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Computer-Assisted Instruction in Clinical Education: a Roadmap to Increasing CAI Implementation

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Abstract

This reflection is based on the premise that clinical education can be improved by more widespread use of computer-assisted instruction (CAI) and that a roadmap will enable more medical educators to begin using CAI. The rationale for CAI use includes many of its inherent features such as incorporation of multimedia and interactivity yet the use of CAI remains limited, apparently because educators are not convinced about the role for CAI. Barriers to CAI use are discussed including misinterpretation of the literature for CAI effectiveness; a disconnect between CAI developers and the educators who make decisions about CAI use; and the paucity of knowledge regarding how to integrate CAI effectively into clinical education. Specific roles for CAI in undergraduate and graduate medical education can include improving uniformity of instruction, providing documentation of exposure or competence, improving the learners’ educational experience or outcomes, and assessment that is matched to learning. Funding for CAI remains an important barrier but the authors believe that this will be overcome when use of CAI becomes more widespread.

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References

  • Adler M., Johnson K. (2000) Quantifying the literature of computer-aided instruction in medical education. Academic Medicine 75(10):1025–1028

    Article  Google Scholar 

  • Bell D., Fonarow G., Hays R., Mangione C. (2000) Self-study from web-based and printed guideline materials. A randomized, controlled trial among resident physicians. Annals of Internal Medicine 132(12):938–946

    Google Scholar 

  • Carraccio C., Englander R., Wolfsthal S., Martin C., Ferentz K. (2004) Educating the pediatrician of the 21st century: Defining and implementing a competency-based system. Pediatrics, 113(2):252–258

    Article  Google Scholar 

  • Chumley-Jones H., Dobbie A., Alford C. (2002) Web-based learning: Sound educational method or hype? A review of the evaluation literature. Academic Medicine, 77((10 Suppl)):S86–93

    Google Scholar 

  • Clayden G., Wilson B. (1988) Computer-assisted learning in medical education. Medical Education, 22(5):456–467

    Article  Google Scholar 

  • Cook D. (2005) The research we still are not doing: An agenda for the study of computer-based learning. Academic Medicine, 80(6):541–548

    Article  Google Scholar 

  • Cook D., Dupras D. (2004) A Practical Guide to Developing Effective Web-based Learning. Journal of General Internal Medicine, 19:698–707

    Article  Google Scholar 

  • Cooksey K., Kohlmeier M., Plaisted C., Adams K., Zeisel S. (2000) Getting nutrition education into medical schools: A computer-based approach. American Journal of Clinical Nutrition, 72(3 Suppl):868S–876S

    Google Scholar 

  • Desch L. (1995) Pediatric computer-assisted instruction. Archives of Pediatrics & Adolescent Medicine, 149(3):303–304

    Google Scholar 

  • Eynon, R., Perryer, G. & Walmsley, A. (2003). Dental undergraduate expectations and opinions of Web-based courseware to supplement traditional teaching methods. European Journal of Dental Education Aug; 7(3): 103–110

    Google Scholar 

  • Falck A., Escobedo M., Baillargeon J., Villard L., Gunkel J. (2003) Proficiency of pediatric residents in performing neonatal endotracheal intubation. Pediatrics, 112(6 Pt 1):1242–1247

    Article  Google Scholar 

  • Fall L., Berman N., Smith S., White C., Woodhead J., Olson A. (2005) Multi-institutional development and utilization of a computer-assisted learning program for the pediatric clerkship: The CLIPP project. Academic Medicine, 80(9):847–855

    Article  Google Scholar 

  • Fischer M., Kopp V., Holzer M., Ruderich F., Junger J. (2005) A modified electronic key feature examination for undergraduate medical students: Validation threats and opportunities. Medical Teacher, 27(5):450–455

    Article  Google Scholar 

  • Fliegel J., Frohna J., Mangrulkar R. (2006) A computer-based OSCE station to measure competence in evidence-based medicine skills in medical students. Academic Medicine, 77(11):1157–1158

    Article  Google Scholar 

  • Friedman C. (1994) The research we should be doing. Academic Medicine, 69(6):455–457

    Article  Google Scholar 

  • Gelfand D., Podnos Y., Carmichael J., Saltzman D., Wilson S., Williams R. (2004) Effect of the 80-hour work week on resident burnout. Archives of Surgery, 139(9):933–938

    Article  Google Scholar 

  • Greenhalgh T. (2001) Computer assisted learning in undergraduate medical education. British Medical Journal, 322:40–44

