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The effectiveness of a clinically integrated e-learning course in evidence-based medicine : a cluster randomised controlled trial

Kulier, Regina and Coppus, Sjors F. P. J. and Zamora, Javier and Hadley, Julie and Malick, Sadia and Das, Kausik and Weinbrenner, Susanne and Meyerrose, Berrit and Decsi, Tamas and Horvath, Andrea R. and Nagy, Eva and Emparanza, Jose I. and Arvanitis, Theodoros N. and Burls, Amanda and Cabello, Juan B. and Kaczor, Marcin and Zanrei, Gianni and Pierer, Karen and Stawiarz, Katarzyna and Kunz, Regina and Mol, Ben W. J. and Khan, Khalid S.. (2009) The effectiveness of a clinically integrated e-learning course in evidence-based medicine : a cluster randomised controlled trial. BMC medical education, Vol. 9. p. 21.

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Official URL: http://edoc.unibas.ch/dok/A6004253

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Abstract

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.
Faculties and Departments:03 Faculty of Medicine > Departement Klinische Forschung > Clinical Epidemiology and Biostatistics CEB > Klinische Epidemiologie (Bucher H)
UniBasel Contributors:Kunz, Regina
Item Type:Article, refereed
Article Subtype:Research Article
Bibsysno:Link to catalogue
Publisher:BioMed Central
ISSN:1472-6920
Note:Publication type according to Uni Basel Research Database: Journal article
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Last Modified:24 May 2013 09:22
Deposited On:24 May 2013 09:06

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