Technology-assisted education in graduate medical education: a review of the literatureReport as inadecuate

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International Journal of Emergency Medicine

, 4:51

First Online: 08 August 2011Received: 31 March 2011Accepted: 08 August 2011


Studies on computer-aided instruction and web-based learning have left many questions unanswered about the most effective use of technology-assisted education in graduate medical education.

ObjectiveWe conducted a review of the current medical literature to report the techniques, methods, frequency and effectiveness of technology-assisted education in graduate medical education.

MethodsA structured review of MEDLINE articles dealing with -Computer-Assisted Instruction,-Internet or World Wide Web,-Education- and -Medical- limited to articles published between 2002-2007 in the English language was performed. RESULTS: The two literature searches returned 679 articles; 184 met our inclusion and exclusion criteria. In 87 articles, effectiveness was measured primarily using self-reported results from a survey of subjects. Technology-assisted education was superior to traditional methods in 42 of the 64 direct comparison articles 66%, 95% CI 53-77%. Traditional teaching methods were superior to technology-assisted education in only 3-64 5%, 95% CI 1-13%. The remaining 19 direct comparison articles showed no difference. A detailed review of the 64 comparative studies technology-assisted education versus traditional teaching methods also failed to identify a best method or best uses for technology-assisted education.

ConclusionsTechnology-assisted education is used in graduate medical education across a variety of content areas and participant types. Knowledge gain was the predominant outcome measured. The majority of studies that directly compared knowledge gains in technology-assisted education to traditional teaching methods found technology-assisted education equal or superior to traditional teaching methods, though no -best methods- or -best use- was found within those studies. Only three articles were specific to Emergency Medicine, suggesting further research in our specialty is warranted.

Keywordseducation medical graduate computer-assisted instruction Internet or World Wide Web simulation virtual reality Electronic supplementary materialThe online version of this article doi:10.1186-1865-1380-4-51 contains supplementary material, which is available to authorized users.

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Author: Sharhabeel Jwayyed - Kirk A Stiffler - Scott T Wilber - Alison Southern - John Weigand - Rudd Bare - Lowell W Gerson


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