title: Using interactive multimedia e-Books for learning blood cell morphology in pediatric hematology.
abstract: BACKGROUND
  This prospective study compares the use of interactive multimedia eBooks (IME) with traditional PowerPoint (TPP) for teaching cell morphology of blood and bone marrow.
  
  
  METHODS
  Fifty-one interns from three Taiwan medical schools training by a single teacher in the pediatric hematology department of Kaohsiung Chang Gung Memorial Hospital, Taiwan, participated in this study. 25 interns were allocated for training with a traditional PowerPoint atlas and 26 interns for training with an interactive multimedia eBook atlas. Learning outcomes were examined by pre-test and post-test using the CellQuiz of CellAtlas App. Attitudes and perceptions were collected by survey questions regarding interest, motivation and effectiveness.
  
  
  RESULTS
  There was no difference in the pre-test scores between TPP and IME groups (mean score 27.0 versus 27.9, p = 0.807). However, the interns in the interactive multimedia eBook group achieved significantly better scores in the post-test than the ones in the PowerPoint group (mean score 103.2 versus 70.6; p < 0.001). Overall results of interest, motivation and effectiveness were strongly positive in the multimedia eBook group.
  
  
  CONCLUSIONS
  Our data supports that interactive multimedia eBooks are more effective than PowerPoint to facilitate learning of cell morphology of blood and bone marrow.
authors.affiliation: Division of Hematology/Oncology, Department of Pediatrics, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, 123 Tai-Pei Road, Niao Sung, Kaohsiung, Postal code: 833, Taiwan. chihcheng.hsiao@gmail.com.|Chang Gung Memorial Hospital Research Centre for Medical Education, Taipei, Taiwan. chihcheng.hsiao@gmail.com.
authors.forename: Chih-Cheng
authors.initials: CC
authors.lastname: Hsiao
authors.affiliation: Division of Gastroenterology, Department of Pediatrics, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan.|Chang Gung Memorial Hospital Research Centre for Medical Education, Taipei, Taiwan.
authors.forename: Mao-Meng
authors.initials: MM
authors.lastname: Tiao
authors.affiliation: Division of Neonatology, Department of Pediatrics, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan.
authors.forename: Chih-Cheng
authors.initials: CC
authors.lastname: Chen
mesh_terms: D001773:Blood Cells; D003194:Computer-Assisted Instruction; D034201:Computers, Handheld; D003479:Curriculum; D004504:Education, Medical, Undergraduate / Q000379:methods*; D004521:Educational Measurement; D006405:Hematology / Q000193:education*; D006801:Humans; D007858:Learning; D019212:Multimedia; D010372:Pediatrics / Q000193:education*; D011446:Prospective Studies; D012577:Schools, Medical; D013337:Students, Medical / Q000523:psychology*; D013624:Taiwan; D013782:Textbooks as Topic; D014584:User-Computer Interface