Document Detail

Clinical decision making: a pilot e-learning study.
MedLine Citation:
PMID:  23294745     Owner:  NLM     Status:  In-Data-Review    
Background:  As many medical schools focus on student-centred learning strategies, e-learning provides a useful approach to foster clinical decision-making skills in a case-based way. We developed an e-learning module based on real patient cases for final-year students as a self-directed studying tool. Methods:  Ten patient cases were developed from patients treated in the emergency room. Original documents were integrated into the virtual patient system CASUS(®) . In total, 522 students from three different terms of their final year were invited to use the e-learning module. Students filled out a self-assessment questionnaire regarding clinical decision-making skills before and after the module, and were also asked to fill out an evaluation form. Results:  Only 30 per cent of the students invited participated in the e-learning module, and even fewer filled out the questionnaires. Nevertheless, the students participating liked the online cases and valued the relevance of the diseases. An increase in the self-assessment rating of clinical decision-making skills after the e-learning module was only seen for students in the first term of their final year. Additionally, those students showed significantly lower scores in their pre-module clinical decision-making skills compared with students in terms two and three of their final year. Discussion:  Even though the overall participation was small, participating students were satisfied with the e-learning module and were motivated to work with the cases. A better integration into the clinical curriculum and a stronger association with an exam might provide an even better learning opportunity for medical students with respect to the acquisition of clinical decision-making skills.
Martin Abendroth; Sigrid Harendza; Martin Riemer
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The clinical teacher     Volume:  10     ISSN:  1743-498X     ISO Abbreviation:  Clin Teach     Publication Date:  2013 Feb 
Date Detail:
Created Date:  2013-01-08     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101227511     Medline TA:  Clin Teach     Country:  England    
Other Details:
Languages:  eng     Pagination:  51-5     Citation Subset:  IM    
Copyright Information:
© Blackwell Publishing Ltd 2013.
Department of Internal Medicine, University Hospital Hamburg-Eppendorf, GermanyDepartment of Computational Neuroscience, University Hospital Hamburg-Eppendorf, Germany.
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