Skip Navigation LinksHome > May 2001 - Volume 76 - Issue 5 > Web‐based Case Simulations for a Primary Care Clerkship
Academic Medicine:
Annual Feature: in Progress: Reports of New Approaches in Medical Education: Applications of the Internet

Web‐based Case Simulations for a Primary Care Clerkship

SAKOWSKI, HENRY A. MD; RICH, EUGENE C. MD; TURNER, PAUL D. PhD

Section Editor(s): ANDERSON, M. BROWNELL

Free Access
Article Outline
Collapse Box

Author Information

Association of American Medical Colleges

CREIGHTON UNIVERSITY

Inquiries: Henry Sakowski, MD, Department of Medicine, Creighton University, 601 N. 30th St., Suite 5850, Omaha, NE 68131; e-mail: 〈hsakow@creighton.edu〉.

Objective: The increasing use of community clinics and hospitals for educating medical students has created obstacles to delivering a uniform curriculum to learners who may be spread throughout a community and beyond. It may not be feasible to bring students together for regular didactic teaching sessions. Nor is it reasonable to expect community preceptors to provide all the teaching necessary to ensure students' mastery of the curriculum. Innovative techniques are needed to augment clinical teaching in this new environment.

Description: To address this problem, we developed a Web-based problem-centered case series dealing with complaints and conditions commonly encountered in a primary care clinic setting. Using FrontPage 98 Web-authoring software, we created six interactive case simulations and posted them on the Web. (They can be viewed at 〈http://clinicalcases.creighton.edu〉.) Placing curricular materials on the Web enables learners to access the material at their convenience and to work at their own paces.

Each case displays the patient's history and physical examination and includes images of physical findings, x-rays, and/or EKGs. After the case presentation, questions pertaining to the case are presented, along with answer pages. Each case also incorporates links to relevant medical sites on the Web, including online journal articles, clinical guidelines, and pharmacopoeia. In addition to improving students' education on the primary care clerkship, this project's intent was to foster self-directed learning by exposing students to the vast array of medical information available on the Web.

Discussion: We pilot tested the case simulations with students rotating on the primary care clerkship during the second semester of the 1999–2000 academic year. A survey designed to gather student feedback on the case simultations found that the students felt they were an effective (88%) and efficient (92%) method of learning. The students also felt that the case links helped to familiarize them with medical resources on the Internet (96%), and they reported that they were more likely to use these resources in the future (88%). A survey before and after the rotation showed significant improvement in students' confidence in dealing with issues related to the case simulations (Z statistic = 4.4, p < .001) after the clerkship. In addition, there was significant improvement in the students' performances on multiple-choice test items dealing with the subject matter in the case simulations (pretest median 46.7%, posttest 83.3%; Z statistic = 4.2, p < .001)

When the performance of the students who had received the Web-based case series was compared with that of a control group of students who had received the traditional curriculum for the clerkship, no significant difference in the confidence survey or the knowledge assessment was observed. The small numbers in the sample most likely impaired our ability to detect a difference. A larger study of the effect of the case series on student performance is planned. New cases simulations are also being developed.

Back to Top | Article Outline

Section Description

Annual, Peer-reviewed Collection of Reports of Innovative Approaches to Medical Education

Cited By:

This article has been cited 8 time(s).

Academic Emergency Medicine
Embedding medical student computer tutorials into a busy emergency department
Pusic, MV; Pachev, GS; MacDonald, WA
Academic Emergency Medicine, 14(2): 138-148.
10.1197/j.aem.2006.10.105
CrossRef
American Journal of Surgery
An Internet-based tool for evaluating third-year medical student performance
Schell, SR; Lind, DS
American Journal of Surgery, 185(3): 211-215.
10.1016/S0002-9610(02)01359-4
CrossRef
Medical Education
Learning management systems: technology to measure the medical knowledge competency of the ACGME
Johnson, CE; Hurtubise, LC; Castrop, J; French, G; Groner, J; Ladinsky, M; McLaughlin, D; Plachta, L; Mahan, JD
Medical Education, 38(6): 599-608.
10.1046/j.1365-2929.2004.01792.x
CrossRef
Academic Medicine
Web-based learning: Sound educational method or hype? A review of the evaluation literature
Chumley-Jones, HS; Dobbie, A; Alford, CL
Academic Medicine, 77(): S86-S93.

Computers & Education
Interactive simulated patient - an advanced tool for student-activated learning in medicine and healthcare
Bergin, RA; Fors, UGH
Computers & Education, 40(4): 361-376.
10.1016/S0360-1315(02)00167-7
CrossRef
Academic Medicine
A Comparison of Critical Thinking in Groups of Third‐year Medical Students in Text, Video, and Virtual PBL Case Modalities
Kamin, C; O'Sullivan, P; Deterding, R; Younger, M
Academic Medicine, 78(2): 204-211.

PDF (68)
Journal of Burn Care & Research
Learner Satisfaction With Web-Based Learning as an Adjunct to Clinical Experience in Burn Surgery
Cochran, A; Edelman, LS; Morris, SE; Saffle, JR
Journal of Burn Care & Research, 29(1): 222-226.
10.1097/BCR.0b013e31815ff2ac
PDF (107) | CrossRef
Teaching and Learning in Medicine
Teaching internal medicine residents to care for reproductive-age and pregnant women: An effective web-based curriculum
Spagnoletti, CL; Sanders, AM; Mcgee, JB; Bost, JE; McNeil, MA
Teaching and Learning in Medicine, 20(2): 186-192.
10.1080/10401330801991907
CrossRef
Back to Top | Article Outline

© 2001 Association of American Medical Colleges

Login

Article Tools

Share