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PubMed1983

[Program for instruction in comprehensive general medicine: conceptualization and strategies for its evaluation].

This article describes the concepts and strategies underlying the evaluation of the Comprehensive General Medicine Program of the School of Medicine of the Autonomous National University of Mexico. The exact purpose of that evaluation, done in 1982, was to strengthen and redirect the lines of this program's current development, which had been conceived since its inception in 1974 as an experimental study plan based on a system of modular and tutorial instruction. The article describes the identified conceptual, methodological, logistic, operational and attitudinal obstacles to this evaluation process. The methodology involves a sequence consisting in the evaluational experiences of basically innovative programs of undergraduate medical instruction, the selection of an evaluation model, identification of the aspects to be evaluated, the determination of priorities, and the definition of specific evaluation projects. From the aspects identified and given priority the following 12 evaluation projects emerged: curriculum review, follow-up of alumni, instruction materials, tutors, integration of knowledge, student performance, instructional activities, students in social service, student enrollments, dropping out, professional examination, and education administration.

Curriculum↗
PubMed1993

Effects of instruction on the decoding skills of children with phonological-processing problems.

This article reviews research carried out by the Bowman Gray Learning Disabilities Project concerning the role of instruction in the acquisition of word-identification (decoding) skills in children at risk for reading disabilities. A group of 81 kindergarten children were identified as at risk for reading disabilities based on teacher assessment and weak or deficient phonological-processing skills. These children were classified as to type of phonological-processing problem (i.e., phonological awareness or retrieval of phonological information) and were randomly assigned to either a Code or Context instructional method for first and second grades. Children who received Code instruction scored higher than children receiving context instruction on a variety of reading and spelling measures at the end of first and second grades. The elements of the Code instructional program considered critical to the success of a beginning reading instruction program for children with phonological processing problems are discussed.

Acoustic Stimulation↗
PubMed2004

Instructional multimedia program versus standard lecture: a comparison of two methods for teaching the undergraduate orthodontic curriculum.

AIM: To compare the effectiveness of an interactive multimedia courseware package versus standard lectures regarding knowledge, understanding, and transfer of content, as well as problem-solving skills in orthodontics. METHODS: Pre- and post-test assessments of final-year dental students (n = 26), who either used an interactive multimedia courseware package (n = 15) or attended standard lectures (n = 11) on equivalent material of the undergraduate orthodontic curriculum were carried out. Both groups were tested by written and multiple-choice questions covering knowledge, understanding, and application areas in the curriculum. A one-way anova was carried out in order to check statistical difference between the two groups. The P-value was set at 0.05. RESULTS: There was no difference in prior knowledge between the groups at baseline. Generally, no significant difference was seen between the two groups in relation to answers to questions about knowledge, understanding, and application in the orthodontic curriculum. However, both groups improved their scores after the course. In one question investigating the extent of understanding the instructional content of the multidisciplinary orthodontic treatment, the multimedia courseware package group scored significantly better. CONCLUSION: In this study, the instructional interactive multimedia program was found to be at least as effective as the standard lecture of the orthodontic curriculum for undergraduate training in orthodontics.

Analysis of Variance↗
PubMed1995

Isolating the effects of active responding in computer-based instruction.

This experiment evaluated the effects of requiring overt answer construction in computer-based programmed instruction using an alternating treatments design. Four college students worked through an instructional program that alternated between presenting frames with blanks requiring overt responses and complete frames without blanks. All students produced a higher percentage of correct posttest answers corresponding to program segments that required overt answer construction.

Journal Article↗
PubMed1996

Students' learning of clinical sonography: use of computer-assisted instruction and practical class.

RATIONALE AND OBJECTIVES: The application of information technology to teaching radiology will profoundly change the way learning is mediated to students. In this project, the integration of veterinary medical students' knowledge of sonography was promoted by a computer-assisted instruction program and a subsequent practical class. METHODS: The computer-assisted instruction program emphasized the physical principles of clinical sonography and contained simulations and user-active experiments. In the practical class, the students used an actual sonographic machine for the first time and made images of a tissue-equivalent phantom. Students' responses to questionnaires were analyzed. RESULTS: On completing the overall project, 96% of the students said that they now understood sonographic concepts very or reasonably well, and 98% had become very or moderately interested in clinical sonography. CONCLUSIONS: The teaching and learning initiatives enhanced an integrated approach to learning, stimulated student interest and curiosity, improved understanding of sonographic principles, and contributed to an increased confidence and skill in using sonographic equipment.

Attitude↗
PubMed1987

AUR memorial award--1987. The impact of focused instruction on learning mammography.

