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- Title
Working with patients with alcohol problems: a controlled trial of the impact of a rich media web module on medical student performance.
- Authors
Lee, Joshua D.; Triola, Marc; Gillespie, Colleen; Gourevitch, Marc N.; Hanley, Kathleen; Truncali, Andrea; Zabar, Sondra; Kalet, Adina
- Abstract
<bold>Introduction/aims: </bold>We designed an interactive web module to improve medical student competence in screening and interventions for hazardous drinking. We assessed its impact on performance with a standardized patient (SP) vs. traditional lecture.<bold>Setting: </bold>First year medical school curriculum.<bold>Program Description: </bold>The web module included pre/posttests, Flash(c), and text didactics. It centered on videos of two alcohol cases, each contrasting a novice with an experienced physician interviewer. The learner free-text critiqued each clip then reviewed expert analysis.<bold>Program Evaluation: </bold>First year medical students conveniently assigned to voluntarily complete a web module (N = 82) or lecture (N = 81) were rated by a SP in a later alcohol case. Participation trended higher (82% vs. 72%, p < .07) among web students, with an additional 4 lecture-assigned students crossing to the web module. The web group had higher mean scores on scales of individual components of brief intervention (assessment and decisional balance) and a brief intervention composite score (1-13 pt.; 9 vs. 7.8, p < .02) and self-reported as better prepared for the SP case.<bold>Conclusions: </bold>A web module for alcohol use interview skills reached a greater proportion of voluntary learners and was associated with equivalent overall performance scores and higher brief intervention skills scores on a standardized patient encounter.
- Subjects
MEDICAL students; ALCOHOL drinking; CAREER development; CURRICULUM; PHYSICIANS; DIAGNOSIS of alcoholism; ALCOHOLISM treatment; RESEARCH; CLINICAL trials; COMPUTER assisted instruction; INTERNET; RESEARCH methodology; EVALUATION research; MEDICAL cooperation; EDUCATIONAL tests &; measurements; COMPARATIVE studies; MEDICAL history taking; RESEARCH funding; MEDICAL education
- Publication
JGIM: Journal of General Internal Medicine, 2008, Vol 23, Issue 7, p1006
- ISSN
0884-8734
- Publication type
journal article
- DOI
10.1007/s11606-008-0557-5