Advances in Health Sciences Education

, Volume 13, Issue 3, pp 373–383 | Cite as

Computer-Assisted Instruction in Clinical Education: a Roadmap to Increasing CAI Implementation

  • Norman B. BermanEmail author
  • Leslie H. Fall
  • Christopher G. Maloney
  • David A. Levine


This reflection is based on the premise that clinical education can be improved by more widespread use of computer-assisted instruction (CAI) and that a roadmap will enable more medical educators to begin using CAI. The rationale for CAI use includes many of its inherent features such as incorporation of multimedia and interactivity yet the use of CAI remains limited, apparently because educators are not convinced about the role for CAI. Barriers to CAI use are discussed including misinterpretation of the literature for CAI effectiveness; a disconnect between CAI developers and the educators who make decisions about CAI use; and the paucity of knowledge regarding how to integrate CAI effectively into clinical education. Specific roles for CAI in undergraduate and graduate medical education can include improving uniformity of instruction, providing documentation of exposure or competence, improving the learners’ educational experience or outcomes, and assessment that is matched to learning. Funding for CAI remains an important barrier but the authors believe that this will be overcome when use of CAI becomes more widespread.


Computer-assisted instruction Computer-based learning Curriculum Education - medical Education - distance E-learning 


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The authors wish to thank Carol Edwards for her outstanding contributions to our collaborative work, and for her editorial assistance in preparing this manuscript.


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Copyright information

© Springer Science+Business Media, Inc. 2006

Authors and Affiliations

  • Norman B. Berman
    • 1
    Email author
  • Leslie H. Fall
    • 2
  • Christopher G. Maloney
    • 3
  • David A. Levine
    • 4
  1. 1.Department of PediatricsDartmouth Medical SchoolLebanonUSA
  2. 2.Department of PediatricsDartmouth Medical SchoolHanoverUSA
  3. 3.Pediatric Inpatient MedicineUniversity of Utah School of MedicineSalt Lake CityUSA
  4. 4.Department of PediatricsMorehouse School of MedicineAtlantaUSA

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