Clin Med
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Advantages of web-based learning (WBL) in medical education include overcoming barriers of distance and time, economies of scale, and novel instructional methods, while disadvantages include social isolation, up-front costs, and technical problems. Web-based learning is purported to facilitate individualised instruction, but this is currently more vision than reality. ⋯ Rather than trying to decide whether WBL is superior to or equivalent to other instructional media (research addressing this question will always be confounded), we should accept it as a potentially powerful instructional tool, and focus on learning when and how to use it. Educators should recognise that high fidelity, multimedia, simulations, and even WBL itself will not always be necessary to effectively facilitate learning.
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This study evaluated a new six-point ordinal scale for measuring pain intensity. Seventy-two participants aged between 23 and 87 years rated the intensity of 'present pain' as well as remembered episodes of 'severe' and 'mild' pain on the scale of pain intensity (SPIN), a 10 cm visual analogue scale (VAS) and a 0-10 numeric scale, in random order. Retesting followed an intervening assessment. ⋯ Some found numbers easier to use whereas others found the SPIN more helpful. We conclude that the SPIN provides a valid measure of pain intensity in patients fully able to communicate their views and experiences. Investigation in patients with cognitive or communication impairments is now required.