Kalet Adina L, Coady Sarah H, Hopkins Mary Ann, Hochberg Marc S, Riles Thomas S
New York University School of Medicine, 545 1st Avenue, New York, NY 10016, USA.
Am J Surg. 2007 Jul;194(1):89-93. doi: 10.1016/j.amjsurg.2006.12.035.
Major changes in health care delivery and financing have negatively impacted students' experience during the surgery clerkship, particularly their exposure to physicians' decision-making processes and to the continuity of patient care. In response to these dilemmas in surgical education, we have developed the Web Initiative for Surgical Education (WISE-MD), a comprehensive surgery clerkship curriculum delivered through multimedia teaching modules and designed to enhance exposure to surgical disease and clinical reasoning.
As part of the process of creating WISE-MD, we conducted preliminary studies to assess the impact of this computer-assisted approach on students' knowledge, clinical reasoning, and satisfaction.
Compared to students who did not view the modules, early data show a trend toward improved knowledge and an improvement in clinical reasoning for students who used the WISE-MD modules. This effect was specific to the clinical content area addressed in the module seen by the students. Most students felt the module was superior to traditional teaching methods and enhanced their understanding of surgical technique and anatomy.
WISE-MD, a theory-driven example of a concerted technology-based approach to surgical education, has the potential to address the myriad problems of today's clinical learning environment.
医疗保健服务和融资的重大变革对学生在外科实习期间的体验产生了负面影响，尤其是他们接触医生决策过程和患者护理连续性的机会。为应对外科教育中的这些困境，我们开发了外科教育网络倡议（WISE-MD），这是一个通过多媒体教学模块提供的全面外科实习课程，旨在增加学生对外科疾病和临床推理的接触。
作为创建WISE-MD过程的一部分，我们进行了初步研究，以评估这种计算机辅助方法对学生知识、临床推理和满意度的影响。
与未观看模块的学生相比，早期数据显示，使用WISE-MD模块的学生在知识方面有改善趋势，临床推理也有所提高。这种效果特定于学生观看的模块所涉及的临床内容领域。大多数学生认为该模块优于传统教学方法，并增强了他们对外科技术和解剖学的理解。
WISE-MD是一种基于技术的协同外科教育方法的理论驱动示例，有潜力解决当今临床学习环境中的众多问题。
