title: Successful teaching of pediatric fluid management using computer methods.
abstract: OBJECTIVE
  To identify and measure differences in knowledge of pediatric fluid management procedures between students taught by computer tutorial and others taught by lecture or seminar.
  
  
  METHODS
  Cohort analytic study.
  
  
  METHODS
  Two community-based medical school pediatric teaching services.
  
  
  METHODS
  Eighty-nine third-year medical students with no prior pediatric fluid management experience.
  
  
  METHODS
  Forty-eight students at one community campus completed a microcomputer-based tutorial program that replaced all teaching sessions in pediatric fluid management. Forty-one students from a similar community campus were taught identical content by a pediatric critical care specialist using a seminar, reading material, and handouts.
  
  
  METHODS
  Scores on 2 free-answer problems on treatment of a dehydrated child, which were graded by a single evaluator blinded to the teaching method used, and scores on a 20-item multiple-choice examination.
  
  
  RESULTS
  The computer instruction group achieved significantly higher test scores than the seminar group for both the multiple-choice examination (81.1% vs 62.2%; P<.001) and the free-answer test (85.4% vs. 61.0%; P<.001).
  
  
  CONCLUSIONS
  The computer tutorial in fluid therapy has been an effective means of meeting the defined objectives of the pediatric clerkship. Compared with traditional methods, students taught using the computer achieved significantly higher scores on tests of both factual knowledge and practical problem solving.
authors.affiliation: Department of Pediatrics, University of Illinois College of Medicine, Rockford 61104, USA. michaelp@uic.edu
authors.forename: M J
authors.initials: MJ
authors.lastname: Potts
authors.forename: S R
authors.initials: SR
authors.lastname: Messimer
mesh_terms: D000124:Achievement; D002648:Child; D002982:Clinical Clerkship; D015331:Cohort Studies; D003194:Computer-Assisted Instruction; D003479:Curriculum; D005440:Fluid Therapy; D006801:Humans; D007087:Illinois; D010372:Pediatrics / Q000193:education*; D012984:Software; D014882:Water-Electrolyte Balance