Abstract
Objective
Retrieval practice, often using electronic flashcards, is increasingly utilized among medical students for self-study. In this study, the authors evaluated usage and satisfaction with electronic flashcards based on a medical school psychiatry curriculum.
Methods
First-year medical students at one institution consented to participate and received access to a set of pre-made flashcards. Surveys were distributed that collected demographic information along with measures of prior performance, test anxiety, and prior experience with electronic flashcards. The total number of flashcard reviews and time spent on the platform for each student were collected using statistics internally generated by the platform. Each student’s final exam score was also collected.
Results
A total of 114 of 129 first year medical students (88%) consented to participate, and 101 students were included in the final analysis. Fifty-eight (56%) were flashcard users with a median of 660 flashcards studied over 2.95 h. A total of 87% of flashcard users found the flashcards to be helpful, and 83% of flashcard users would recommend the flashcards to someone else. Flashcard usage was not associated with final exam scores.
Conclusions
This novel electronic study resource was well-received by first-year medical students for psychiatric instruction in medical school, though usage was not associated with higher exam scores.
This is a preview of subscription content, access via your institution.

Similar content being viewed by others
Data Availability
The datasets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request.
References
Roediger HL, Karpicke JD. The power of testing memory: basic research and implications for educational practice. Perspect Psychol Sci. 2006;1(3):181–210. https://doi.org/10.1111/j.1745-6916.2006.00012.x.
Larsen DP, Butler AC, Roediger HL. Test-enhanced learning in medical education. Med Educ. 2008;42(10):959–66. https://doi.org/10.1111/j.1365-2923.2008.03124.x.
Larsen DP, Butler AC, Roediger HL. Repeated testing improves long-term retention relative to repeated study: a randomised controlled trial. Med Educ. 2009;43(12):1174–81. https://doi.org/10.1111/j.1365-2923.2009.03518.x.
Larsen DP, Butler AC, Roediger HL. Comparative effects of test-enhanced learning and self-explanation on long-term retention. Med Educ. 2013;47(7):674–82. https://doi.org/10.1111/medu.12141.
Deng F, Gluckstein JA, Larsen DP. Student-directed retrieval practice is a predictor of medical licensing examination performance. Perspect Med Educ. 2015;4(6):308–13. https://doi.org/10.1007/s40037-015-0220-x.
Parmelee D, Roman B, Overman I, et al. The lecture-free curriculum : Setting the stage for life-long learning : AMEE Guide No . 135. Med Teach. 2020;0(0):1–8. https://doi.org/10.1080/0142159X.2020.1789083.
Ahmed OM, Juthani PV, Green ML, et al. Optimizing preclinical learning with retrieval practice: A call to action. Med Teach. 2020;1–3. https://doi.org/10.1080/0142159X.2020.1788212.
Cepeda NJ, Pashler H, Vul E, Wixted JT, Rohrer D. Distributed practice in verbal recall tasks: a review and quantitative synthesis. Psychol Bull. 2006;132(3):354–80. https://doi.org/10.1037/0033-2909.132.3.354.
Karpicke JD. Retrieval-Based Learning: A Decade of Progress. Vol 2. Second Edi. Elsevier. 2016. https://doi.org/10.1016/B978-0-12-809324-5.21055-9..
Ebbinghaus H. Memory: A Contribution to Experimental Psychology. 1885.
Dempster FN. Spacing effects and their implications for theory and practice. Educ Psychol Rev. 1989;1(4):309–30. https://doi.org/10.1007/BF01320097.
Lindsey RV, Shroyer JD, Pashler H, Mozer MC. Improving students’ long-term knowledge retention through personalized review. Psychol Sci. 2014;25(3):639–47. https://doi.org/10.1177/0956797613504302.
https://apps.ankiweb.net/ Accessed Mar 1, 2020. https://apps.ankiweb.net.
Schmidmaier R, Ebersbach R, Schiller M, Hege I, Holzer M, Fischer MR. Using electronic flashcards to promote learning in medical students: retesting versus restudying. Med Educ. 2011;45(11):1101–10. https://doi.org/10.1111/j.1365-2923.2011.04043.x.
Black DW, Andreasen NC. Introductory Textbook of Psychiatry. 6th ed. Am Psych Pub; 2014.
Wozniak P. Effective learning: Twenty rules of formulating knowledge. Pub 1999. https://www.supermemo.com/en/archives1990-2015/articles/.
Kerfoot BP, DeWolf WC, Masser BA, Church PA, Federman DD. Spaced education improves the retention of clinical knowledge by medical students: a randomised controlled trial. Med Educ. 2007;41(1):23–31. https://doi.org/10.1111/j.1365-2929.2006.02644.x.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict Interests
The authors declare no competing interests.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Sun, M., Tsai, S., Engle, D.L. et al. Spaced Repetition Flashcards for Teaching Medical Students Psychiatry. Med.Sci.Educ. 31, 1125–1131 (2021). https://doi.org/10.1007/s40670-021-01286-y
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s40670-021-01286-y