Aquifer PracticeSmart: Student FAQs

PracticeSmart Question and Explanation

PracticeSmart is a flexible tool for self-assessment that drives self-directed learning and extends student learning beyond Aquifer’s cases. PracticeSmart quizzes can be accessed at the end of each case to check your knowledge, or customized through the Quiz Generator to focus your learning and help prioritize your study plan.

PracticeSmart questions are multiple-choice with a certainty rating. After completing the questions, you’ll immediately see the answer and answer explanation.

Each PracticeSmart question is linked to an Aquifer case and designed to assess your understanding of key teaching points within that case–which means you’ll be able to follow up on knowledge gaps in full clinical context.

PracticeSmart questions are always clinically-focused, just like what you’ll be asked on rounds. Like all of Aquifer, PracticeSmart is designed to improve clinical decision-making skills.

PracticeSmart provides a safe space for student learning that can help identify gaps in your knowledge. Faculty won’t see your PracticeSmart results–they are just for you.

Check your clinical knowledge and see if your accuracy and certainty align to identify true knowledge gaps. Find out if you truly know, or just had a lucky guess – and understand key areas where your accuracy and certainty are misaligned.

Focus your study time by prioritizing cases most meaningful to your learning based on your current strengths and weaknesses with completely customizable quizzes.

  • Check your knowledge after a case–with spaced learning: At the end of the case, complete the quiz on the spot, or leverage spaced learning and save the quiz to your To-do list–and pick a date–to complete later.
  • Customize a quiz to target your focus areas: Feeling weak in cardiology? Need to brush up on diagnosing respiratory conditions? Use the filters in the Quiz Generator to select the exact questions you need–and then follow up with the related cases.
  • Prioritize your case load:  Use the Quiz Generator to create your own pre-test or review the questions for your assigned cases in advance to help you understand the highest yield cases to focus on or prioritize in your learning.
  • Prep for exams: Use the Quiz Generator to create a quiz to check your knowledge (and focus your study) as you near the end of your rotation or a big exam.
  • Links to trusted cases for deep learning in clinical context: Because every PracticeSmart question is directly linked to an Aquifer case, students know where to look to advance learning in the context of a realistic patient encounter.
  • The certainty rating: PracticeSmart goes beyond right and wrong answers to help identify real knowledge gaps by calibrating knowledge and certainty.
  • Focus on clinical reasoning: PracticeSmart questions are not just quizzing students on medical trivia, they are designed to focus on developing the clinical reasoning skills students need to take great care of their patients.

If you have a current Aquifer subscription through your program or as an individual, you already have access to PraticeSmart. Your access is limited by your subscription level. For example, if your program subscribes to all Aquifer content, you have access to all questions. If your subscription covers only pediatrics, you will only have access to the cases related to the Pediatrics cases.

To access PracticeSmart, sign in to your Aquifer account. From there, PracticeSmart becomes super flexible to meet your needs. You can access quizzes:

From the Cases

You’ll find access to that quiz at the end of Aquifer cases–or you can jump to the questions anytime from the “Questions” button associated with that case anywhere in the system (in the Patient Library, your To-do list, or within your courses).

From the Quiz Generator

Customize your self-assessment experience with the Quiz Generator. Create a catch-all pre-test or review for your rotation or a hyper-focused assessment on a system or skill.

To learn more, review our complete PracticeSmart How-to Guide.

How to Navigate the Student Dashboard

Overview

The Student Dashboard in Aquifer provides a comprehensive view of your learning progress across all Aquifer content. You can easily visualize and track your activities, including cases, scripts, Calibrate assessments, and PracticeSmart questions.

Navigation

  • Accessing the Dashboard: Click on “Dashboard” in the side navigation.
Access the Student Dashboard

Key Features

Progress Summary Card

  • Case Learning Time: Total hours spent on cases and scripts.
  • Conditions Covered: Unique diagnoses from completed or in-progress cases/scripts.
  • To-Do Progress Donut: Shows percentage of completed to-dos, or prompts to add to-dos if empty.

Completed Work Card

Displays a snapshot of completion statistics for all aspects of the Aquifer system:

  • Number of cases completed
  • Number of Integrated Illness Scripts completed
  • Number of Calibrate assessments completed
  • Number of PracticeSmart questions completed

Case Learning Time Card

The Case Learning Time card visualizes the time spent in cases over time, supporting self-awareness and skill development. The bar chart displays the minutes spent on cases daily, with a horizontal scroll and mouseover details.

Practice Smart Performance Summary

PracticeSmart Card

This card provides an overview of student performance across all PracticeSmart questions, including:

  • Number of questions completed
  • Accuracy percentage
  • Accuracy/certainty quadrant chart
  • View more button linking to detailed results
  • Toggle to include Reset Questions

Calibrate Summary Card

Displays performance in all Calibrate assessments, showing early vs. late performance by discipline, with links to detailed reports. Assessments are listed in chronological order, with indicators and links for detailed results.

