title: Blended E-learning in a Web-based virtual hospital: a useful tool for undergraduate education in urology.
abstract: BACKGROUND
  E-learning is a teaching tool used successfully in many medical subspecialties. Experience with its use in urology, however, is scarce. We present our teaching experience with the INMEDEA simulator to teach urological care to medical students.
  
  
  METHODS
  The INMEDEA simulator is an interactive e-learning system built around a virtual hospital which includes a department of urology. It allows students to solve virtual patient cases online. In this study, students were asked to prepare two urological cases prior to discussion of the cases in small groups. This blended teaching approach was evaluated by students through anonymous questionnaires.
  
  
  RESULTS
  Of 70 4th year medical students 76% judged this teaching method as good or very good. Eighty-seven percent felt that it offered a good way to understand urological diseases better and 72% felt that learning with this method was fun. Nevertheless, 30 out of 70 free text statements revealed that further improvements of the program, including an easier and more comfortable navigation and a faster supply of information are necessary.
  
  
  CONCLUSIONS
  Virtual patient cases offer a practicable solution for teaching based on problem solving in urology with a high acceptance rate by students.
authors.affiliation: Department of Urology, University of Tuebingen, Hoppe Seyler Strasse 3, Tuebingen, Germany. marcushorstmann@gmx.ch
authors.forename: M
authors.initials: M
authors.lastname: Horstmann
authors.forename: M
authors.initials: M
authors.lastname: Renninger
authors.forename: J
authors.initials: J
authors.lastname: Hennenlotter
authors.forename: C C
authors.initials: CC
authors.lastname: Horstmann
authors.forename: A
authors.initials: A
authors.lastname: Stenzl
mesh_terms: D003198:Computer Simulation; D004504:Education, Medical, Undergraduate / Q000379:methods*; D006801:Humans; D020407:Internet; D011795:Surveys and Questionnaires; D014572:Urology / Q000193:education*; D014584:User-Computer Interface