AMEE Berlin 2002 Programme

Session 8A Computer mediated learning and assessment
8A1 Preparing clinical small group
sessions by using digital video in
CBE
Marianne G Nijnuis*, Caro Brumsen, Jan A Gevers
Leuven and Peter G M de Jong
Leiden University Medical Center, Onderwijscentrum IG, Kamer
C5-54, PO Box 9600, 2300 RC Leiden, NETHERLANDS
Small-group patient demonstrations form an important
part of the Internal Medicine clerkship in Leiden. The
purpose of these meetings is to discuss symptoms, signs
and management of common health problems and
diseases. In practice it is often difficult to get a patient
with the required diagnosis at the right time and place.
As a result, most cases have to be presented in written
text. In order to make better use of the available patient
material several patients were recorded on digital video
at a time that was more convenient for them. The images
were used in a computer based educational program.
Students are requested to study this program on the
evening before the small-group discussion takes place.
During the session the students can discuss the case
under supervision of a clinician. The use of this new
teaching method has improved the educational value
of the already highly appreciated patient
demonstrations.
8A2 Inter-physician communication
training through computer-based
patient simulations
S Eggermont*, P M Bloemendaal, E Schoonderwaldt and
J D Donnison-Speyer
Leiden University Medical Center, Heelkunde Onderwijs K6-R,
Postbus 9600, 2300 RC Leiden, NETHERLANDS
Communication between physicians is essential in
modern medicine; therefore communication training
should be integrated in medical curricula. A joint
project of the Leiden University Medical Center and
the Amsterdam Medical Center, will result in twenty
computer-based cases, developed in the Dynamic
Patient Simulator (DPS). DPS is a computer program
for creating and running patient simulations. In such a
simulation several students treat one virtual patient
asynchronously, enabling them to practise clear and
adequate communication by training the transfer of the
patient’s medical record. For this purpose we created a
model of the inter-physician communication. With this
model we can differentiate between multiple types of
communication with different modalities, such as
transfer of collected evidence, consultancy and
strategies for further evidence collection, assessment
and intervention. In our presentation we will explain
the communication model and demonstrate its
implementation in DPS.
Wednesday 5 September
- 4.83 -
8A3 Computer Assisted Learning: using
and doing research in primary care
Linda Leighton-Beck*, Philip Hannaford, Neil Hamilton,
Sara Shaw and Yvonne Carter
Scottish Council for Postgraduate Medical & Dental Education,
Postgraduate Medical Department, University of Aberdeen,
Foresterhill, Aberdeen AB25 2ZD, UK
Development of CAL for research in primary care
resulted from practitioners’ expressed needs, and the
policy agenda. National collaboration achieved funding
for a demonstration model. The project will:
• design an innovative educational intervention to
support staff in health settings, nationally and
internationally;
• develop a comprehensive course on research -
Understanding Research and, Learning to do
Research - utilising, initially, CD-ROM;
• develop applications facilitating web access;
• evaluate the concept through a pilot CD-ROM.
The CD-ROM has been developed as a demonstration
model through a collaboration of researchers and Medi-
CAL technologists. Evaluation of its educational value
and technological robustness will utilise questionnaire
and interview of a defined sample of General
Practitioners and healthcare professionals. Evidence of
usefulness, effectiveness and accessibility will inform
development. Successful outcomes will facilitate
progress from demonstration model to platform support
tools, customised to the needs of specialities.
8A4 Extracting core competencies
“bottom up” from case histories by
an online consensus seeking
process in family medicine
Peter Schlaeppi* and Ralph Bloch
Institute of Medical Education IAWF, University of Bern,
Inselspital 37A, CH-3010 Bern, SWITZERLAND
This project responds to the need for a clear and detailed
definition of the required competencies for future
family physicians in Switzerland. The aim of the project
is to demonstrate that a web-based platform is a feasible
and comfortable means to define relevant core
competencies based on case histories. The practitioners
of an expert panel had to write case histories based on
their daily work. The panel outlined core problems and
core criteria to solve core problems. Thus, a core
competence is defined as a bundle of the criteria
necessary to solve a core problem. In a first step 82
core competencies consisting of 348 criteria could be
identified. Online work was well accepted by the panel.
Working together online seems to be a feasible means
to seek relevant consensus in the continuing process
of developing and updating core competencies in
family medicine.