Zeitschrift für Hochschuldidaktik Nr. 2000/1
Medicine Study 2000
Alternatives for Learning and Assessment, Teaching and Evaluation
Martin FISCHER (München, Deutschland)
CASUS: An Authoring and Learning Tool Supporting Diagnostic Reasoning
Summary
Concept-mapping techniques support
the hypotheticaldeductive problem solving
process. In medicine through the
use of these techniques an improvement
in both quantity and quality of diagnostic
hypotheses can be demonstrated.
The case-based learning system CASUS
provides a mapping-tool for the visualization
of medical differential diagnoses,
which employs drag&drop interactivity
to connect the critical findings of a
learning case to the respective hypothesis
by weighed links. We evaluated the
use of the CASUS-mapping component
in 6 internal medicine cases in the 3rd
clinical semester at the University of
Munich: 439 case sessions were recorded
yielding 265 differential diagnostic
networks with at least two hypothesis
(60.3%). This paper describes the characteristics
of the student differentials
and compares them with the solutions
derived from experts. Further it provides
perspectives for the use of this data
in future feedback processes.
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