application of e-learning in under-graduated medical teaching a systematic review authors: ana...

Application of e-Learning in Under-Graduated Medical Teaching

A Systematic Review

Authors: Ana Carolina Martins, Ana Rita Figueiredo, Bruno Reis, Carolina Alves, Joana Barreira, José Costa, Marco Marques, Mª Eduarda Cerdeira, Ricardo Barbosa, Rui Seixas, Sérgio Alves Turma 10

Supervisors: Mário Dinis Ribeiro, MD, PhD Altamiro Costa Pereira, MD, PhD

Universidade do PortoFaculdade de Medicina

Introdução à Medicina

Universidade do PortoFaculdade de Medicina

Introdução à Medicina

Second Presentation

• Introduction

• Aims

• Methods

• Work Steps

• Results

• Flowchart

• Gantt chart

• References

Universidade do PortoFaculdade de MedicinaIntrodução à Medicina Summary

“e-Learning” = electronic learning

Teaching ↔ Potentialities of Technology1

Universidade do PortoFaculdade de MedicinaIntrodução à Medicina IntroductionIntroduction

• E-learning claims itself as more than a software platform which supports the act of learn at distance, in an easy and fast way, by web; 1

• E-learning is also a way to spread knowledge, allowing its availability at any time, in every place; 1

Universidade do PortoFaculdade de MedicinaIntrodução à Medicina IntroductionIntroduction

• This new learning method provides the possibility to interact with other users; 2

IntroductionIntroductionUniversidade do PortoFaculdade de MedicinaIntrodução à Medicina

•Using forums and frequently asked questions (FAQs), it’s possible to share points of view and clear up any possible remaining doubts at the moment. 2

Universidade do PortoFaculdade de MedicinaIntrodução à Medicina IntroductionIntroduction

• E-learning can be used in several areas and fields. However, our work will only fall upon the study of its importance on the undergraduate medical teaching; 3

Universidade do PortoFaculdade de MedicinaIntrodução à Medicina IntroductionIntroduction

• E-learning comes with solutions and methods, which can be very helpful in supporting doctors with access to the up-to-date medical knowledge and achievements. It allows creation of interactive model of learning, which stimulates knowledge acquisition. 4

Universidade do PortoFaculdade de MedicinaIntrodução à Medicina IntroductionIntroduction

• E-learning also provides flexibility in both time and location, while accessing medical curriculum presented online. There is a possibility of collaboration between teachers and students from different universities, which allows exchange of knowledge and experiences. 5

Universidade do PortoFaculdade de MedicinaIntrodução à Medicina IntroductionIntroduction

Aims

• To understand the importance of e-learning in undergraduate medical teaching;

• To comprehend the impact that the use of this platform causes in the academical success.

Universidade do PortoFaculdade de MedicinaIntrodução à Medicina IntroductionIntroduction

Type of study

Systematic Review

Target Population/ Units of Analysis

Articles found in data bases

Universidade do PortoFaculdade de MedicinaIntrodução à Medicina Methods

Keywords • “e-learning”; • “electronic learning”; • “web based learning” ; • “ Medical Education”; • “Undergraduated”;• “Online teaching”;• “Distance learning”;• “computer-assisted learning”;

Universidade do PortoFaculdade de MedicinaIntrodução à Medicina Methods

Query:

("Education, Medical/education"[MeSH] OR "Education, Medical/methods"[MeSH] OR

"Education, Medical/statistics and numerical data"[MeSH]) * ("Education,

Distance/classification"[MeSH] OR "Education, Distance/methods"[MeSH] OR

"Education, Distance/statistics and numerical data"[MeSH]) OR ("e-learning" AND

"medical education") OR ("web-based learning" AND "medical education") OR

(“electronic learning” AND “medical education”)

Database’s research: PubMed

188 articles in PubMed on 04/02/2007.

Universidade do PortoFaculdade de MedicinaIntrodução à Medicina Methods

• We will include all the articles related to undergraduated medical teaching using e-Learning.

Inclusion Criteria

Universidade do PortoFaculdade de MedicinaIntrodução à Medicina Methods

•We will exclude articles in languages different from Portuguese, French, Spanish and English;

• We will not accept articles related to dentistry and veterinary medicine;

• We will not analyse articles which we cannot physically reach.

•We will excluded articles that only describes programs, treatments, systems and universities.

Exclusion Criteria

Universidade do PortoFaculdade de MedicinaIntrodução à Medicina Methods

Work Steps

1) Formulation of a clear question

2) Databases’ research using our Query

Universidade do PortoFaculdade de MedicinaIntrodução à Medicina Methods

Abstract?

