Overview
Just In Time Medicine (JIT) supports education in clinical environments by integrating:
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Expanded core curricular objectives
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Logging capabilities for patient encounters and procedures
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CEX evaluation tools for focused, problem-specific performance assessments
Through the use of a web-based authoring tool, from a single site faculty can easily build and update customizable educational content for distribution to both desktop computers and internet enabled mobile devices.
JIT’s flexibility allows the development and distribution of almost any curricular content supported by multimedia resources. JIT currently displays the core training problems and expanded objectives from the Clerkship Directors of Internal Medicine (CDIM) Core Medicine Clerkship Curricular Guide, including:
20 core clinical training problems
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Each problem is expandable using a tree format or touch screen feature, displaying problem-specific clinical competencies and tasks including:
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Attitudes/professional behaviors
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Communication skills
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Differential Diagnosis
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History-taking
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Knowledge
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Laboratory interpretations
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Management
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Physical examination
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Procedural skills
All content can be enhanced by expanded explanations, hyperlinks to peer-reviewed references, tables, images and sound files.
Mobile JIT
A less graphics intense version of JIT is available to display on the iPhone, iPod Touch, iPad and Droid operating systems. To access JIT on these devices, type in and bookmark the following URL, then entering the username testuser1@msu.edu, and the PW as testuser1
URL for Droid/iPhone/iTouch/iPad application: www.justintimemedicine.com/jitiphone/index.aspx
Publications on earlier (Windows Mobile versions) of JIT have focused on the dissemination of educational content in geographically distinct communities and on the use of the CEX clinical evaluation tool during an internal medicine clerkship
EMR JIT Links
Sponsored by HRSA, we are also developing and testing a curriculum to teach and assess basic electronic medical record (EMR) competencies to medical students reflecting Stage 1 Criteria for Meaningful Use published by HHS and linking internally developed forms to content within JIT. Dr Ferenchick presented some of his work on the development of curriculum registries reflecting student performance on key EHR competencies at the 2009 Alliance for Academic Internal Medicine national meeting.
Also presented at this meeting was some preliminary data on developing an interface linking JIT content to problem specific forms embedded with a fully functional EHR playground (a fully functional system without live patient data) for students to document an initial H&P on a patient presenting with CHF.