Division of Clinical and Metabolic Genetics, Toronto, Ontario, Canada.
BMC Med Educ. 2010 Oct 25;10:72. doi: 10.1186/1472-6920-10-72.
Computer-based teaching (CBT) is a well-known educational device, but it has never been applied systematically to the teaching of a complex, rare, genetic disease, such as Hunter disease (MPS II).
To develop interactive teaching software functioning as a virtual clinic for the management of MPS II.
The Hunter disease eClinic, a self-training, user-friendly educational software program, available at the Lysosomal Storage Research Group (http://www.lysosomalstorageresearch.ca), was developed using the Adobe Flash multimedia platform. It was designed to function both to provide a realistic, interactive virtual clinic and instantaneous access to supporting literature on Hunter disease. The Hunter disease eClinic consists of an eBook and an eClinic. The eClinic is the interactive virtual clinic component of the software. Within an environment resembling a real clinic, the trainee is instructed to perform a medical history, to examine the patient, and to order appropriate investigation. The program provides clinical data derived from the management of actual patients with Hunter disease. The eBook provides instantaneous, electronic access to a vast collection of reference information to provide detailed background clinical and basic science, including relevant biochemistry, physiology, and genetics. In the eClinic, the trainee is presented with quizzes designed to provide immediate feedback on both trainee effectiveness and efficiency. User feedback on the merits of the program was collected at several seminars and formal clinical rounds at several medical centres, primarily in Canada. In addition, online usage statistics were documented for a 2-year period. Feedback was consistently positive and confirmed the practical benefit of the program. The online English-language version is accessed daily by users from all over the world; a Japanese translation of the program is also available.
The Hunter disease eClinic employs a CBT model providing the trainee with realistic clinical problems, coupled with comprehensive basic and clinical reference information by instantaneous access to an electronic textbook, the eBook. The program was rated highly by attendees at national and international presentations. It provides a potential model for use as an educational approach to other rare genetic diseases.
计算机辅助教学（CBT）是一种众所周知的教育手段，但它从未被系统地应用于教授复杂、罕见的遗传疾病，如亨特病（MPS II）。
开发用于管理 MPS II 的交互式教学软件，即虚拟诊所。
亨特病电子诊所（Hunter disease eClinic）是一个自我培训、用户友好的教育软件程序，可在溶酶体储存研究组（http://www.lysosomalstorageresearch.ca）获取，它是使用 Adobe Flash 多媒体平台开发的。它旨在提供一个逼真的、交互式的虚拟诊所，并即时提供关于亨特病的支持文献，以满足用户需求。亨特病电子诊所由电子书（eBook）和电子诊所（eClinic）两部分组成。电子诊所是软件的交互式虚拟诊所部分。在类似于真实诊所的环境中，培训人员被指导进行病史询问、对患者进行检查，并下达适当的检查指令。该程序提供源自实际亨特病患者管理的临床数据。电子书提供即时的、电子化访问大量参考信息，以提供详细的背景临床和基础科学信息，包括相关的生物化学、生理学和遗传学知识。在电子诊所中，培训人员会遇到旨在对培训人员的效果和效率提供即时反馈的测验。在几个医学中心举办的几次研讨会和正式临床查房中收集了用户对该程序优点的反馈。此外，还记录了 2 年来的在线使用统计数据。反馈一直是积极的，并证实了该程序的实际益处。该程序的英文在线版本每天都被来自世界各地的用户访问；该程序还有日语翻译版本。
亨特病电子诊所采用 CBT 模式，为培训人员提供现实的临床问题，并通过即时访问电子教科书（电子书）提供全面的基础和临床参考信息。该程序在国内外的演讲中受到高度评价。它为其他罕见遗传疾病的教育方法提供了潜在的模型。
