Author(s): Averns H, Maraschiello M, van Melle E, Day A
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Abstract OBJECTIVE: To evaluate the effectiveness of an online module in the development of medical students' clinical hand examination skills. METHODS: We developed a Web-based module to teach examination of the hand to first-year medical students (n = 99) to address the core skills expected in undergraduate medical training in Canada. The module was compared to the standard recommended text and tutor-led teaching using a validated objective structured clinical examination (OSCE) and a written knowledge test. RESULTS: A total of 17 students completed the OSCE from the book-based learning group, 18 from the tutor-led group, and 26 from the online module group. The average total OSCE score was significantly higher for students in the online module group compared to the textbook group (73.2\% and 60.5\%, respectively; p = 0.003). There was no significant difference between students in the online module and tutor-led groups (73.2\% and 69.0\%, respectively; p = 0.31). The online module group had a significantly higher mean total knowledge score than the textbook group (8.4 and 5.7, respectively; p < 0.001; maximum score 10) and the tutor-led group (8.4 and 7.4, respectively; p = 0.04). CONCLUSION: Our study provides evidence that a well designed Web-based module, supported by sound educational theory, is an effective tool in the teaching of musculoskeletal examination skills, and provides some advantages over tutor-led teaching in terms of knowledge retention.
This article was published in J Rheumatol
and referenced in Rheumatology: Current Research