1. Use of a CD ROM to Support Teaching of Trainee Doctors M Williams – Specialist Registrar D King – PhD Student S Carr – Consultant Nephrologist

2. Background Recent pressures impacting upon the training of postgraduate doctors: –Reduced hours and Shift working reduces experience formal lecture style/seminar sessions are less workable. –Modernising Medical Careers - complete revision of postgraduate training including the introduction of formalised assessment procedures. –Growing demand to disseminate medical knowledge to other medical staff and to patients.

3. Aims of the Training package To supplement experiential teaching of renal biopsy to their trainee doctors. To be available to individual Doctors at the appropriate time in training. Needs no training to perform the education session. Leicester General Hospital's Nephrology Department produced a CD-ROM.

4. Development Primary constraint – money. Solution – develop material in house. Success – outside usability evaluation only showed one minor improvement.

5. Evaluation preparation Effectiveness –Pre and Post MCQ Free text –Likes / Dislikes –Learn/ Missing Usability –Likert scales (1-6) –Reaction –Learning –Behaviour Respondant demographics (Anonymous) Length of time training in nephrology

6. Evaluation ongoing Evaluation updated after 1x pilot study All Leicester Trainees (14 in total) –All trainees requested to complete the evaluation material –Do pre- and post-tests –10 results so far (3 months later) One odd result not followed up.

7. Evaluation Material aimed at trainee doctors Effective for learning: –Reduction in correlation between prior experience and assessment scores: Pre-test 0.727 Post-test 0.306 Average 13% increase in test scores 20% mean average increase among least experienced 2% mean average increase among most experienced

8. Evaluation Also effective for revision: –5.125 for Consolidation –4.333 for Learning (Based on pseudo-Likert scale from 1 to 6, 6 being highest)

9. Evaluation Met authors’ objectives: –4.056 for Performing –4.778 for Selecting –4.889 for Preparing (Based on pseudo-Likert scale from 1 to 6, 6 being highest)

10. Evaluation Met trainees’ objectives: –5.444 for Well Presented –5.222 for Relevant –5.111 for Good Use of Time –Down to –4.111 for Challenging (Based on pseudo-Likert scale from 1 to 6, 6 being highest)

11. Exploitation Continued use for trainees in Leicester General Hospital's Nephrology Department Offer of commercial development

12. Exploitation Extend use beyond Doctors Initially, Renal Specialist Nurses Later, potentially, to patients Though this may involve a move to different delivery medium, ie the Web.

13. Conclusion Successful in-house development Met authors’ immediate objectives Appreciated by target users Potential for wider audience