Recent promotion of breast cancer screening has increased the demand for mammography services and well-trained mammographers. To determine whether focused instruction, which may occur in continuing medical education courses, is effective in imparting mammography skills and knowledge, an instructional program was developed and evaluated. Seventeen physicians were tested before and after six 1-hour instructional sessions about breast disease and cancer screening, mammogram interpretation, and determining appropriate patient disposition. Twelve weeks after instruction, subjects demonstrated significant improvement in factual knowledge, in decision-making ability regarding patient disposition, and in recognition of benign disease on mammograms. There also was significant improvement in specificity, but no improvement in cancer detection. Further, no correlation between participants' subjective self-assessment of improvement and their actual performance on the postinstruction evaluation was found. Evaluation of instructional programs is necessary to determine their effectiveness, and promotes improvement in instructional offerings.

Breast Neoplasms↗
PubMed1988

Study of teaching residents how to teach.

In the study reported here, the authors evaluated the effectiveness of a teaching skills program for residents. Twenty-two residents in obstetrics and gynecology, medicine, and family medicine were randomly assigned to control and experimental groups. The experimental groups received instruction and feedback about teaching skills during their first and second postgraduate years. Both groups were evaluated at three times: in the first year before the instructional program, in the second year during the instructional program, and in the third year six months after instruction. During each study phase, videotapes were made of each resident teaching a student in the context of a case presentation. Trained raters evaluated eight teaching skills exhibited in the videotapes. In general, there was greater increase and less decline in the scores of the experimental than the control groups. These data suggest that teaching skills can be improved by instruction and that without support residents' teaching skills do not improve in relation to their clinical competence.

Evaluation Studies as Topic↗
PubMed2000

A taxonomy of community-based medical education.

The authors propose a classification of community-based education (CBE) as it is implemented all over the world. To create this taxonomy, they used reports in the literature of 31 active programs in many locations. A CBE program is an instructional program carried out in a community context, outside the academic hospital. The authors distinguish between programs that are developed primarily to provide services to an underserved community; programs that have a research focus; and programs that have as their primary goal the (clinical) training of students. These three major types can be subdivided in six minor types, among them community development programs, health intervention programs, and simple community-exposure programs. The ultimate goal of creating the taxonomy is to contribute to the development of a theory of CBE and provide a more systematic way to study CBE. In addition, the proposed taxonomy clearly demonstrates the various ways in which medical schools, their staffs, and their students can become involved with the communities served. CBE is not a unitary concept but a set of attempts to contribute to the quality of life in a particular community and, at the same time, create conditions for students to acquire hands-on understanding of the nature of the problems to be faced in future professional practice, and to develop relevant skills. The taxonomy also enables those involved in the development of CBE programs in their medical schools to see alternative approaches, which will help them choose the approaches that fit their particular educational goals. Last, it demonstrates the intricacies involved in the implementation of CBE, in particular the complexity of building a learning environment that is productive for students and, at the same time, responsive to community needs.

Community Medicine↗
PubMed1991

Longitudinal analysis of time, engagement, and achievement in at-risk versus non-risk students.

This longitudinal study investigated the effects of time spent in academic instruction and time engaged on elementary students' academic achievement gains. Three groups were compared over grades as follows: (a) an at-risk experimental group of low-socioeconomic status (SES) students for whom teachers implemented classwide peer tutoring (CWPT) beginning with the second semester of first grade continuing through Grade 3; (b) an equivalent at-risk control group; and (c) a non-risk comparison group of students of average- to high-SES. In both the control and comparison groups, teachers employed conventional instructional practices over Grades 1 through 3. Results indicated significant group differences in the time spent in academic instruction, engagement, and gains on the subtests of the Metropolitan Achievement Test that favored the experimental and comparison groups over the control group. Implications include the effectiveness of CWPT for at-risk students and the continuing vulnerability of at-risk students whose daily instructional programs provide less instructional time and foster lower levels of active academic engagement.

Achievement↗
PubMed1979

Inclusion of a program of instruction in care of the disabled in a dental school curriculum.

Lack of practitioner training is considered a major reason for dental neglect of disabled persons. The feasibility of instruction in the care of the disabled for dental and dental hygiene students at the undergraduate level was demonstrated in a prototype program encompassing a continuum of didactic courses, clinical experiences in extramural and intramural settings, inservice training and continuing education, interdisciplinary activities, and evaluative research. Successful implementation of such a program required developing and using appropriate support systems, such as instructional materials, social services, public relations, and monitoring of care delivery. A format combining specific courses with inclusion of disability subject matter in existing courses appeared to be advantageous in intergrating the program into the dental curriculum. Evaluation data indicated the value of undergraduate training in improving access to dental care for the disabled patient.

Attitude↗
PubMed1986

Library instruction for medical students.

