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Updated: Jun 17, 2026

E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
A randomized trial comparing digital and live lecture formats [ISRCTN40455708
David J Solomon1, Gary S Ferenchick, Heather S Laird-Fick
1Office of Medical Education Research and Development and the Department of Medicine, Michigan State University, East Lansing, MI, USA. dsolomon@msu.edu
Digital lectures are a viable alternative to live lectures for medical education in community settings. Students showed comparable knowledge acquisition and favored digital formats despite technical issues.
Area of Science:
- Medical Education
- Digital Learning
Background:
- Medical education delivery faces challenges with consistency across diverse community-based teaching sites.
- Assessing the efficacy of digital lectures compared to traditional live lectures is crucial.
Purpose of the Study:
- To evaluate if digital lectures yield comparable cognitive knowledge outcomes to live lectures in medical education.
- To assess student perceptions of digital lectures as a substitute for live instruction.
Main Methods:
- A randomized trial comparing live lectures at a main campus versus digital lecture viewing at community sites.
- Both groups were evaluated using the same knowledge-based examination.
- Feedback on the digital lecture experience was collected from the intervention group.
Main Results:
- No significant differences in cognitive knowledge performance were observed between the digital and live lecture groups.
- Students overwhelmingly perceived digital lectures as a suitable replacement for live lectures, even with reported technical difficulties.
Conclusions:
- Digital lectures present a promising and viable alternative for didactic presentations in community-based medical education.
- This approach can help standardize curriculum delivery across geographically dispersed training locations.
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