European Journal of Pediatrics

, Volume 168, Issue 4, pp 449–456 | Cite as

European online postgraduate educational programme in neonatology—the way forward?

  • Michael A. Hall
  • Marina Cuttini
  • Andreas W. Flemmer
  • Gorm Greisen
  • Neil Marlow
  • Andreas Schulze
  • Susan Smith
  • Adolf Valls-i-Soler
  • Patrick Truffert
  • Gráinne Conole
  • Maarten de Laat
Original Paper


The provision of specialist postgraduate training is increasingly challenging for the acute medical specialties. There are often small numbers of trainees and tutors in any one centre, and service commitments may limit attendance at educational activities. Online learning can provide high-quality education to trainees from large geographical areas. We report the outcomes of an experimental educational project which provided an online postgraduate programme in neonatology. Ninety trainees from 14 countries, primarily European, participated. Six educational modules in neonatal topics were delivered over a 1-year period, within a “Virtual Learning Environment”. Trainees were divided into multi-national groups; two online tutors supported each group. Analysis of online activity demonstrated that active participation was high initially (100%) but gradually declined to 46% in the final module; tutor participation followed a similar pattern. Eighty-six trainees were contactable at the end of the programme, and 67 (78%) completed an evaluation questionnaire. Of these, 92% reported that participation had “added value” to their training, attributable to the high-quality curriculum, the educational resources, collaborative networking and the sharing of best practice. Eleven (79%) tutors completed the questionnaire, with all reporting that participation was of educational value. The main limiting factor for trainees and tutors was insufficient time. This project confirms that multi-national online education in neonatology is feasible and transferable, but for this approach to be viable formal accreditation and protected time for both trainees and tutors are required.


