Challenges and perspectives of computer-assisted instruction in medical education: lessons learned from seven years of experience with the CAMPUS system.

OBJECTIVES In this paper we discuss solutions to the problem that medical teachers and students do not use modern computer-assisted instruction systems in medical education as much as expected by their developers. METHODS As an example for a modern problem-based CAI system we introduce the CAMPUS shell system for case-based training in medicine. RESULTS CAMPUS has received several awards and positive evaluation results. Nevertheless, the usage of such systems in courses and for self-study could be increased. CONCLUSIONS Curricular integration of CAI as well as further improvements on existing CAI systems to increase the usage in medical education is essential.