The Computer-assisted Learning in Pediatrics Project (CLIPP) - A Comprehensive, Curriculum-based Computer-assisted Instruction Program

Norman Berman and Leslie Fall

Dartmouth Medical School, Hanover, New Hampshire, USA

ABSTRACT:

Purpose: The development of CAI in this project is largely based on the premise that current CAI materials in medical education are underutilized, and that CAI has so far not lived up to its potential. We sought to overcome many of the obstacles to broad CAI use by developing a comprehensive CAI program based on a nationally accepted curriculum. Methodology: CLIPP was funded through a U.S. federal training grant. A project advisory group, comprised of leaders in pediatric education translated the national curriculum into 31 cases and developed case guidelines. Case authors were recruited from the membership of the national organization of course directors, trained in case-based CAI authoring, and supported throughout the iterative case development process. Each case underwent formal peer-review by educators and by content experts not otherwise involved in the project. Completed cases were pilot tested at 4 US medical schools. Student evaluation of individual cases as well as the overall learning program was obtained. Upon completion of the case, authors were interviewed about the authoring process and about their motivation for participation in the project.

Results: Thirty-one (31) Internet-based, interactive clinical simulations have now been developed using CASUS authoring software. Peer review has demonstrated that the cases are considered of high quality and are appropriate for the medical student level. Student evaluation has demonstrated that students enjoy this type of learning tool and find it a valuable use of their time (overall program score 4.0 out of 5.0). As additional pilot cases were added, student case evaluation scores increased (3.6 early vs. 3.9 late), demonstrating that students appreciate the learning efficiency of a comprehensive tool. Pilot testing has revealed that technical constraints remain the most significant inhibitors of CAI use. Focused interviews with case authors reveal that novice case authors require clear authoring instructions and significant authoring support. Authors are primarily motivated by a clear project vision and by their contribution to a comprehensive package from which their students will directly benefit.

Discussion: The CLIPP project can serve as a model for the national development and implementation of a comprehensive CAI program in other fields of medicine, and at different levels of medical education.

BENEFIT TO PARTICIPANTS ATTENDING SESSION:

This paper presents results from a large and innovative project to develop computer-assisted instruction cases that will be used on a nationwide basis. The authors believe that this type of project can and should be duplicated in other fields of medicine.

Norman Berman. M.D. Department of Pediatrics One Medical Center Drive Lebanon, NH 03756 Phone: 603-650-8658 Fax: 603-650-8601 Email: mailto:norman.b.berman@hitchcock.org Website: http://www.clippcases.org

CO-AUTHORS: Leslie Fall, M.D. Department of Pediatrics One Medical Center Drive Lebanon, NH 03756 Phone: 603-650-7620 Fax: 603-650-8601 Email: Leslie.H.Fall@Hitchcock.ORG