97(7):1079-1085.\u00a0https:\/\/doi.org\/10.1097\/ACM.0000000000004565.","DOI":"10.1097\/ACM.0000000000004565"},{"key":"10775_CR4","doi-asserted-by":"crossref","unstructured":"Mallin M, Schlein S, Doctor S, Stroud S, Dawson M, Fix M. A survey of the current utilization of asynchronous education among emergency medicine residents in the United States. Acad Med. 2014;89:598\u2013601.","DOI":"10.1097\/ACM.0000000000000170"},{"key":"10775_CR5","doi-asserted-by":"crossref","unstructured":"Riddell J, Robins L, Brown A, Sherbino J, Lin M, Ilgen JS. Independent and interwoven: A qualitative exploration of residents\u2019 experiences with educational podcasts. Acad Med. 2020;95:89\u201396.","DOI":"10.1097\/ACM.0000000000002984"},{"key":"10775_CR6","doi-asserted-by":"publisher","unstructured":"Fantini, E. Podcasting for interdisciplinary education: active listening, negotiation, reflexivity, and communication skills.\u00a0Humanit Soc Sci Commun. 2024;11:1583.\u00a0https:\/\/doi.org\/10.1057\/s41599-024-04119-6.","DOI":"10.1057\/s41599-024-04119-6"},{"key":"10775_CR7","unstructured":"Larson S. Podcast industry growth and trends. Statista [Internet]. 2024. [cited 2025 Mar 26]. Available from:\u00a0https:\/\/prioridata.com\/data\/podcast\u2010statistics\/.\u00a0Accessed 24 Aug 2026\u00a0"},{"key":"10775_CR8","doi-asserted-by":"crossref","unstructured":"Petrovic T, Kennedy G, Chang R, Waycott J. Podcasting: is it a technology for informal peer learning?. Paper presented at: ASCILITE 2008; November 30-December 3, 2008; Melbourne, Australia.","DOI":"10.14742\/apubs.2008.2458"},{"key":"10775_CR9","unstructured":"Ben\u00e8 KL, Bergus G. When learners become teachers: a review of peer teaching in medical student education.\u00a0Fam Med. 2014;46(10):783-787."},{"key":"10775_CR10","doi-asserted-by":"publisher","unstructured":"Feigerlova E, Ioan I, Pape E, et al. Team-based learning (TBL) curriculum combined with video vignettes improves performance of undergraduate medical students on OSCE compared with TBL alone.\u00a0BMC Med Educ. 2024;24(1):866. Published 2024 Aug 12.\u00a0https:\/\/doi.org\/10.1186\/s12909-024-05861-w.","DOI":"10.1186\/s12909-024-05861-w"},{"key":"10775_CR11","doi-asserted-by":"publisher","unstructured":"Djulbegovic B, Hozo I, Beckstead J, Tsalatsanis A, Pauker SG. Dual processing model of medical decision-making. BMC Med Inform Decis Mak. 2012;12:94. Published 2012 Sep 3.\u00a0https:\/\/doi.org\/10.1186\/1472-6947-12-94.","DOI":"10.1186\/1472-6947-12-94"},{"key":"10775_CR12","doi-asserted-by":"publisher","unstructured":"Zhang Y, Xia X, Zeng J, Zhang L, Guo C. Application of the Cognitive Apprenticeship Teaching Model in the Standardized Training of Critical Care Medicine Resident Physicians: A Randomized Clinical Trial. Adv Med Educ Pract. 2025 Oct 4;16:1825-1833. https:\/\/doi.org\/10.2147\/AMEP.S540031.\u00a0","DOI":"10.2147\/AMEP.S540031"},{"key":"10775_CR13","doi-asserted-by":"publisher","unstructured":"Worden MK, Bray MJ. Classrooms to Clinics: A Capstone Preclinical Course Designed from Educational, Social, and Developmental Perspectives on the Transition to Clerkship.\u00a0Adv Med Educ Pract. 2025;16:1281\u20131286. Published 2025 Jul 23.\u00a0https:\/\/doi.org\/10.2147\/AMEP.S523459.","DOI":"10.2147\/AMEP.S523459"},{"key":"10775_CR14","doi-asserted-by":"crossref","unstructured":"Lubarsky S, Dory V, Aud\u00e9tat MC, Custers E, Charlin B. Using script theory to cultivate illness script formation and clinical reasoning in health professions education. Can Med Educ J. 2015;6(2):e61-e70. Published 2015 Dec 11.","DOI":"10.36834\/cmej.36631"},{"key":"10775_CR15","doi-asserted-by":"publisher","unstructured":"Western SJ, McEllistrem B, Hislop J, Jaap A, Hope D. Vignettes: an innovative qualitative data collection tool in Medical Education research. Med Sci Educ. 2024;34(5):975\u2013977. Published 2024 Jun 5.\u00a0https:\/\/doi.org\/10.1007\/s40670-024-02074-0.","DOI":"10.1007\/s40670-024-02074-0"}],"container-title":["Journal of General Internal Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11606-026-10775-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s11606-026-10775-y","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11606-026-10775-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T15:20:14Z","timestamp":1788189614000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s11606-026-10775-y"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,31]]},"references-count":15,"alternative-id":["10775"],"URL":"https:\/\/doi.org\/10.1007\/s11606-026-10775-y","relation":{},"ISSN":["0884-8734","1525-1497"],"issn-type":[{"value":"0884-8734","type":"print"},{"value":"1525-1497","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,31]]},"assertion":[{"value":"16 March 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"14 August 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"31 August 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"There are no prior presentations or conflicts of interest to report for this manuscript.","order":1,"name":"Ethics","label":"Conflict of Interest","group":{"name":"EthicsHeading","label":"Declarations"}}]}}