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Provid<strong>in</strong>g Medical Education Resources Over the World Wide Web<br />

Background<br />

Joan Freedman M.S<br />

Johns Hopk<strong>in</strong>s School of Medic<strong>in</strong>e, Baltimore, MD, USA<br />

freedman@welchgate.welch.jhu.edu<br />

Harold Lehmann, M.D., Ph.D.<br />

Johns Hopk<strong>in</strong>s School of Medic<strong>in</strong>e, Baltimore, MD, USA<br />

freedman@welchgate.welch.jhu.edu<br />

Medical education differs from most higher-education programs <strong>in</strong> that dur<strong>in</strong>g the first two years of tra<strong>in</strong><strong>in</strong>g<br />

students take a set-sequence of basic science lectures and labs. The third and fourth years are spent rotat<strong>in</strong>g<br />

through an elective sequence of cl<strong>in</strong>ical and <strong>in</strong>patient services throughout the city. Due to the unique nature of<br />

learn<strong>in</strong>g medic<strong>in</strong>e through patient care, it is difficult to <strong>in</strong>sure all students exposure to patients with all<br />

diseases. As it is important to <strong>in</strong>sure that students have timely access to educational materials to supplement<br />

the cl<strong>in</strong>ical experience, the World Wide Web was the logical choice for distribut<strong>in</strong>g educational materials.<br />

LectureL<strong>in</strong>ks is a distance learn<strong>in</strong>g framework compris<strong>in</strong>g Web l<strong>in</strong>ks that assist students at Hopk<strong>in</strong>s <strong>in</strong><br />

access<strong>in</strong>g educationally relevant resources that exist both with<strong>in</strong> and outside of the <strong>in</strong>stitution. For each course<br />

lecture notes, old exams, Web-based CAI (computer-assisted <strong>in</strong>struction) materials were gathered and<br />

uploaded to the file server. In addition to resources created at Hopk<strong>in</strong>s, students have identified external l<strong>in</strong>ks<br />

to sites that conta<strong>in</strong> materials relevant to their studies. By collect<strong>in</strong>g these resources and organiz<strong>in</strong>g them <strong>in</strong><br />

searchable, lecture-by-lecture <strong>format</strong>, students are exposed to a wider range of educational materials than they<br />

would normally have time to seek out.<br />

This project was created as a response to students plea for relevant, timely computer-based programs to<br />

enhance and assist their learn<strong>in</strong>g and to provide options other than those assigned by the faculty. S<strong>in</strong>ce<br />

medical students have great demands put on them, they often do not have time to “surf” the Web or to seek out<br />

relevant and appropriate software resources on their own. Moreover, faculty members have used LectureL<strong>in</strong>ks<br />

to see what other faculty members are teach<strong>in</strong>g. Over the twelve months that LectureL<strong>in</strong>ks has been runn<strong>in</strong>g,<br />

it has become the de facto distance learn<strong>in</strong>g framework for the medical school curriculum.<br />

Design<br />

Begun as a series of manually managed HTML files, the LectureL<strong>in</strong>ks framework has been redesigned to make<br />

it generalizable and to be usable <strong>in</strong> any higher education discipl<strong>in</strong>e. A set of databases and server scripts have<br />

been created to facilitate and to automate the updat<strong>in</strong>g process of LectureL<strong>in</strong>ks (or any set of Web pages with<br />

many chang<strong>in</strong>g l<strong>in</strong>ks). These scripts automatically update the database and recreate the HTML pages from the<br />

database.<br />

The kernel of this design is the recognition that LectureL<strong>in</strong>ks represents a database that matches resources to<br />

educational activities (see Figure 1). The database reflects this dist<strong>in</strong>ction by represent<strong>in</strong>g <strong>in</strong><strong>format</strong>ion about<br />

activities separately from resources. Activities can be nested, or be part of other activities (e.g. a lab is part of a<br />

course which is part of a year.). Resources can be local, as <strong>in</strong> lecture notes, or remote, as <strong>in</strong> Web sites at other<br />

<strong>in</strong>stitutions.<br />

In<strong>format</strong>ion about the curriculum is entered <strong>in</strong>to the LectureL<strong>in</strong>ks Educational Activity table and updated as<br />

courses, lectures, and schedules change. This table conta<strong>in</strong>s the follow<strong>in</strong>g <strong>in</strong><strong>format</strong>ion: activity type (lecture,

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