| Sumario: | The objective of this study was to introduce a self-learning interactive multimedia computer program in our department of gynecology as a new means of clinical teaching, particularly where video-laparoscopy is used. There are two additional purposes to this module: one is to help students integrate theory with clinical relevance; the other is for active clinicians to upgrade their knowledge and judgment about first trimester bleeding and ectopic pregnancy. A review of all recent literature through Medline and of some recent textbooks was used to provide content, as well as personal video snippets of laparoscopy and ultrasonography. Pedagogic set-up of the program includes an interactive evaluation of the learner's performance with a total score posted at the end; in the case of student evaluation, there is a secret 'back door' that enables the teacher to subsequently see and print for how long and where students navigated. Since November 1994, over 75 4th-year medical students and 18 residents in obstetrics-gynecology have completed the program. All appreciated this new teaching modality and it is now being evaluated by the Society of Obstetricians and Gynecologists of Canada as their first computerized clinical update for all specialists across Canada. Interactive multimedia computer programs such as this are an important step in the maintenance of updated pedagogic tools in a clinical setting.
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