160 85,1 85,1 85,1

28 14,9 14,9 100,0

188 100,0 100,0

Yes

No

Total

ValidFrequency Percent Valid Percent

CumulativePercent

3) Abstracts’ reading (each article should be read by two people).

Universidade do PortoFaculdade de MedicinaIntrodução à Medicina Methods

This article is include?

62 33.0 33.0 33.0

126 67.0 67.0 100.0

188 100.0 100.0

Yes

No

Total

ValidFrequency Percent Valid Percent

CumulativePercent

4) Articles’ selection, by application of the inclusion and exclusion criteria

Universidade do PortoFaculdade de MedicinaIntrodução à Medicina Methods

Universidade do PortoFaculdade de MedicinaIntrodução à Medicina Methods

6) Full-articles’ reading and selection, using the inclusion and exclusion criteria again.

Classification

18 29.0 29.0 29.0

19 30.6 30.6 59.7

25 40.3 40.3 100.0

62 100.0 100.0

Included

Non Included

Non phisically obtained

Total

ValidFrequency Percent Valid Percent

CumulativePercent

Universidade do PortoFaculdade de MedicinaIntrodução à Medicina Methods

Universidade do PortoFaculdade de MedicinaIntrodução à Medicina Methods

7) Extraction of the following data:

• Frequency of utilization of e-Learning by medical students;

• Advantages/Disadvantages of e-Learning;

• Influence in academical success.

Universidade do PortoFaculdade de MedicinaIntrodução à Medicina Methods

8) Execution of a statistical analysis with SPSS;

9) Discussion of the results;

10) Review article’ s writing;

11) Website’ s building

Universidade do PortoFaculdade de MedicinaIntrodução à Medicina Methods

Flowchart

Universidade do PortoFaculdade de MedicinaIntrodução à Medicina Methods

Gantt Chart

Universidade do PortoFaculdade de MedicinaIntrodução à Medicina Methods

Universidade do PortoFaculdade de MedicinaIntrodução à Medicina ResultsResults

Universidade do PortoFaculdade de Medicina

Introdução à Medicina

Universidade do PortoFaculdade de MedicinaIntrodução à Medicina ResultsResults

103

3 Evaluation study

Systematic review

Descriptive report

Type of study

Universidade do PortoFaculdade de MedicinaIntrodução à Medicina ResultsResults

6

5

5

Not statedClinicalPre-clinical

Type of participants

Universidade do PortoFaculdade de MedicinaIntrodução à Medicina ResultsResults

Resources

0 2 4 6 8 10

web based plataforms

Specialized software

Scann Pictures

Simulation

Streaming Video

Res

ou

rces

Nrº

Universidade do PortoFaculdade de MedicinaIntrodução à Medicina ResultsResults

Advantages

Increased accessibility to

information

Ease of dissemination of

information

Ease in updating content any time, any

where

Learners have control over their

learning

Standardization of content

Increase of technological skills

0 2 4 6 8 10 12 14

1

Ad

van

tag

es

Nrº

Universidade do PortoFaculdade de MedicinaIntrodução à Medicina ResultsResults

Disadvantages

Psychological issues

Trainers' familiarity w ith programs

Lack of interaction student/ teacher

Software need to be performed

Economical issues

Difficult acces to computers, Internet

Organizational issues

0 1 2 3 4 5 6 7

1

Dis

adva

nta

ges

Nrº

1. Vollmar HC, Schurer-Maly CC, Frahne J, Lelgemann M, Butzlaff M., An e-learning platform for guideline implementation--evidence- and case-based knowledge translation via the Internet. Methods of Information in Medicine. 2006; 45(4): 389-96.

2. Harden RM., A new vision for distance learning and continuing medical education, The journal of continuing education in health professions, 2005, 25(1):43-51

3. Vozenilek J., Huff J. S., Reznek M., Gordon J. A. See One, Do One, Teach One: Advanced Technology in Medical Education. ACAD EMERG MED, 2004, Vol. 11, pp. 1149- 1154

5. Curran VR, Fleet L., A review of evaluation outcomes of web-based continuing medical education, Medical education, 2005, 39(6):561-7

4. Ruiz JG, Mintzer MJ, Leipzig RM., The impact of E-learning in medical education. Academic Medicine: journal of the association of American Medical Colleges. 2006; 81(3):207-12.

Universidade do PortoFaculdade de MedicinaIntrodução à Medicina References

The End

Universidade do PortoFaculdade de Medicina

Introdução à Medicina