title: Design and analysis of a Web-based guideline tutorial system that emphasizes clinical trial evidence.
abstract: OBJECTIVE
  To describe a Web-based guideline tutorial system and evaluate its features.
  
  
  METHODS
  A Web-based tutorial system called SAGE (Self-study Acceleration with Graphic Evidence) was constructed to teach knowledge important for care after myocardial infarction. SAGE features a pretest, followed by an overview that coordinates studying resources for a set of learning objectives. Resources include pretest answers, guideline passages, and graphical presentations of clinical trial results. Data on the use of SAGE was obtained from 79 residents participating in a larger trial. Linear regression was used to correlate the amount learned with resource-use, and resource-use with user characteristics.
  
  
  RESULTS
  On average, users accessed less than half of the guideline passages and very little of the graphic evidence. Greater use of guideline passages was correlated with greater immediate learning, but use of graphic evidence was not.
  
  
  CONCLUSIONS
  Further research is needed to motivate more thorough self-study and to integrate clinical trial evidence with guideline-based education.
authors.affiliation: Division of General Internal Medicine and Health Services Research, Department of Medicine, UCLA School of Medicine, Los Angeles, California, USA.
authors.forename: D S
authors.initials: DS
authors.lastname: Bell
authors.forename: C M
authors.initials: CM
authors.lastname: Mangione
mesh_terms: D003196:Computer Graphics; D003194:Computer-Assisted Instruction; D005194:Family Practice / Q000193:education; D006801:Humans; D007388:Internal Medicine / Q000193:education*; D020407:Internet; D007396:Internship and Residency; D016014:Linear Models; D009203:Myocardial Infarction / Q000628:therapy*; D017410:Practice Guidelines as Topic; D016032:Randomized Controlled Trials as Topic; D012984:Software