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Updated: Jul 14, 2026

E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
Medical case teaching on the web
Sara Kim1, William R Phillips, Jane Huntington
1Department of Family Medicine, University of Washington School of Medicine, Seattle, WA 98195-7230, USA. sarakim@u.wahington.edu
Background:
Little is known about strategies for developing teaching cases and strategies for identifying design features that optimize a learner's interactions with Web-based cases.
Purposes:
We examined design features in Web cases that facilitated interactive and engaging learning.
Methods:
Nine collaborators reviewed selected Web cases and documented the presence of features that facilitate interactive learning, including opportunities for information gathering, decision making, and receiving feedback.
Results:
Eighteen Web sites offered cases. These cases mainly were narrated based on biomedical information without patient voices. The cases were organized in a linear structure from patient presentation to follow-up. Many cases presented only a single case. We found little use of features for augmenting a learner's interaction with cases. Only a handful of cases generated feedback on the basis of the learners' responses.
Conclusion:
Our study suggests ways to improve the development of Web cases. These methods contribute to future research in testing cases for educational effectiveness.
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