• Morten Lind Jensen, Frederik Mondrup, Freddy Lippert, and Charlotte Ringsted.
• Centre for Clinical Education, Copenhagen University and Capital Region, Rigshospitalet, Denmark. morten.lind.jensen@gmail.com
• Resuscitation. 2009 Aug 1;80(8):903-8.

ContextA well-suited e-learning program might be a feasible strategy to maintain competence following a resuscitation course.AimThis study had 2 aims: (1) to examine the effect of an e-learning program as a booster of competence acquired from an Advanced Life Support (ALS) course. (2) To identify factors related to the use of the e-learning program.Materials And MethodsThe study contained two parts pertaining to the two aims. The first part was a prospective single blinded randomised controlled study on junior doctors. The intervention was the monthly use of an e-learning program during one year and effect was measured as ALS-competence, a composite of a knowledge and skills test. The second part was a telephone interview of the intervention group. An interview guide was constructed based on existing knowledge of e-learning. In order to identify factors explaining the use of e-learning a univariate correlation was used to select significant variables to be included in a multiple regression analysis.ResultsOf the 134 invited to participate, 103 accepted the invitation. There were 79/103 (77%) participants, 40/51 in the intervention group and 39/52 in the control group. There was no difference between the groups with regards to ALS competence. Only 'social interaction' was an individually significant factor influencing the use of the e-learning program.ConclusionsThis study did not demonstrate an effect of an e-learning program as a booster of competence acquired from an ALS course. The primary factor influencing the use of e-learning was the lack of social interaction.

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