An Associate Professor of Surgery at Harvard Medical School and a staff urologist at the VA Boston Healthcare System Dr. Kerfoot’s research over the last decade has focused on utilizing rigorous clinical trial methodologies to assess the efficacy of online educational methods. In addition, he has worked to incorporate cognitive psychology research findings into online education to increase long-term retention of learning. Through this educational research, Dr. Kerfoot developed a new form of online learning termed “Spaced Education”. In over 20 large randomized trials, spaced education has been shown to improve knowledge acquisition, boost knowledge retention, durably change clinician behavior, and improve patients’ health measures. Harvard University submitted a patent on the spaced education methodology and launched Qstream to host this methodology outside of its firewalls.