Date: Fri, 09 Mar 2001 06:09:34 -0500

CASK: a Clinically-based Interactive Multi-learning Approach to Anatomy

O.P. Gobée, A.C.G. Wenink, J.M. van Baalen, R.E. Poelmann, P.M. Bloemendaal, A.C. Gittenberger-de Groot.
Leiden University Medical Center, Leiden, the Netherlands

ABSTRACT:

In addition to computer-based-training (CBT) programs in anatomy, which are mainly electronic text books or atlases, the need is felt for real interactive tutorials. CASK (Clinical Anatomical Skills) is such a program. It incorporates several novel didactical and technical approaches.

Didactical approach and novelties

The organization of CASK is centered on a clinical problem, such as a specific surgical procedure. It deals with the anatomy necessary to understand symptoms, diagnostics, and the surgery regarding this clinical problem. The lesson presents itself interactively:

- There are questions to which the student has to find the answers independently by using reference resources in a separate section.

- The student’s answers and the computer’s reactions are presented dialogue-like, with responses increasing in support from first to later attempts, like a teacher coaching a student.

- If the student uses the "tutor-button’, a hint or additional information is presented, which contents depend on the actual situation in the lesson.

- Interactive animations are incorporated.

- At several moments in the lesson optional in-depth information is available on request.

The subject matter is presented in several complementary ways, catering for different learning-styles/approaches and enhancing insight and remembrance:

- The main approach is interactive and clinically based, enhancing active studying and connecting anatomical knowledge with its practical application.

- Besides that, at all times during the lesson, a reference/look-up section is available that presents the matter in a anatomically structured way. This enables the student to form a structured background to which the new knowledge can be attached. It also allows students to study the anatomical theory first, before entering the clinically directed lesson.

The reference-section is shown in a separate dragable and resizable window, enabling simultaneous viewing of matter in the main lesson and look-up material.

- Parallel with the tutorial, dissected specimens showing the surgical approach, are made available to add three-dimensional insight to the non-palpable computer-images.

- CASK can be studied in combination with, or supplementary to, a previously developed, sophisticated Dynamic Patient Simulation CBT-program.

Technical approach and novelties

- The program is web-based, developed using DHTML, JavaScript and Flash

- A technique is developed to scale the pages to fit different monitor-sizes/resolutions.

- External web-available JavaScript freeware is used to build a drop-down menu-structure as in Office programs (http://www.webreference.com/dhtml/hiermenus) and a treev iew as in Windows Explorer (http://www.geocities.com/marcelino_martins/foldertree.html).

- In the reference section links are made to valuable existing resources like ADAM online anatomy (http://www.adam.com/b2b/products/elearning/aoa.htm) and a Visible Human viewer.

- Specimens will be plastinated, enabling preservation, and examination outside the dissection room.

BENEFIT TO PARTICIPANTS ATTENDING SESSION:

Acquiring didactical and technical CBT-ideas:

- anatomy primarily presented clinically

- multi-learning-style presentation

- interactivity and simulating of teacher-role in several ways

- dissected specimens offered parallel to CBT-program

- JavaScript technique for scaling of web-pages to fit resolution

- web-available JavaScript freeware for drop-down menu-structure and treeview Explorer

Paul GobČe
Leiden University Medical Center,
Dept. of Anatomy of Embryology
P.O.Box 9602
2300 RC Leiden
the Netherlands
Phone: +31 71 5276673 / 5276661
Fax: +31 71 5276680
Email: opgobee@lumc.nl

CO-AUTHORS:

A.C.G. Waning (1), J.M. van Baalen (2), R.E. Poelmann (1), P.M.
Bloemendaal (2), A.C. Gittenberger-de Groot (1).
(1) Leiden University Medical Center,
Dept. of Anatomy of Embryology
P.O.Box 9602
2300 RC Leiden
the Netherlands

(2) Leiden University Medical Center,
Dept. of Surgery
Postal Zone K6-R
P.O.Box 9600
2300 RC Leiden
the Netherlands

Phone: (1) +31 71 5276661
(2) +31 71 5264039
Fax: (1) +31 71 5276680
(2) +31 71 5266750
Email: A.C.G.Wenink@lumc.nl
J.M.van_Baalen@lumc.nl
R.E.Poelmann@lumc.nl
P.M.Bloemendaal@lumc.nl
A.C.Gittenberger-de_Groot@lumc.nl
Website: http://www.medfac.leidenuniv.nl/heelkunde_onderwijs/
http://www.medfac.leidenuniv.nl/heelkunde_onderwijs/DPS/dps.htm