title: E-learning vs lecture: which is the best approach to surgical teaching?
abstract: OBJECTIVE
  Most medical teaching is still delivered by traditional face-to-face interaction. E-learning has the potential benefit of instilling deeper learning of topics by virtue of repeated and convenient access to content presented in a range of media. We aimed to evaluate objectively the benefit of educating medical students on a common surgical topic (haemorrhoids), through a website and podcast package vs a traditional lecture.
  
  
  METHODS
  Baseline knowledge was established by a questionnaire given to two different groups of third-year medical students starting their first clinical attachment. Group A (n = 73) was given a lecture and group B (n = 75) was asked to use a website containing text and pictures augmented by a podcast. Students were reassessed using the same preintervention questionnaire, and satisfaction was acquired from details given in a feedback form.
  
  
  RESULTS
  There was no difference in knowledge between the two groups at baseline. Both groups demonstrated significant gains in knowledge after intervention (P < 0.0001). Group B (Web/podcast) showed a significantly greater increase in knowledge (P < 0.05) than group A (lecture). Preintervention subjective assessment of knowledge rated by the students showed no difference between the groups. Both groups of students were equally satisfied with the educational method.
  
  
  CONCLUSIONS
  E-learning supplemented with a podcast results in greater knowledge acquisition when compared with a traditional lecture, without a loss of satisfaction with teaching. Using augmented Web-based educational tools reduces demands on teaching time with no decrease in quality for selected parts of the curriculum.
authors.affiliation: Division of Surgery, School of Graduate Entry Medicine and Health, University of Nottingham Medical School, Derby, UK.
authors.forename: I
authors.initials: I
authors.lastname: Bhatti
authors.forename: K
authors.initials: K
authors.lastname: Jones
authors.forename: L
authors.initials: L
authors.lastname: Richardson
authors.forename: D
authors.initials: D
authors.lastname: Foreman
authors.forename: J
authors.initials: J
authors.lastname: Lund
authors.forename: G
authors.initials: G
authors.lastname: Tierney
mesh_terms: D000328:Adult; D003107:Colorectal Surgery / Q000193:education*; D004504:Education, Medical, Undergraduate / Q000379:methods*; D005260:Female; D006484:Hemorrhoids / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D020407:Internet; D008297:Male; D011795:Surveys and Questionnaires; D013663:Teaching / Q000379:methods*; D057211:Webcasts as Topic