Problem-based small group learning via the internet among community familyphysicians: A randomized controlled trial

The use of the Internet makes it possible to bring together learners and te achers from rural areas and academic centers and to deliver well-accepted e ducational materials quickly and effectively. The objective of this study w as to determine feasibility and the effectiveness of a problem-based small- group learning (PBSGL) intervention conducted via the Internet in a randomi zed controlled trial. A group of 23 family physicians from rural Northern O ntario practices and across Canada were randomly assigned to a study group (n = 11) and a control group (n = 12). The study group spent two months dis cussing the topic of depression in the elderly with the help of a facilitat or and two geriatric psychiatrists. The control group was given similar edu cational resources via the Internet but without the benefit of the small-gr oup interaction. Outcome measures included qualitative feedback from the le arners and teachers as well as a Multiple Choice Questions (MCQ) test befor e and after the study. The study provided important insight into the feasib ility keys to success, utility of Internet-assisted education from an educa tion and evaluation perspective. Although the MCQ testing used revealed no significant differences between the study group and the control group, the usefulness of the measure is considered within the context of the education al approach. It is unclear whether this method of continuing medical educat ion (CME) represents an effective way to conduct such activities.