title: Blended learning in surgery using the Inmedea Simulator.
abstract: BACKGROUND
  Recently, medical education in surgery has experienced several modifications. We have implemented a blended learning module in our teaching curriculum to evaluate its effectiveness, applicability, and acceptance in surgical education.
  
  
  METHODS
  In this prospective study, the traditional face-to-face learning of our teaching curriculum for fourth-year medical students (n = 116) was augmented by the Inmedea Simulator, a web-based E-learning system, with six virtual patient cases. Student results were documented by the system and learning success was determined by comparing patient cases with comparable diseases (second and sixth case). The acceptance among the students was evaluated with a questionnaire.
  
  
  RESULTS
  After using the Inmedea Simulator, correct diagnoses were found significantly (P < 0.05) more often, while an incomplete diagnostic was seen significantly (P < 0.05) less often. Significant overall improvement (P < 0.05) was seen in sixth case (62.3 ± 5.6 %) vs. second case (53.9 ± 5.6 %). The questionnaire revealed that our students enjoyed the surgical seminar (score 2.1 ± 1.5) and preferred blended learning (score 2.5 ± 1.2) to conventional teaching.
  
  
  CONCLUSIONS
  The blended learning approach using the Inmedea Simulator was highly appreciated by our medical students and resulted in a significant learning success. Blended learning appears to be a suitable tool to complement traditional teaching in surgery.
authors.affiliation: Department of General and Visceral Surgery, University Hospital of Muenster, Waldeyerstrasse 1, Muenster, Germany.
authors.forename: Katrin
authors.initials: K
authors.lastname: Funke
authors.forename: Esther
authors.initials: E
authors.lastname: Bonrath
authors.forename: Wolf Arif
authors.initials: WA
authors.lastname: Mardin
authors.forename: Jan Carl
authors.initials: JC
authors.lastname: Becker
authors.forename: Joerg
authors.initials: J
authors.lastname: Haier
authors.forename: Norbert
authors.initials: N
authors.lastname: Senninger
authors.forename: Thorsten
authors.initials: T
authors.lastname: Vowinkel
authors.forename: Jens Peter
authors.initials: JP
authors.lastname: Hoelzen
authors.forename: Soeren Torge
authors.initials: ST
authors.lastname: Mees
mesh_terms: D003194:Computer-Assisted Instruction / Q000379:methods*; D003479:Curriculum; D004504:Education, Medical, Undergraduate / Q000379:methods*; D004521:Educational Measurement; D013502:General Surgery / Q000193:education*; D006801:Humans; D007858:Learning; D011446:Prospective Studies; D011795:Surveys and Questionnaires