We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

A Comparison of Educational Interventions Multimedia Textbook, Standard Lecture, and Printed Textbook

Donna M. Santer, MD; Vera E. Michaelsen, MD; William E. Erkonen, MD; Robert J. Winter, MD; Jerold C. Woodhead, MD; Jerry S. Gilmer, PhD; Michael P. D'Alessandro, MD; Jeffrey R. Galvin, MD
Arch Pediatr Adolesc Med. 1995;149(3):297-302. doi:10.1001/archpedi.1995.02170150077014.
Text Size: A A A
Published online


Objective:  To compare the instructional effectiveness and efficiency of a pediatric multimedia textbook (MMTB) with that of a standard lecture and of a printed textbook in a prospective, interinstitutional study.

Design:  Randomized, prospective cohort.

Settings:  An urban and a rural medical school affiliated with tertiary care hospitals.

Population:  Third- and fourth-year medical students from June 1992 to June 1993.

Interventions/Outcome Measures:  Students were randomized to one of four treatment groups: (1) computeraided instruction with MMTBs (n=39), (2) traditional lecture (n=39), (3) printed textbook (n=39), or (4) a control group (n=62). Only the control group was pretested. Following their randomized instruction, all groups were tested via a 26-question multiple-choice test. Statistical analysis was accomplished by analysis of variance of mean posttest scores. The amount of time that students spent with each educational intervention was recorded.

Results:  Three hundred two students were eligible for the study, 267 entered the study, and 179 completed the study. The instructional effectiveness of the MMTB was greater than that of the lecture (P<.05), and it was the same as that of the printed textbook. All instructional methods were more effective than the control group (P<.05). The instructional efficiency of the MMTB was equal to that of the lecture and of the printed textbook. The subjective response to the MMTB instruction was positive.

Conclusion:  The MMTBs constitute an educationally sound alternative instructional method and have a promising future in medical education.(Arch Pediatr Adolesc Med. 1995;149:297-302.


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.