<b>Conclusion </b> Spaced education consisting of clinical scenarios and questions distributed weekly via e-mail can significantly improve students' retention of medical knowledge.

What is Scenario-Based e-Learning?

<em>A. The learner assumes the role of an actor responding to a job realistic situation.</em>&nbsp;

<em>B. The learning environment is preplanned</em>.&nbsp;

<em>C. Learning is inductive rather than instructive.</em>&nbsp;

<em>D. The instruction is guided</em>.&nbsp;

<em>E. Scenario lessons incorporate instructional resources.</em>&nbsp;

<em>F. The goal is to accelerate workplace expertise.</em>&nbsp;

As you consider incorporating scenario-based e-Learning into your instructional mix, consider whether the acceleration of expertise will give you a return on investment.&nbsp; For example, interviews with subject matter experts indicated that automotive technicians must complete about 100 work orders to reach a reasonable competency level in any given troubleshooting domain.&nbsp; Comparing delivery alternatives, OJT would require around 200+ hours, instructor-led training would require around 100 hours, and scenario-based e-Learning simulations require approximately 33–66 hours.

Finally, many learners find scenario-based e-Learning more motivating than traditional instructional formats.&nbsp; Solving a work-related problem makes the instruction immediately relevant.

So how often should information be boostered? We recommend that you send boosters out in three phases. You can keep this in mind by remembering 2+2+2. Send out boosters after two days, two weeks, and two months.

This first set of boosters should be “recognition boosters.” The strategy here is just to get people to try to recognize the right answer from a list of options.

The second phase of boosters should be sent about two weeks after the training and at this time you should send out “generative boosters.” In a generative booster, the learner does not just recognize the right answer from a list. Instead, they have to think about the topic and then create an answer out of their head.

The third phase of boosters should be sent about two months after the training, and at this time you should send out “integrative boosters.” An integrative booster again prompts the learner to retrieve the information, but this question specifically asks them to provide concrete examples of how they have made use of this information in their job.

We’d like to thank all of the contributors for sharing their time, knowledge, and insight. They include Connie Malamed, Arun Pradhan, Patti Shank, Cara North, Clark Quinn, Stella Lee, Zsolt Olah, Julie Dirksen, Mike Taylor, Jacinta Penn, Guy Wallace, Emily Wood, Kassy Laborie, Alexander Salas, Michelle Ockers, Shannon Tipton, Christy Tucker, Linda Berberich, and Richard (Dick) Clark.