title: Medical case teaching on the web.
abstract: BACKGROUND
  Little is known about strategies for developing teaching cases and strategies for identifying design features that optimize a learner's interactions with Web-based cases.
  
  
  OBJECTIVE
  We examined design features in Web cases that facilitated interactive and engaging learning.
  
  
  METHODS
  Nine collaborators reviewed selected Web cases and documented the presence of features that facilitate interactive learning, including opportunities for information gathering, decision making, and receiving feedback.
  
  
  RESULTS
  Eighteen Web sites offered cases. These cases mainly were narrated based on biomedical information without patient voices. The cases were organized in a linear structure from patient presentation to follow-up. Many cases presented only a single case. We found little use of features for augmenting a learner's interaction with cases. Only a handful of cases generated feedback on the basis of the learners' responses.
  
  
  CONCLUSIONS
  Our study suggests ways to improve the development of Web cases. These methods contribute to future research in testing cases for educational effectiveness.
authors.affiliation: Department of Family Medicine, University of Washington School of Medicine, Seattle, WA 98195-7230, USA. sarakim@u.wahington.edu
authors.forename: Sara
authors.initials: S
authors.lastname: Kim
authors.forename: William R
authors.initials: WR
authors.lastname: Phillips
authors.forename: Jane
authors.initials: J
authors.lastname: Huntington
authors.forename: Michael L
authors.initials: ML
authors.lastname: Astion
authors.forename: Amanda
authors.initials: A
authors.lastname: Keerbs
authors.forename: Linda
authors.initials: L
authors.lastname: Pinsky
authors.forename: Graham
authors.initials: G
authors.lastname: Dresden
authors.forename: Umang
authors.initials: U
authors.lastname: Sharma
authors.forename: David William
authors.initials: DW
authors.lastname: Shearer
mesh_terms: D004501:Education, Medical; D006801:Humans; D020407:Internet / Q000706:statistics & numerical data*; D013663:Teaching; D014584:User-Computer Interface; D014861:Washington