The library instruction program for medical students at the University of Tennessee Center for the Health Sciences is described. This instruction program, which was developed in cooperation with the medical faculty, is included in the College of Medicine curriculum. Library instruction is presented sequentially at scheduled times during the four-year curriculum when students need specific information. The development, implementation, and evaluation of the program are discussed.

Education, Medical↗
PubMed1991

Constructed-response matching to sample and spelling instruction.

The development of interactive programmed instruction using a microcomputer as a teaching machine is described. The program applied a constructed-response matching-to-sample procedure to computer-assisted spelling instruction and review. On each trial, subjects were presented with a sample stimulus and a choice pool consisting of 10 individual letters. In initial training, sample stimuli were arrays of letters, and subjects were taught to construct identical arrays by touching the matching letters in the choice pool. After generalized constructed-response identity matching was established, pictures (line drawings) of common objects were presented as samples. At first, correct spelling was prompted by also presenting the printed name to be "copied" via identity matching; then the prompts were faded out. The program was implemented with 2 mentally retarded individuals. Assessment trials determined appropriate words for training. Correct spelling was established via the prompt-fading procedure; training trials were interspersed among baseline trials that reviewed and maintained spelling of previously learned words. As new words were learned, they were added to a cumulative baseline to generate an individualized review and practice battery for each subject.

Adult↗
PubMedDate not supplied

Computer versus lecture: strategies for teaching fetal monitoring.

The purpose of this study was to determine how well novice nurses learned basic fetal monitoring concepts from a computer-assisted instructional program and a scripted lecture with equivalent content. A pretest-posttest experimental design was conducted. Forty-eight junior baccalaureate nursing students beginning their first maternity rotation were recruited for the study from a southwestern university. Thirty-nine students provided complete data sets. None had prior experience or education in fetal monitoring. Two strategies were used to teach basic fetal monitoring concepts: a scripted lecture with black-and-white transparencies and an equivalent computer-assisted instructional program. Statistical significance was set at p = 0.05. There were no significant differences between the computer and lecture groups' learning on the basis of age, education, or vision. There was a positive, nonsignificant gain in mean scores from the pretest to the posttest for both groups. The greatest difference was in the program completion time with the computer-assisted instruction group completing the program 43.6% faster than the lecture group.

Audiovisual Aids↗
PubMed1987

Computer-assisted instruction in curricula of physical therapist assistants.

This article compares the effectiveness of computer-assisted instruction (CAI) with written, programmed instruction between two groups of physical therapist assistant students. No significant difference in the amount of material learned or retained after completion of testing using either CAI or a written, programmed text was found in this group of 16 subjects. Learning style or attitude about computers did not correlate strongly with performance after the CAI. Findings suggest that more research is needed to support decisions related to fiscal allotments for computer use in college curricula.

Computer-Assisted Instruction↗
PubMed2006

Implementation of a school environment intervention to increase physical activity in high school girls.

Physical activity levels begin to decline in childhood and continue falling throughout adolescence, with girls being at greatest risk for inactivity. Schools are ideal settings for helping girls develop and maintain a physically active lifestyle. This paper describes the design and implementation of 'Lifestyle Education for Activity Program', or LEAP. LEAP used a health team approach with participatory strategies to provide training and support, instructional capacity building and opportunities to adapt school instructional program and environmental supports to local needs. The social-ecological model, based on social cognitive theory, served as the organizing framework for the LEAP intervention and elements of the coordinated school health program model as intervention channels. For the 12 intervention schools, LEAP staff documented 191 visits and interactions with 850 individuals over the 2-year period. Teachers reported successful implementation of most components of the intervention and demonstrated optimism for sustainability. These results indicate that a facilitative approach to intervention implementation can be used successfully to engage school personnel, and to change instructional programs and school environments to increase the physical activity level of high school girls.

Adolescent↗
PubMed1986

Cardiac rhythms and arrhythmias: a teaching program.

A computer-aided instruction program for teaching cardiac rhythms and arrhythmias to second year medical students at Case Western Reserve University was created. The program seeks to integrate multiple levels of information in a visually exciting way by combining various simultaneous animations of the heart, its electrical system, and the standard representations of the electrical system (the ladder diagram and the EKG). The program features a text that covers the most important information about 22 cardiac arrhythmias in a step-by-step approach, illustrating all didactic points with high-resolution graphics. Students are instructed in the genesis and propagation of arrhythmia, as well as in the recognition of characteristic EKG features. The program is menu-driven, offering a teaching series, a quiz, and random access to each individual arrhythmia. The text describes the development of the program, its architecture, animation techniques, use, and evaluation by cardiologists and medical students. Copies of sample graphics screens are provided.

Arrhythmias, Cardiac↗