    Article  Google Scholar 

  • Gupta B., White D., Walmsley A. (2004) The attitudes of undergraduate students and staff to the use of electronic learning. British Dental Journal, 196(8):487–492

    Article  Google Scholar 

  • Haluck R. (2000) Computers and virtual reality for surgical education in the 21st century. Archives of Surgery, 135(7):786–792

    Article  Google Scholar 

  • Hulsman R., Mollema E., Hoos A., de Haes J., Donnison-Speijer J. (2004) Assessment of medical communication skills by computer: Assessment method and student experiences. Medical Education, 38(8):813–824

    Article  Google Scholar 

  • Issenberg S., Pringle S., Harden R., Khogali S., Gordon M. (2003) Adoption and integration of simulation-based learning technologies into the curriculum of a UK Undergraduate Education Programme. Medical Education, 37(Suppl 1):42–49

    Article  Google Scholar 

  • Karnath B., Thornton W., Frye A. (2002) Teaching and testing physical examination skills without the use of patients. Academic Medicine, 77(7):753

    Article  Google Scholar 

  • Keane D., Norman G., Vickers J. (1991) The inadequacy of recent research on computer-assisted instruction. Academic Medicine, 66(8):444–448

    Article  Google Scholar 

  • Leong S., Baldwin C., Adelman A. (2003) Integrating web-based computer cases into a required clerkship: Development and evaluation. Academic Medicine, 78:295–301

    Article  Google Scholar 

  • Lyon H., Healy J., Bell J. (1992) PlanAlyzer, an interactive computer-assisted program to teach clinical problem solving in diagnosing anemia and coronary artery disease. Academic Medicine, 67(12):821–828

    Article  Google Scholar 

  • Maleck M, Fischer M., Kammer B., Zeile C., Mangel E., Schenk F., et al. (2001) Do computers teach better? A media comparison study for case-based teaching in radiology. RadioGraphics, 21:1025–1032

    Google Scholar 

  • McNulty J., Halama J., Dauzvardis M., Espiritu B. (2000) Evaluation of Web-based computer-aided instruction in a basic science course. Academic Medicine, 75(1):59–65

    Article  Google Scholar 

  • Norman G., Schmidt H. (1992) The psychological basis of problem-based learning: A review of the evidence. Academic Medicine, 67(9):557–565

    Article  Google Scholar 

  • Olson A., Woodhead J., Berkow R., Kaufman N., Marshall S. (2000) A national general pediatric clerkship curriculum: The process of development and implementation, Pediatrics, 106(1 Pt 2):216–222

    Google Scholar 

  • Piemme T. (1988) Computer-assisted learning and evaluation in medicine. Journal of the American Medical Association, 260:367–372

    Article  Google Scholar 

  • Reeves R., Aschenbrenner J., Wordinger R., Roque R., Sheedlo H. (2004) Improved dissection efficiency in the human gross anatomy laboratory by the integration of computers and modern technology. Clinical Anatomy, 17(4):337–344

    Article  Google Scholar 

  • Ruiz J., Mintzer M., Leipzig R. (2006) The impact of E-learning in medical education. Academic Medicine, 81(3):207–212

    Article  Google Scholar 

  • Shea S., Nickerson K. G., Tenenbaum J., Morris T. Q., Rabinowitz D., O’Donnell K., et al. (1996) Compensation to a department of medicine and its faculty members for the teaching of medical students and house staff. New England Journal of Medicine, 334(3):162–167

    Article  Google Scholar 

  • Steele D., Johnson Palensky J., Lynch T., Lacy N., Duffy S. (2002) Learning preferences, computer attitudes, and student evaluation of computerized instruction. Medical Education, 36(3):225–232

    Article  Google Scholar 

  • Vogel M., Wood D. (2002) Love it or hate it? Medical students’ attitudes to computer-assisted learning. Medical Education, 36(3):214–215

    Article  Google Scholar 

Download references

Acknowledgement

The authors wish to thank Carol Edwards for her outstanding contributions to our collaborative work, and for her editorial assistance in preparing this manuscript.

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Correspondence to Norman B. Berman.

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Berman, N.B., Fall, L.H., Maloney, C.G. et al. Computer-Assisted Instruction in Clinical Education: a Roadmap to Increasing CAI Implementation. Adv in Health Sci Educ 13, 373–383 (2008). https://doi.org/10.1007/s10459-006-9041-3

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  • DOI: https://doi.org/10.1007/s10459-006-9041-3

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