?url_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Adc&rft.title=Enhanced+Web-Based+Otitis+Study+Case+vs+Simple+Paper-Case%3A+Impact+on+Medical+Student+Objec-tive+Structured+Clinical+Exam+(OSCE)+Performance+%0A&rft.creator=Malloy+M.D.%2CM.S.%2C+Michael+H.&rft.subject=MEO+Peer+Reviewed&rft.description=Background%3A+Distance+education+methods+have+taken+on+greater+importance+as+medical+student+education+has+moved+off+campus+into+the+community.+What+the+best+methods+are+for+conveying+information+to+students+at+distant+sites+has+not+been+determined.%0AObjective%3A+To+determine+if+students+at+distant+community+sites+who+received+an+otitis+media+study+case+by+e-mail+that+was+enhanced+with+a+referral+to+a+web-based+otitis+study+case%2C+performed+better+on+otitis+OSCE+stations+than+students+who+received+the+same+case+not+enhanced+with+visuals+or+referrals+to+a+web-based+otitis+case.%0ADesign%2FMethods%3A+Students+were+randomized+by+community+site+to+receive+either+the+enhanced+(E)+or+simple+otitis+study+case+(S).+Students+were+e-mailed+an+otitis+media+study+case+during+the+5th+week+of+the+rotation.+Those+randomized+to+the+E-case+received+a+case+that+started+with+a+case+scenario+followed+by+a+%22Task%22+that+instructed+them+to+go+to+this+web+address%3A+http%3A%2F%2Fwww.aap.org%2Fotitismedia%2Fwww%2Fvc%2Fear%2Findex.cfm+(American+Academy+of+Pediatrics+Otitis+Web+Site).+They+were+then+to+select+%22Case+1%22+which+was+a+continuation+of+the+case+scenario+present+on+their+e-mail.+A+list+of+learning+objectives+was+also+printed+on+the+e-mail.+Students+receiving+the+S-case+viewed+the+same+case+scenario+and+objectives%2C+but+were+not+instructed+to+go+to+the+web+page.+All+students+rotated+through+two+OSCE+otitis+stations.+In+the+first+station+they+interviewed+a+simulated+patient(OSCE-SP)+and+counseled+her+on+the+management+of+her+12+month+old+with+otitis.+Within+that+station+they+viewed+a+video+of+a+pneumoscopic+exam+of+two+ears%2C+one+ear+with+otitis+and+the+other+ear+normal.+At+the+2nd+otitis+station+the+student+presented+the+case+to+a+faculty+and+was+asked+a+series+of+questions+about+otitis+media(OSCE-PR).+Scores+on+the+two+stations+were+compared+by+group.%0AResults%3A+There+were+198+students+who+took+the+OSCE.+178+(90%25)+responded+to+a+survey+that+indicated+they+had+opened+and+read+the+e-mailed+case.+There+were+87+students+in+the+E-group+and+91+in+the+S-group.+The+mean+%C2%B1s.d.+OSCE-SP+station+score+for+the+E-group+was+72.6+%C2%B112.0+vs+75.4+%C2%B19.8+for+the+S-group%2C+p%3D0.09.+For+the+otitis+presentation+station+the+scores+for+the+E-group+and+S-group+were+respectively%2C+82.9+%C2%B19.6+and+83.7+%C2%B19.4%2C+p%3D0.55.%0AConclusions%3A+These+data+suggest+that+enhanced+visual+distance+education+cases+may+offer+no+distinct+advantage+over+simple+paper-type+case+study+guides&rft.date=2002-01&rft.type=Journal+(On-line%2FUnpaginated)&rft.type=PeerReviewed&rft.format=application%2Fpdf&rft.identifier=http%3A%2F%2Fcogprints.org%2F2375%2F1%2Fres00025.pdf&rft.identifier=++Malloy+M.D.%2CM.S.%2C+Michael+H.++(2002)+Enhanced+Web-Based+Otitis+Study+Case+vs+Simple+Paper-Case%3A+Impact+on+Medical+Student+Objec-tive+Structured+Clinical+Exam+(OSCE)+Performance.++%5BJournal+(On-line%2FUnpaginated)%5D+++++&rft.relation=http%3A%2F%2Fcogprints.org%2F2375%2F