title: A Mixed Learning Technology Approach for Continuing Medical Education.
abstract: BACKGROUND
  Distance learning technologies have been used for many years to provide CME to rural physicians. The purpose of this study was to evaluate the utility and acceptability of a mixed learning technology approach for providing distance CME. The approach combined audio teleconferencing instruction with a Web-based learning system enabling the live presentation and archiving of instructional material and media, asynchronous computer conferencing discussions, and access to supplemental online learning resources.
  
  
  METHODS
  The study population was comprised of physicians and nurse practitioners who participated in audio teleconference sessions, but did not access the Web-based learning system (nonusers); learners who participated in audio teleconferences and accessed the Web-based system (online users); and faculty. The evaluation focused upon faculty and learners' experiences and perceptions of the mixed learning technology approach; the level of usage; and the effectiveness of the approach in fostering non-mandatory, computer-mediated discussions.
  
  
  CONCLUSIONS
  The users of the Web-based learning system were satisfied with its features, ease of use, and the ability to access online CME instructional material. Learners who accessed the system reported a higher level of computer skill and comfort than those who did not, and the majority of these users accessed the system at times other than the live audio teleconference sessions. The greatest use of the system appeared to be for self-directed learning. The success of a mixed learning technology approach is dependent on Internet connectivity and computer access; learners and faculty having time to access and use the Web; comfort with computers; and faculty development in the area of Web-based teaching.
authors.affiliation: a Faculty of Medicine Memorial University of Newfoundland.
authors.forename: Vernon
authors.initials: V
authors.lastname: Curran
authors.affiliation: a Faculty of Medicine Memorial University of Newfoundland.
authors.forename: Fran
authors.initials: F
authors.lastname: Kirby
authors.affiliation: b Continuing Medical Education Dalhousie University.
authors.forename: Michael
authors.initials: M
authors.lastname: Allen
authors.affiliation: b Continuing Medical Education Dalhousie University.
authors.forename: Joan
authors.initials: J
authors.lastname: Sargeant
keywords: World Wide Web; continuing medical education; distance education; educational technology