Case-based learning on the web

Abstract The National Research Council emphasizes several factors as important in how people learn. The first is to assess the learner's basic assumptions and knowledge base on a particular topic before conveying information. Without this there can be miscommunication. The second is to present one topic in depth rather than cover a range of topics more superficially. This is critical because individuals who learn one area in depth are able to transfer their learning to related areas. The third factor is that for individuals to improve their analytic thinking it is important for them to hear experts discuss their analysis of an issue. Learning consultation psychiatry has relied on discussion of current cases by attending psychiatrists. Interviewing real patients is compelling to trainees. It is also efficient, because it combines clinical care with learning. However, it relies on the flow of patients, and it does not ensure that students will systematically be exposed to the core topics in the field. Moreover, attendings are not expert in all areas so that an in depth discussion and analysis may not always be possible. Case-based learning using the Web is an effective way for students to learn consultation psychiatry. It allows individuals to have their knowledge base assessed as they proceed through the learning exercise. It also allows them to learn a particular topic in depth and to hear experts analyze a case. Moreover, it assures that students are exposed to core topics in the field. The use of the Web allows easy access to this information and presents it in an interactive and engaging manner. This is an efficient way of reaching a large audience. There is an initial labor-intensive investment that pays its return through efficient and easy access of the material. A collaborative effort amongst universities to develop a library of case-based learning materials would be a very cost effective way of transmitting information and enhancing student's learning. A Web-based case developed by Tong, Poncelet and Berger involving headache complaints in a patient with mixed personality disorder and drug-seeking behavior will be presented.