Table 1

Main characteristics of the two CD-ROM tutors

Interactive Rheumatology Tutor RheumaTutor
LanguageEnglishGerman
Main purposeEnhance teaching and learning of Rheumatology as a practical disciplineCase based training in diagnosis and treatment of rheumatic diseases
Suitable forMedical students, general practitioners, paramedical personnelMedical students, general practitioners
Cases3525
Number of photographs>1001–5 per case
Number of radiographic examples>1001–5 per case
Pathology images60None
Video and audio clips33None
Background textual materialTexts from journals and other sourcesQuality Guidelines of the German Rheumatological Association
History takingIllustrated by examples, followed by a single question for the studentQuestions can be selected from a list
Physical examinationIllustrated by video clips, with spoken textInterpretation of colour images, critiqued by the system
Laboratory examinationTextual informationTests may be selected from a list
Radiological diagnosisIllustrations on radiographs, clarifying anatomyThorough interpretation of abnormalities in rheumatic conditions, with critique
Differential diagnosis
TreatmentTextual informationIncluded in cases
Expert systemSimple system, generates hypothesesNot included
Cost effectiveness of diagnostic strategiesAbsentGraphical representation of cost in terms of economy, time, and patient discomfort
Examination or critique of studentsQuiz, resulting in scoreTest cases, with scoring and critiquse for history, physical exam, radiological interpretation, and case handling