Education Europe Neonatal Online Postgraduate 


  1. 1.
    Agostinho S, Lefoe G, Hedberg J (1997) Southern Cross University, Australia—Online collaboration for effective learning: a case study of a post-graduate university course. Available at: Accessed 12 May 2008
  2. 2.
    Anderson LW, Krathwohl DR (2001) A taxonomy for learning, teaching, and assessing: A revision of Bloom’s taxonomy of educational objectives. Addison-Wesley Longman, New YorkGoogle Scholar
  3. 3.
    Bloom BS (1956) Taxonomy of educational objectives: cognitive domain. David McKay, New YorkGoogle Scholar
  4. 4.
    Brown A (1997) Designing for learning: what are the essential features of an effective online course? Aust J Educ Technol 13:115–126Google Scholar
  5. 5.
    Burge EJ (1994) Learning in a computer conferenced contexts: The learners’ perspective. J Dist Educ 9:19–43Google Scholar
  6. 6.
    Cahill D, Cook J, Sithers A, Edwards J, Jenkins J (2002) Evaluation of an online postgraduate education programme. Med Teach 24:425–428PubMedCrossRefGoogle Scholar
  7. 7.
    Chickering AW, Gamson ZF (1997) Seven principles for good practice in undergraduate education. AAHE Bull 39:3–7Google Scholar
  8. 8.
    Conole G (2006) What impact are technologies having and how are they changing practice? In: McNay I (ed) Beyond mass education—building on experience. Open University Press, New YorkGoogle Scholar
  9. 9.
    Conole G, De Laat M, Dillon T, Darby J (2008) ‘Disruptive technologies’, ‘pedagogical innovation’: What’s new? Findings from an in-depth study of students’ use and perception of technology’. Comput Educ 50:511–524CrossRefGoogle Scholar
  10. 10.
    Department of Health (2004) What is the European Working Time Directive? London: Department of Health. Available at: Accessed 12 May 2008
  11. 11.
    Downes S (2006) E-learning 2.0. eLearning magazine:education and technology in perspective. Available at: = articles&article = 29-1. Accessed 12 May 2008
  12. 12.
    Epic Group (2003) White paper: blended learning. Available at: Accessed 12 May 2008
  13. 13.
    European Union, Council Directive 93/16/EEC (1993) To facilitate the free movement of doctors and the mutual recognition of their diplomas, certificates and other evidence of formal qualifications. Official J L 165(07/07):1–24Google Scholar
  14. 14.
    Fisher M, Thompson GS, Silverberg DA (2005) Effective group dynamics in e-learning: Case study. J Educ Technol Syst 33:205–222CrossRefGoogle Scholar
  15. 15.
    Fordis M, King JE, Ballantyne CM, Jones PH, Schneider KH, Spann SJ, Greenberg SB, Greisinger AJ (2005) Comparison of the instructional efficacy of Internet-based CME with live interactive CME workshops: a randomized controlled trial. JAMA 294:1043–1051PubMedCrossRefGoogle Scholar
  16. 16.
    Greenhalgh T, Russell J (2006) Promoting the skills of knowledge translation in an online Master of Science course in primary health care. J Contin Educ Health Prof Spring 26:100–108CrossRefGoogle Scholar
  17. 17.
    Harris JM, Salasche SJ, Harris RB (2001) Can Internet-based continuing medical education improves physicians’ skin cancer knowledge and skills? J Gen Intern Med 16:50–56PubMedCrossRefGoogle Scholar
  18. 18.
    How to Moodle (2007) Available at: = Accessed 12 May 2008
  19. 19.
    Implementation of the WFME Global Standards for Postgraduate Medical Education and for Continuing Professional Development Evaluation in Pilot Sites (2006). Available at: nts%20and%20translations/Final%20PG%20CPD%20report_Janet_190 106.pdf. Accessed 14 March 2008
  20. 20.
    Jenkins JM, Cook J, Edwards J, Draycott T, Cahill DJ (2001) Medical education with the Internet: a pilot training programme in reproductive medicine. Br J Obstet Gynaecol 108:114–116CrossRefGoogle Scholar
  21. 21.
    Johnson J, Dutton S, Briffa E, Black C (2006) Broadband learning for doctors. Br Med J 332:1403–1404CrossRefGoogle Scholar
  22. 22.
    Lockyer J, Sargeant J, Curran V, Fleet L (2006) The transition from face-to-face to online CME facilitation. Med Teach 28:625–630PubMedCrossRefGoogle Scholar
  23. 23.
    Karle H (2006) Global standards and accreditation in medical education: a view from the WFME. Acad Med 81:543–548CrossRefGoogle Scholar
  24. 24.
    McPherson M, Baptista Nunes M (2004) The role of tutors as an integral part of online learning support. Eur J Open, Distance and ELearn. Available at: Accessed 14 March 2008
  25. 25.
    Roberts CM, Milon S, Kurosinski P (2006) Understanding the internet-based distance learning preferences of European respiratory specialists. Med Teach 28:477–479PubMedCrossRefGoogle Scholar
  26. 26.
    Rumble G (2001) The costs and costings of networked learning. Available at: Accessed 12 May 2008
  27. 27.
    Salmon G (2000) E-moderating: the key to teaching and learning online. Kogan Page, LondonGoogle Scholar
  28. 28.
    Sandars J, Schroter S (2007) Web 2.0 technologies for undergraduate and postgraduate medical education: an online survey. Postgrad Med J 83:759–762PubMedCrossRefGoogle Scholar
  29. 29.
    Sklar B (2007) Annotated list of online continuing medical education. Available at: Accessed 12 May 2008
  30. 30.
    The European Society for Pediatric Research—Section on Neonatology. The European training syllabus in Neonatology (2000). Available at: Accessed 12 May 2008)
  31. 31.
    Vrasidas C, McIsaac MS (2000) Principles of pedagogy and evaluation for web-based learning. Educ Media Int 37:105–111CrossRefGoogle Scholar
  32. 32.
    Walsh K, Dillner L (2003) Launching BMJ Learning. Br Med J 327:1064CrossRefGoogle Scholar
  33. 33.
    World Federation for Medical Education (WFME) (2003) WFME global standards for quality improvement. Available at: Accessed 12 May 2008

Copyright information

© Springer-Verlag 2008

Authors and Affiliations

  • Michael A. Hall
    • 1
    • 11
  • Marina Cuttini
    • 2
  • Andreas W. Flemmer
    • 3
  • Gorm Greisen
    • 4
  • Neil Marlow
    • 5
  • Andreas Schulze
    • 3
  • Susan Smith
    • 6
  • Adolf Valls-i-Soler
    • 7
  • Patrick Truffert
    • 8
  • Gráinne Conole
    • 9
  • Maarten de Laat
    • 10
  1. 1.Department of Neonatal MedicineSouthampton University Hospitals NHS TrustSouthamptonUK
  2. 2.Unit of EpidemiologyOspedale Pediatrico Bambino GesùRomeItaly
  3. 3.Division of NeonatologyLudwig-Maximilian-University MunichMunichGermany
  4. 4.Department of Neonatology, RigshospitaletUniversity of CopenhagenCopenhagenDenmark
  5. 5.Academic Division of Child HealthUniversity of NottinghamNottinghamUK
  6. 6.School of Nursing and MidwiferyUniversity of SouthamptonSouthamptonUK
  7. 7.Hospital de CrucesUniversity of the Basque Country BilbaoBilbaoSpain
  8. 8.Service de Médecine NéonataleLilleFrance
  9. 9.The Open UniversityMilton KeynesUK
  10. 10.Exeter UniversityExeterUK
  11. 11.Department of Neonatal MedicineThe Princess Anne HospitalSouthamptonUK

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