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Related Experiment Videos

Web-based education in systems-based practice: a randomized trial.

B Price Kerfoot1, Paul R Conlin, Thomas Travison

  • 1Urology Section, Veterans Affairs Boston Healthcare System, Harvard Medical School, and Endocrinology, Diabetes, and Hypertension Division, Brigham & Women's Hospital, Boston, Mass 02130, USA. price.kerfoot@gmail.com

Archives of Internal Medicine
|February 28, 2007
PubMed
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A Web-based program effectively taught systems-based practice competencies to medical students and residents, showing significant learning gains in patient safety and healthcare systems knowledge.

Area of Science:

  • Medical Education
  • Healthcare Systems
  • Competency-Based Education

Background:

  • Accredited US residency programs require training in 6 general competencies.
  • Medical schools are increasingly adopting competency frameworks.
  • Systems-based practice is a key competency for physicians.

Purpose of the Study:

  • To investigate the effectiveness of a Web-based program for teaching and assessing systems-based practice.
  • To evaluate learning outcomes in medical students and residents.

Main Methods:

  • A 9-week randomized, controlled, crossover educational trial.
  • 276 medical students and 417 residents participated.
  • Validated Web-based modules on patient safety and the US health care system were used, with pre-, mid-, and post-testing.

Related Experiment Videos

Main Results:

  • Significant score improvements were observed after the first module (P<.001).
  • Overall learning gains were 16 percentage points in public safety and 22 percentage points in US health care system topics (P<.001).
  • High participation (92.4%) and completion (80.0%) rates were achieved.

Conclusions:

  • A Web-based educational program effectively imparted systems-based practice competencies.
  • The learning generated was significant and durable across diverse medical trainees.
  • This approach offers a scalable solution for competency-based medical education.