title: Development and multicenter evaluation of Multistation Clinical Teaching Scenarios on immunization: the ATPM-CDC Teaching Immunization for Medical Education (TIME) Project.
abstract: BACKGROUND
  The objective of this project was to develop and evaluate case-based immunization education materials that use a new teaching method called Multistation Clinical Teaching Scenarios (MCTS) for use in medical school clerkships and primary care residencies.
  
  
  METHODS
  A multidisciplinary team developed objectives, abstracted clinical cases, and created MCTS modules, which use contextual learning, problem solving, and small-group interaction.
  
  
  RESULTS
  Mean scores increased from the 10-item pretest to the posttest by 3.2 (95% confidence interval [CI] of 2.8 to 3.6) items for measles, 3.8 (CI = 3.4 to 4.1) for influenza, and 1.8 (CI = 1.4 to 2.1) for hepatitis B (P < .01 for each). To evaluate the materials, we administered questionnaires and conducted focus groups. Most (99%) of the students and residents rated the materials highly, as did most (89%) facilitators.
  
  
  CONCLUSIONS
  This new method has been widely tested, increases content mastery, and is well received.
authors.affiliation: Department of Family Medicine and Clinical Epidemiology, University of Pittsburgh School of Medicine, PA 15261, USA.
authors.forename: R K
authors.initials: RK
authors.lastname: Zimmerman
authors.forename: J E
authors.initials: JE
authors.lastname: Janosky
authors.forename: E R
authors.initials: ER
authors.lastname: Wald
authors.forename: F L
authors.initials: FL
authors.lastname: Ruben
authors.forename: W S
authors.initials: WS
authors.lastname: Schroth
authors.forename: T A
authors.initials: TA
authors.lastname: Mieczkowski
authors.forename: E R
authors.initials: ER
authors.lastname: Ahwesh
authors.forename: S L
authors.initials: SL
authors.lastname: Kanter
mesh_terms: D002982:Clinical Clerkship / Q000379:methods*; D003258:Consumer Behavior; D003479:Curriculum / Q000592:standards; D005194:Family Practice / Q000193:education / Q000592:standards; D017144:Focus Groups; D006801:Humans; D007114:Immunization / Q000592:standards*; D007396:Internship and Residency / Q000379:methods*; D011315:Preventive Medicine / Q000193:education*; D015397:Program Evaluation; D013663:Teaching / Q000379:methods* / Q000592:standards; D014481:United States