title: [Towards a pedagogical e-learning approach to improve preparation for medical school curriculum in Grenoble: results over the 10 last years].
abstract: BACKGROUND
  Before 2005, at Grenoble, the teaching of the first year of medicine satisfied neither the students, nor the teachers anxious to exempt a correctly targeted effective teaching.
  
  
  METHODS
  By 2006, the Grenoble-native teaching method was reformed in-depth with the introduction of information and communication technology (ICT) in education. Each sequence was over 4 weeks connecting: self- learning using multi-media resources, questions submitted online, meetings with teaching staff for interactive question-answer sessions in the presence of the teacher,) tutorials animated by older students for Multiple Choice Question (MCQ) training in preparation for the exams. The whole health formation was structured in 12 cycles of this same structured sequence. Since 2010, this method was extended from the faculty of medicine to the faculty of pharmacy and maieutic. Each year, more than 1600 students, 40 teachers and 140 tutors are concerned. The ICT laboratory was responsible for the production of the multi-media support, of the management of the questions online, the collection and the treatment of the evaluations of the lesson by the students. It also took part in the preparation of the MCQ trainings and after each sequence, delivered to students their personal ranking.
  
  
  RESULTS
  Staffs between teachers and students are organized for the 12 cycles. The teachers' and students' opinions were analyzed to evaluate the reforms and allow teaching methods to be adapted accordingly. The expressed satisfaction' rate vary from 85% with more than 91% by students and teachers. The intensive use of new information and communication technologies is well accepted, by both sides: teachers and students. After each tutorial, students had their results and their rank, which are linked with the contest result. The mean of the 12 notes obtained during the tutorials is correlated with the note with the contest (R of Spearman=0.75). Student profiles at registration and success in the exams following the reform are described. The keys to success (e.g. social background, high school specialization) seem to be modified by the reform providing greater equality of opportunity between students.
  
  
  CONCLUSIONS
  Since 2006, the teachers have adopted this teaching reform. All the returns from the students but also the staff and the teachers, allowed us to improve teachings quality. This teaching reform modified the profiles and the characteristics of the students received with the contest as well as the nature of the factors of this success.
authors.affiliation: UJF-Grenoble 1, CNRS, TIMC-IMAG UMR 5525, Themas, 38041 Grenoble, France. pierre.gillois@imag.fr
authors.forename: Pierre
authors.initials: P
authors.lastname: Gillois
authors.forename: Daniel
authors.initials: D
authors.lastname: Pagonis
authors.forename: Jean-Philippe
authors.initials: JP
authors.lastname: Vuillez
authors.forename: Jean-Luc
authors.initials: JL
authors.lastname: Bosson
authors.forename: Jean-Paul
authors.initials: JP
authors.lastname: Romanet
mesh_terms: D003479:Curriculum; D004504:Education, Medical, Undergraduate / Q000331:legislation & jurisprudence / Q000379:methods* / Q000639:trends*; D004522:Educational Status; D005260:Female; D005602:France; D018166:Health Care Reform / Q000379:methods; D006801:Humans; D020407:Internet; D008137:Longitudinal Studies; D008297:Male; D012577:Schools, Medical / Q000331:legislation & jurisprudence / Q000458:organization & administration; D013337:Students, Medical / Q000706:statistics & numerical data; D013663:Teaching / Q000331:legislation & jurisprudence / Q000379:methods / Q000639:trends