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      The Future of e-Learning in Medical Education: Current Trend and Future Opportunity

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          Abstract

          A wide range of e-learning modalities are widely integrated in medical education. However, some of the key questions related to the role of e-learning remain unanswered, such as (1) what is an effective approach to integrating technology into pre-clinical vs. clinical training?; (2) what evidence exists regarding the type and format of e-learning technology suitable for medical specialties and clinical settings?; (3) which design features are known to be effective in designing on-line patient simulation cases, tutorials, or clinical exams?; and (4) what guidelines exist for determining an appropriate blend of instructional strategies, including on-line learning, face-to-face instruction, and performance-based skill practices? Based on the existing literature and a variety of e-learning examples of synchronous learning tools and simulation technology, this paper addresses the following three questions: (1) what is the current trend of e-learning in medical education?; (2) what do we know about the effective use of e-learning?; and (3) what is the role of e-learning in facilitating newly emerging competency-based training? As e-learning continues to be widely integrated in training future physicians, it is critical that our efforts in conducting evaluative studies should target specific e-learning features that can best mediate intended learning goals and objectives. Without an evolving knowledge base on how best to design e-learning applications, the gap between what we know about technology use and how we deploy e-learning in training settings will continue to widen.

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          Most cited references18

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          A review of evaluation outcomes of web-based continuing medical education.

          The Internet and worldwide web have expanded opportunities for the provision of a flexible, convenient and interactive form of continuing medical education (CME). Larger numbers of doctors are accessing and using the Internet to locate and seek medical information. It has been suggested that a significant proportion of this usage is directly related to questions that arise from patient care. A variety of Internet technologies are being used to provide both asynchronous and synchronous forms of web-based CME. Various models for designing and facilitating web-based CME learning have also been reported. The purpose of this study was to examine the nature and characteristics of the web-based CME evaluative outcomes reported in the peer-reviewed literature. A search of Medline was undertaken and the level of evaluative outcomes reported was categorised using Kirkpatrick's model for levels of summative evaluation. The results of this analysis revealed that the majority of evaluative research on web-based CME is based on participant satisfaction data. There was limited research demonstrating performance change in clinical practices and there were no studies reported in the literature that demonstrated that web-based CME was effective in influencing patient or health outcomes. The findings suggest an important need to examine in greater detail the nature and characteristics of those web-based learning technologies, environments and systems which are most effective in enhancing practice change and ultimately impacting patient and health outcomes. This is particularly important as the Internet grows in popularity as a medium for knowledge transfer.
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            Web-based learning: sound educational method or hype? A review of the evaluation literature.

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              Evaluating training programs: the Four Levels

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                Author and article information

                Journal
                J Educ Eval Health Prof
                JEEHP
                Journal of Educational Evaluation for Health Professions
                National Health Personnel Licensing Examination Board of the Republic of Korea
                1975-5937
                2006
                12 September 2006
                : 3
                : 3
                Affiliations
                Department of Family Medicine and Department of Medical Education and Biomedical Informatics, School of Medicine, University of Washington, Box 356390 Seattle, WA 98195-7230, U.S.A.
                Author notes
                Article
                10.3352/jeehp.2006.3.3
                2631188
                19223995
                3e0235a6-91b5-46ea-88ad-eaada9d9d68d
                Copyright © 2006, National Health Personnel Licensing Examination Board of the Republic of Korea

                This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 26 August 2006
                : 12 September 2006
                Categories
                Review Article

                Assessment, Evaluation & Research methods
                education, medical,computer-assisted instruction,learning

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