Student My Content Log

My Content Log & Quick Links Card

A comprehensive table of all completed or in-progress content, acting as a case log and providing quick links to resources. Features include:

  • Free text search
  • Case list with links
  • Final diagnosis, completion date, time spent, recommended time, and PracticeSmart accuracy
  • Detailed synopsis and summary links for completed cases
  • Export button for data
Completed vs Available Content Card

Completed vs. Available Content Card

Displays the number of completed, started, and available cases. Features a bar chart showing cases by course and subscription status, with a message block for limited subscribers to request additional content.

Notes for Faculty Users

  • Faculty Users: Do not have access but can encourage students to use the dashboard.

Orienting Your Students to Aquifer

Help Maximize Student Learning

Orienting your students to Aquifer will make a big difference in their learning experience. You can help them maximize their learning by sharing some key information to help them get started and understand how Aquifer fits into your plans for your course or clerkship.

3 Steps to Successful Orientation

As always, we’re here to help! Aquifer has developed resources to make it easy for you to share key points with students in a quick, engaging way. We’ve also identified the key questions you’ll need to consider about how Aquifer is integrated into your course to be sure students clearly understand your expectations.

1

Start with Our Slides

We’ve created slides with the basics on Aquifer cases and useful tips for students, ready to drop into your course or clerkship orientation.

2

Watch Student Story Videos

Let your students hear from their peers to help them understand how Aquifer cases can help them advance their skills through complete, realistic clinical experiences. Show our two 1-minute videos in your orientation, or have your students watch them on their own by sharing this link: aquifer.org/students.

3

Share Goals & Expectations for Your Course or Clerkship

Orient students to your rationale for using the cases in your curriculum is important.

Recommended Article

We recommend reviewing the article below when planning your Aquifer use to understand key student insights.

Key Questions

Review the following questions during your course orientation or include the answers in your course materials.

Review the Aquifer educational goals with your students and articulate how you have chosen to incorporate them into your own course goals. Discuss how the cases will advance their understanding of the foundational concepts and clinical skills within your course.

Many educators require students to complete all of the cases within an Aquifer course. Other approaches include assigning specific cases to fill an important gap in clinical experience or in faculty teaching expertise or assigning a specified number of cases of the student’s choosing.

Students are encouraged to complete the remaining cases as needed. You may also wish to make your students aware of the additional courses that Aquifer offers with each subscription.

Regardless of your approach, ensure that your students clearly understand your expectations at the beginning of the course.

Most educators choose to use our student reports feature to monitor students’ case progress and engagement. Many document case completion to meet institutional case log or LCME requirements. Be clear with students at the beginning of your course that you will be monitoring their progress, and how and when they will be notified if they are falling behind, or devoting insufficient time and attention to the cases.

To assist students in pacing themselves through the cases, many educators assign a minimum number of cases to completed each week. Additionally, best practice suggests requiring students to complete a specific case prior to a didactic session or related clinical experience. Ensure students understand that case completion is a requirement and will be monitored through the student log report.

Our cases are very effective for self-directed learning and independent study. However, proactive students can further their understanding by intentionally integrating their learning from the cases with their clinical experiences. Consider suggesting these methods during your orientation.

  • Completing or reviewing Aquifer cases just before or after seeing a patient with a similar presenting problem.
  • Comparing and contrasting the presenting finding from an Aquifer case with their patients’ presentation.
  • Applying the Aquifer clinical reasoning approach to their patient presentations and write-ups.
  • Using the Aquifer summary statement rubric when writing summary statements in the patient record.
  • Reviewing their questions about the cases with their preceptors or teaching residents.
  • Applying practice guidelines identified in the cases to their own patients.

Our research has shown that intentionally building time into your course for students to work on the cases is a critical integration factor (Berman et al, Academic Medicine Academic Medicine 84(7):942-949, 2009). Identifying and listing time to work on the cases in your course calendar is a straightforward method to make this time clear to students.

Integrating assessment closes the curricular loop and demonstrates to students that you value the Aquifer content and their time spent working through the cases. In addition to our Calibrate Formative Assessment for progress testing, some programs assign the Aquifer Clinical Decision Making Exam for Internal Medicine as a summative assessment. Other ways programs use Aquifer in grading and assessment is to include case completion as part of course grade, review students’ Summary Statement responses compared to expert comments, assign students to complete Aquifer’s Case Analysis Tool (CAT), or ask them to present oral reports on Aquifer cases, considering them as standardized patients. An early understanding of how their Aquifer work will be assessed ensures student attention to the cases, and enhances their engagement.

Webinar: Engaging Your Students & Faculty with Aquifer

For more tips on engaging and orienting your students with Aquifer, catch our panel of educators and student contributors sharing their experiences.

Don’t Forget: Anytime, Anywhere Access

Be sure to let your students know that all cases are available via our mobile apps. Download “Aquifer Clinical Learning” for iOS and Android to complete work anytime, anywhere—including working offline.