Effectiveness of E-learning Compared to Classroom Learning in the Diagnostic Approach to Bioterrorism and Chemical Terrorism for Emergency Physicians

Mustafa Alavi-Moghaddam, Gheysar Molavi, Ali Shahrami, Hamidreza Hatamabadi, Majid Shojaei, Kamran Heidari

Abstract


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Background and purpose: Emergency physicians play an important role in the immediate diagnosis of bioterrorism activities. The present study was conducted with the purpose of comparing the effectiveness of e-learning and classroom learning in approach to bioterrorism and chemical terrorism for emergency physicians.
Methods: This was a semi-empirical study, which was conducted via testing knowledge before and after the educational intervention in the field of bioterrorism and chemical terrorism on the emergency physicians in Tehran. The external validity of the questionnaire was confirmed by two academic experts in order to determine the ability to detect bioterrorist and chemical terrorist diseases. In this study, education was done in both virtual and classroom forms. The education regarded 6 bioterrorist diseases in group A (anthrax, plague, viral hemorrhagic fever, tularemia, smallpox), and 5 chemical terrorist diseases (nerve gas, mustard, lewisite, phosgene, chlorine).
Results: 160 doctors participated in this study. 96 people (60%) were men and 64 people (40%) were women. The average age of the participants was 36.2±5.5 years. In e-learning method, the pre-test scores average was (30.6%), while the post-test scores average was (81.6%) (p=0.001). In classroom learning method, the pre-test scores average was (41.9%), while the post-test scores average was (72.9%), which the pre-test and post-test scores average differences in both cases are significant (p<0.001). In e-learning method, the difference was (51%), and in the classroom method it was (31%), which these two represent a 20% difference between methods. From statistical point of view, this difference indicates that the e-learning method being more effective (p=0.02).
Conclusions: Based on the study results, it seems that in comparison to the classroom learning, e-learning method is more effective in helping emergency physicians to diagnose bioterrorism or chemical terrorism factors.
Keywords: E-LEARNING, CLASSROOM LEARNING, CHEMICAL TERRORISM, BIOTERRORISM, EMERGENCY PHYSICIANS

Keywords


E-LEARNING, CLASSROOM LEARNING, CHEMICAL TERRORISM, BIOTERRORISM, EMERGENCY PHYSICIANS

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References


Hoffman Bruce. Inside Terrorism. ColumbiaUniversity Press. 1998:32.

CDC. Frequently Asked Questions (FAQ)About Plague[online]. Available from, URL: http://www.bt.cdc.gov/agent/plague/faq.asp

Medterm. Definition of Chemical terrorism[online]. Available from: URL: http://www.medterms.com/script/main/art.asp?articlekey=18694

Eitzen E, Takafuji E. Historical Overview ofBiological Warfare. Military Medicine: Medical Aspects of Chemical and Biological Warfare. Office of the Surgeon General, Department of the Army; 1997.

Eddins N. Plains Indian Smallpox. Availablefrom: URL: http://www.thefurtrapper.com/indian_smallpox.htm

Weaponry: Use of Chlorine Gas Cylinders inWorld War I[Online]. 2006; Available from: URL: http://www.historynet.com/weaponry-use-of-chlorine-gas-cylinders-in-world-war-i.htm

Chemical warfare. Available from: URL:http://en.wikipedia.org/wiki/Chemical_warfare

Mohamadi A, Aminjavaheri M. Skinmanifestations of mustard gas in a group of 14 children and teenagers. International Journal of Dermatology 1994;33(3):184-7.

Hongo J. Last trial brings dark Aum era toend. Japan Times. 2011;3.

DanielB, Jernigan, Pratima L, Raghunathan, Beth P. Bell, Ross Brechner, Eddy A. Bresnitz, Jay C. Butler, Marty Cetron, and etal. Investigation of Bioterrorism-Related Anthrax. Epidemiologic Findings. Emerg Infect Dis. 2002; 8(10):1019–28.

Newble D, Cannon R. A Handbook forTeachers in Universities and Colleges: A Guide to Improving Teaching Methods. 4th ed. Oxon: Stylus; 2006.

Williams J, Nocera M, Casteel C. Theeffectiveness of disaster training for health care workers. Ann Emerg Med. 2008;52(3):211-22.

Karwa M, Bronzert P, Kvetan V.Bioterrorism and critical care. Crit Care Clin. 2003;19(2):279-313.

- Terndrup T, Nafziger S, Weissman N, Casebeer L, Pryor E. Online bioterrorism continuing medical education: development and preliminary testing. Acad Emerg Med. 2005;12(1):45-50.

Casebeer L, Andolsek K, Abdolrasulnia M,Green J, Weissman N, Pryor E, et al. Evaluation of an online bioterrorism continuing medical education course. J ContinEduc Health Prof. 2006;26(2):137-44.

Cosgrove S, Perl T, Song X, Sisson S.Ability of Physicians to Diagnose and Manage Illness Due to Category A Bioterrorism Agents. Arch Intern Med. 2005;165:2002-2006.

Bahadorani M, Yousefy A, Changiz T. TheEffectiveness of Three Methods of Teaching Medline to Medical Students: Online, Face to Face and Combined Educational Methods. Iranian Journal of Medical Education. 2006;6(2):35-43.




DOI: https://doi.org/10.22037/jme.v14i2.9458

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