Simmons Collan, Nyhof-Young Joyce, Bradley John
Anesthesia Residency Training Program, University of Toronto, Toronto, ON, Canada.
J Med Internet Res. 2005 May 24;7(2):e14. doi: 10.2196/jmir.7.2.e14.
Learning how to conduct a medical interview and perform a physical examination is fundamental to the practice of medicine; however, when this project began, the methods used to teach these skills to medical students at the University of Toronto (U of T) had not changed significantly since the early 1990s despite increasing outpatient care, shorter hospital stays, and heavy preceptor workloads. In response, a Web-based clinical skills resource was developed for the first-year undergraduate medical course-The Art and Science of Clinical Medicine I (ASCM I).
This paper examines our experiences with the development of the ASCM I website and details the challenges and motivators inherent in the production of a Web-based, multimedia medical education tool at a large Canadian medical school.
Interviews and a focus group were conducted with the development team to discover the factors that positively and negatively affected the development process.
Motivating factors included team attributes such as strong leadership and judicious use of medical students and faculty volunteers as developers. Other motivators included a growing lack of instructional equivalency across diverse clinical teaching sites and financial and resource support by the Faculty of Medicine. Barriers to development included an administrative environment that did not yet fully incorporate information technology into its teaching vision and framework, a lack of academic incentive for faculty participation, and inadequate technical support, space, and equipment.
The success of electronic educational resources such as the ASCM I website has caused a significant cultural shift within the Faculty of Medicine, resulting in the provision of more space, resources, and support for IT endeavours in the undergraduate medical curriculum.
学习如何进行医学问诊和体格检查是医学实践的基础；然而，在本项目启动时，尽管门诊护理增加、住院时间缩短且带教老师工作量繁重，但自20世纪90年代初以来，多伦多大学（U of T）用于向医学生教授这些技能的方法并未发生显著变化。作为回应，为本科一年级医学课程《临床医学的艺术与科学I》（ASCM I）开发了一个基于网络的临床技能资源。
本文探讨了我们在开发ASCM I网站方面的经验，并详细阐述了在加拿大一所大型医学院制作基于网络的多媒体医学教育工具所固有的挑战和推动因素。
与开发团队进行了访谈和焦点小组讨论，以发现对开发过程产生积极和消极影响的因素。
推动因素包括团队特质，如强有力的领导以及明智地利用医学生和教师志愿者作为开发者。其他推动因素包括不同临床教学地点之间教学等效性的日益缺乏以及医学院提供的资金和资源支持。开发障碍包括行政环境尚未将信息技术充分纳入其教学愿景和框架、教师参与缺乏学术激励以及技术支持、空间和设备不足。
ASCM I网站等电子教育资源的成功在医学院内部引发了重大的文化转变，为本科医学课程中的信息技术工作提供了更多空间、资源和支持。
