The effectiveness of a clinically integrated e-learning course in evidence-based medicine: A cluster randomised controlled trial
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- 作者：Regina Kulier (1)
Sjors FPJ Coppus (2) (3)
Javier Zamora (14) (4)
Julie Hadley (5)
Sadia Malick (5)
Kausik Das (6)
Susanne Weinbrenner (7)
Berrit Meyerrose (7)
Tamas Decsi (8)
Andrea R Horvath (9)
Eva Nagy (9)
Jose I Emparanza (10)
Theodoros N Arvanitis (1)
Amanda Burls (1)
Juan B Cabello (10)
Marcin Kaczor (11)
Gianni Zanrei (12)
Karen Pierer (13)
Katarzyna Stawiarz (11)
Regina Kunz (13)
Ben WJ Mol (2) (3)
Khalid S Khan (1) (5) - 刊名：BMC Medical Education
- 出版年：2009
- 出版时间：December 2009
- 年：2009
- 卷：9
- 期：1
- 全文大小：211KB
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19. The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1472-6920/9/21/prepub - 作者单位：Regina Kulier (1)
Sjors FPJ Coppus (2) (3)
Javier Zamora (14) (4)
Julie Hadley (5)
Sadia Malick (5)
Kausik Das (6)
Susanne Weinbrenner (7)
Berrit Meyerrose (7)
Tamas Decsi (8)
Andrea R Horvath (9)
Eva Nagy (9)
Jose I Emparanza (10)
Theodoros N Arvanitis (1)
Amanda Burls (1)
Juan B Cabello (10)
Marcin Kaczor (11)
Gianni Zanrei (12)
Karen Pierer (13)
Katarzyna Stawiarz (11)
Regina Kunz (13)
Ben WJ Mol (2) (3)
Khalid S Khan (1) (5)
1. The University of Birmingham, Edgbaston, Birmingham, B15 2TG, UK
2. Academic Medical Center, University of Amsterdam, Department of Obstetrics and Gynaecology, Meibergdreef 9, 1105, AZ, Amsterdam, the Netherlands
3. Academic Medical Center, University of Amsterdam, Department of Clinical Epidemiology and Biostatistics, Meibergdreef 9, 1105, AZ Amsterdam, Amsterdam, the Netherlands
14. CIBER Epidemiologia y Salud Publica (CIBERESP), Barcelona, Spain
4. Clinical Biostatistics Unit, Hospital Ramon y Cajal, Ctra Colmenar, km 9.100, 28034, Madrid, Spain
5. Birmingham Women's Hospital, Metchley Park Road, Edgbaston, Birmingham, B15 2TG, UK
6. Heart of England NHS Foundation Trust, Solihull Hospital, Lode Lane, Solihull, B91 2JL, UK
7. Agency for Quality in Medicine, Weglelystrasse 3, 10623, Berlin, Germany
8. Department of Paediatrics, University of P茅cs, J贸zsef Attila u. 7, P茅cs, H-7623, Hungary
9. TUDOR, University of Szeged, Albert Szent-Gyorgyi Medical and Pharmacological Centre, Somogyi Bela ter 1, Szeged, H-6725, Hungary
10. CASPe (CASP Espana), Joaquin Orozco 6, 1掳-F, 03006, Alicante, Spain
11. CASPolska, 30鈥?47 Krakow, ul., Wadowicka 3, Poland
12. Universit谩 Cattolica del Sacro Cuore, Via Emilia Parmense 84, 29100, Piacenza, Italy
13. Basel Institute for Clinical Epidemiology, Hebelstrasse 10, CH 4031, Basel, Switzerland
文摘
Background To evaluate the educational effects of a clinically integrated e-learning course for teaching basic evidence-based medicine (EBM) among postgraduates compared to a traditional lecture-based course of equivalent content. Methods We conducted a cluster randomised controlled trial in the Netherlands and the UK involving postgraduate trainees in six obstetrics and gynaecology departments. Outcomes (knowledge gain and change in attitude towards EBM) were compared between the clinically integrated e-learning course (intervention) and the traditional lecture based course (control). We measured change from pre- to post-intervention scores using a validated questionnaire assessing knowledge (primary outcome) and attitudes (secondary outcome). Results There were six clusters involving teaching of 61 postgraduate trainees (28 in the intervention and 33 in the control group). The intervention group achieved slightly higher scores for knowledge gain compared to the control, but these results were not statistically significant (difference in knowledge gain: 3.5 points, 95% CI -2.7 to 9.8, p = 0.27). The attitudinal changes were similar for both groups. Conclusion A clinically integrated e-learning course was at least as effective as a traditional lecture based course and was well accepted. Being less costly than traditional teaching and allowing for more independent learning through materials that can be easily updated, there is a place for incorporating e-learning into postgraduate EBM curricula that offer on-the-job training for just-in-time learning. Trial registration Trial registration number: ACTRN12609000022268.