Using a web-based system for the continuous distance education in cytopathology.
BACKGROUND
The evolution of information technologies and telecommunications has made the World Wide Web a low cost and easily accessible tool for the dissemination of information and knowledge. Continuous Medical Education (CME) sites dedicated in cytopathology field are rather poor, they do not succeed in following the constant changes and lack the ability of providing cytopathologists with a dynamic learning environment, adaptable to the development of cytopathology. Learning methods including skills such as decision making, reasoning and problem solving are critical in the development of such a learning environment.


OBJECTIVE
The objectives of this study are (1) to demonstrate on the basis of a web-based training system the successful application of traditional learning theories and methods and (2) to effectively evaluate users' perception towards the educational program, using a combination of observers, theories and methods.


METHODS
Trainees are given the opportunity to browse through the educational material, collaborate in synchronous and asynchronous mode, practice their skills through problems and tasks and test their knowledge using the self-evaluation tool. On the other hand, the trainers are responsible for editing learning material, attending students' progress and organizing the problem-based and task-based scenarios. The implementation of the web-based training system is based on the three-tier architecture and uses an Apache Tomcat web server and a MySQL database server.


METHODS
By December 2008, CytoTrainer's learning environment contains two courses in cytopathology: Gynaecological Cytology and Thyroid Cytology offering about 2000 digital images and 20 case sessions. Our evaluation method is a combination of both qualitative and quantitative approaches to explore how the various parts of the system and students' attitudes work together.


RESULTS
Trainees approved of the course's content, methodology and learning activities. The triangulation of evaluation methods revealed that the training program is suitable for the continuous distance education in cytopathology and that it has improved the trainees' skills in diagnostic cytopathology.


CONCLUSIONS
The web-based training system can be successfully involved in the continuous distance education in cytopathology. It provides the opportunity to access learning material from any place at any time and supports the acquisition of diagnostic knowledge.
Cytopathology Department, University General Hospital Attikon, Athens, Greece. nikos stergiou@hotmail.com
Nikolaos
N
Stergiou
Giannis
G
Georgoulakis
Niki
N
Margari
Dionisios
D
Aninos
Melina
M
Stamataki
Efi
E
Stergiou
Abraam
A
Pouliakis
Petros
P
Karakitsos
D003585:Cell Biology / Q000193:education*; D003194:Computer-Assisted Instruction / Q000639:trends*; D003581:Cytodiagnosis / Q000592:standards*; D020375:Education, Distance / Q000639:trends*; D006801:Humans; D020407:Internet / Q000706:statistics & numerical data*; D010336:Pathology / Q000193:education*