Learning to consult with computers.
OBJECTIVE
To develop and evaluate a strategy to teach skills and issues associated with computers in the consultation.


METHODS
An overview lecture plus a workshop before and a workshop after practice placements, during the 10-week general practice (GP) term in the 5th year of the University of Melbourne medical course.


METHODS
Pre- and post-intervention study using a mix of qualitative and quantitative methods within a strategic evaluation framework.


METHODS
Self-reported attitudes and skills with clinical applications before, during and after the intervention.


RESULTS
Most students had significant general computer experience but little in the medical area. They found the workshops relevant, interesting and easy to follow. The role-play approach facilitated students' learning of relevant communication and consulting skills and an appreciation of issues associated with using the information technology tools in simulated clinical situations to augment and complement their consulting skills. The workshops and exposure to GP systems were associated with an increase in the use of clinical software, more realistic expectations of existing clinical and medical record software and an understanding of the barriers to the use of computers in the consultation.


CONCLUSIONS
The educational intervention assisted students to develop and express an understanding of the importance of consulting and communication skills in teaching and learning about medical informatics tools, hardware and software design, workplace issues and the impact of clinical computer systems on the consultation and patient care.
Liaw
S T
ST
University of Melbourne Department of General Practice, Carlton, Victoria, Australia.
Marty
J J
JJ
D001292:Attitude to Computers; D003142:Communication; D003197:Computer Literacy; D003194:Computer-Assisted Instruction; D004501:Education, Medical / Q000379:methods*; D005194:Family Practice / Q000193:education*; D006801:Humans; D010817:Physician-Patient Relations; D011361:Professional Competence; D014739:Victoria