MedEthEx Online: A computer-based learning program in medical ethics and communication skills

Background: Bioethics education often focuses on lectures and discussions t o set a foundation for ethical decision making. Our goal was to bridge the gap between classroom learning and bedside competence through computer-assi sted instruction. The article assesses the efficacy of MedEthEx Online, a c omputer-based learning program as part of a required Bioethics course. Description: Of 173 American medical students, 89 in Section I attended 8 b ioethics lectures and 8 small-group discussions. Eighty-four in Section 2 h ad a similar course, although two group discussions were replaced with comp uterized learning. We compared (a)final exam scores, (b) topic-specific que stion scores, (c) performance with standardized patients, (d) self-assessme nts, and (e) course evaluations. Evaluation: Exam scores were comparable, although computerized-learning stu dents scored higher in specific exam areas, felt somewhat more clinically p repared and rated the course slightly better. Standardized patient interact ions differed, although they were comparable overall; Conclusion: MedEthEx Online is a viable option for fostering effective comm unication and problem resolution skills. Copyright (C) 2000 bg Lawrence Erl baum Associates, Inc.