Didactic and technical considerations when developing e-learning and CME
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Several usability issues were encountered during the design of a blended e-learning program for a course in evidence-based medicine for general practice trainers. The program was developed in four steps. We focused in this article on step 2 and 3. Step 2 focused on which educational principles to apply, that is, which learning theories, instructional designs and other theories should influence the program. Step 3 focused on the design elements, namely whether to use hypermedia and/or multimedia, and what screen design and which font to use. This article presents the important issues in designing an e-course and provides an impression of the complexity of designing high quality e-learning in particular for continuing medical education (CME).
KeywordsMedical education Postgraduate education Pedagogical theory Pedagogical methodology Multimedia/hypermedia application
Notes on contributors
Ellen te Pas is a registered nurse, educationalist and PhD student in the Department of General Practice/Family Medicine, Academic Medical Center, University of Amsterdam, the Netherlands.
Margreet Wieringa–de Waard is a GP and a professor of General Practice in the Department of General Practice/Family Medicine, Academic Medical Center, University of Amsterdam, the Netherlands.
Bernadette Snijders Blok is an educationalist in the Department of General Practice/Family Medicine, Academic Medical Center, University of Amsterdam, the Netherlands.
Hendricus Theodorus Pouw is a GP and a GP trainer in Health Center “Op maat”, Almere, the Netherlands and a former lecturer in General Practice in the Department of General Practice/Family Medicine, Academic Medical Center, University of Amsterdam, the Netherlands.
Nynke van Dijk is a clinical epidemiologist. She holds a Master’s in Health Profession Education, and works as an assistant professor in General Practice in the Department of General Practice/Family Medicine, Academic Medical Center, University of Amsterdam, the Netherlands.
Conflicts of Interest
This study was financed by CASH (commission to stimulate activities regarding GP training) of the SBOH. The SBOH is the employer of GPs in training, and finances all Dutch GP training programs.
- Brandsford, J. D., Brown, A. L., & Cocking, R. R. (2000). How people learn: brain, mind, experience, and school. Washington: National Academy Press.Google Scholar
- Clark, R. C., & Mayer, M. E. (2008). E-learning and the science of instruction. San Francisco: Jossey-Bass.Google Scholar
- Czabanowska, K., Klemenc-Ketis, Z., Potter, A., Rochfort, A., Tomasik, T., Csiszar, J., & Van den Bussche, P. (2012). Development of a competency framework for quality improvement in family medicine: A qualitative study. Journal of Continuing Education in the Health Professions, 32(3), 174–180.CrossRefGoogle Scholar
- European Health Forum Gastein. Possible shortage of up two million health care workers by 2020 - EU taking action to prevent impending crisis in providing health care. Website http://pr.euractiv.com/pr/possible-shortage-two-million-health-care-workers-2020-eu-taking-action-prevent-impending-crisis.
- Fisser, P. (2001) Using Information and Communication Technology. Universiteit Twente. PhD Thesis, available: http://doc.utwente.nl/36152/1/t0000015.pdf
- Furmedge, D. S., Iwata, K., & Gill, D. (2014). Peer-assisted learning - Beyond teaching: How can medical students contribute to the undergraduate curriculum? Medical Teacher, 1–6Google Scholar
- Gagne, R. M., Briggs, L. J., & Wager, W. W. (1992). Principles of instructional design (4th ed.). Fort Worth: Harcourt Brace Jovanovich College Publishers. Available: http://www.facdev.niu.edu/facdev/resources/guide/learning/gagnes_nine_events_instruction.pdf. Accessed 29 September 2014.Google Scholar
- Jarvis, P. (2006). The theory and practice of teaching (2nd ed.). London: Routledge.Google Scholar
- Knowles, M. S., et al. (1984). Andragogy in action: Applying modern principles of adult education. San Fransisco: Jossey Bass.Google Scholar
- Mayer, R. E. (Ed.). (2005). The Cambridge handbook of multimedia learning. New York: Cambridge University Press.Google Scholar
- Melis, E., Weber, M., & Andrès, E. (2003). Lessons for (pedagogic) usability of eLearning systems. In A. Rossett (Ed.), Proceedings of World Conference on E-Learning in Corporate, Government, Healthcare, and Higher Education 2003 (pp. 281–284). Chesapeake: AACE.Google Scholar
- Merriam, S. B., Caffarella, R. S., & Baumgartner, L. M. (2006). Knowles’s andragogy, and models of adult learning by McClusky, Illeris, and Jarvis. In Learning in adulthood: A comprehensive guide (pp. 83–104). 3th ed. San Francisco: Jossey-BassGoogle Scholar
- Merrill, M. D. (1983). Component display theory. In C. M. Reigeluth (Ed.), Instructional design theories and models: An overview of their current status (pp. 279–334). Hillsdale: Lawrence Erlbaum Associates.Google Scholar
- Merrill, M. D., Drake, L., Lacy, M. J., & Pratt, J. (1966). Reclaiming instructional design. Educational Technology, 36(5), 5–7.Google Scholar
- Ormrod, J. E. (2009). Human learning (5th ed.). Upper Saddle River: Pearson Education, Inc.Google Scholar
- Siemens, G. (2005). Connectivism: A Learning Theory for the Digital Age. International Journal of Instructional Technology and Distance Learning, 2.Google Scholar
- Steinberg, E. R. (1989). Cognition and learner control: A literature review, 1977–1988. Journal of Computer-Based Instruction, 16(4), 117–121. Validated: ACM Digital Library, http://dl.acm.org/citation.cfm?id=70832.Google Scholar
- Strickland A.W. (2006) ADDIE, Idaho State University College of Education Science, Math & Technology Education. Website http://web.archive.org/web/20060709154016/http://ed.isu.edu/addie/index.html. Accessed 29 September 2014.
- Tindall-Ford, S., Chandler, P., & Sweller, J. (1997). When two sensory modes are better than one. Journal of Experimental Psychology: Applied, 3(4), 257–287.Google Scholar
- Trivette, C.M., Dunst, C.J., Hamby, D.W., O'Herin, C.E. (2009) Characteristics and consequences of adult learning methods and strategies. Research Brief, 3(1)Google Scholar
- University World News. Call for universities to respond to shortages of health professionals. Website http://www.universityworldnews.com/article.php?story=20121206111338460. 9 December 2012. Accessed 29 September 2014.
- van Merrienboer, J. J. G., & Kirschner, P. A. (2007). Ten steps to complex learning: a systematic approach to four-component instructional design (1st ed.). Oxford: Routledge.Google Scholar
- Wikipedia Learning theory (education). Website http://en.wikipedia.org/wiki/Learning_theory_(education). Accessed August 8, 2013.
- Zufic, J., Kalpic, D. (2009) More efficient e-learning through design: color of text and background. World Conference on E-Learning in Corporate, Government, Healthcare, and Higher Education (ELEARN). Vancouver, Canada, Oct 26–30, 2009Google Scholar