TY  - JOUR
A1  - Barteit, Sandra
A1  - Hoepffner, Philip
A1  - Huwendiek, Sören
A1  - Karamagi, Angela
A1  - Munthali, Charles
A1  - Theurer, Antje
A1  - Neuhann, Florian
T1  - Self-directed e-learning at a tertiary hospital in Malawi - a qualitative evaluation and lessons learnt
JF  - GMS Journal for Medical Education
N2  - Background: 
Malawi faces a severe lack of health workers. Despite initiatives to address this problem, a critical shortage of health care staff remains. This lack challenges the education and training of junior medical staff, especially medical interns in their final and crucial training year before they independently work as medical doctors.

Project description: 
We have introduced an e-learning platform in the medical department of the Kamuzu Central Hospital (KCH) in Malawi. With the support of computer-assisted instruction, we aimed to improve the quality of medical training and education, as well as access to current medical materials, in particular for interns.

Method: 
From March to April 2012, we conducted a qualitative evaluation to assess relevance and appropriateness of the e-learning platform. Data was collected via face-to-face interviews, a guided group discussion and a checklist based observation log. Evaluation data was recorded and coded using content analysis, interviewees were chosen via purposive sampling.

Results: 
E-learning proved to be technically feasible in this setting. Users considered the e-learning platform to be relevant and appropriate. Concerns were raised about sustainability, accessibility and technical infrastructure, as well as limited involvement and responsibilities of Malawian partners. Interest in e-learning was high, yet, awareness of and knowledge about the e-learning platform among potential users was low. Evaluation results indicated that further adaptions to local needs are necessary to increase usage and accessibility.

Conclusions: 
Interview results and our project experiences showed that, in the given setting, e-learning requires commitment from local stakeholders, adequate technical infrastructure, identification and assignation of responsibilities, as well as specific adaption to local needs.
T2  - Selbstgesteuertes medizinisches Lernen via E-Learning an einem Lehrkrankenhaus in Malawi: Aufbau,Erkenntnisse und Erfahrungen
KW  - computer-assisted instruction
KW  - capacity
KW  - multimedia,
KW  - ICT
KW  - virtual patients
KW  - medical Education
KW  - understaffed
KW  - teaching hospital
KW  - Sub-saharan Africa
Y1  - 2015
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-150208
N1  - Deutschsprachige Version des Artikels ab Seite 8 des Dokuments.
VL  - 32
IS  - 1
ER  -