A computer-assisted learning tool designed to improve clinical problem-solving skills.

A computer-based teaching and learning program was developed to supplement the case load of students on a one-month emergency medicine clinical rotation and interactively measure and support improvements in their acute chest pain differential diagnostic skills. Students using the program demonstrate...

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Detalles Bibliográficos
Publicado en:Annals of Emergency Medicine Vol. 18; no. 3; pp. 269 - 274
Autores principales: Papa, F J, Meyer, S
Formato: research Journal Article
Publicado: Elsevier B.V. 1989 Mar
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 1989 Mar
      vid: 18
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      pub: Elsevier B.V.
      place: New York, New York
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        atl: A computer-assisted learning tool designed to improve clinical problem-solving skills.
      aug:
        au:
          Papa, F J
          Meyer, S
        affil: Department of Medical Education, Texas College of Osteopathic Medicine, Fort Worth 76107-2690
      sug:
        subj:
          Clinical Competence
          Problem Solving
          Computer-Assisted Instruction
          Microcomputers
          Angina Pectoris Diagnosis
          Software
          Diagnosis, Differential
          Human
          Expert Systems
          Emergency Medicine Education
          Texas
          User-Computer Interface
          Validation Studies
          Comparative Studies
          Evaluation Research
          Multicenter Studies
          Impact of Events Scale
          Scales
      ab: A computer-based teaching and learning program was developed to supplement the case load of students on a one-month emergency medicine clinical rotation and interactively measure and support improvements in their acute chest pain differential diagnostic skills. Students using the program demonstrated a significantly higher level of diagnostic accuracy than a control group (one-tailed t test; N = 88; P less than .018). The success of the program was attributed in part to its unique application of advanced interactive software. Specifically, students use the software (an expert system shell) to develop a computer-based acute chest pain differential diagnostic protocol. Students can subsequently challenge their protocol with a number and variety of training cases in the program's data bank. The software interactively apprises students of the performance of their protocol in terms of its diagnostic accuracy against the cases. Students make protocol modifications to improve its diagnostic accuracy against the training cases. Interactive reassessments of the protocol's performance against the cases follow each modification. This repetitive cycle of protocol modifications rapidly followed by interactive performance reassessments against training cases appears to result in efficient and effective differential diagnostic skills improvements. A new generation of computer-based teaching and learning tools may have a significant impact on undergraduate clinical education.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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