UNMC Medical Student Wins National Research Award

Julie Grundman, who will enter her third year in medical school at the

University of Nebraska Medical Center this fall, recently won a national

award for her research project dealing with a computer-based teaching method.

The Society of General Internal Medicine presented Grundman with the

Mack Lipkin Sr. Award for the best research presentation by a fellow, resident

or medical student. Grundman received the award at the societys annual

meeting in Boston earlier this month.

Grundmans research compared the traditional teaching methods of eye

and ear diagnoses to methods using a multimedia, interactive approach.

Her findings showed that statistically, students tested better if they

learned through the newer, computer-generated method than if they used

only written materials.

We wanted to show that at least in the area of physical diagnosis,

pictures and multimedia learning would be more effective to teach students,

Grundman said. It actually turned out that it is.

Grundmans research is the first to show that a computer-based virtual

reality program can produce better learning than traditional methods, said

Robert Wigton, M.D., associate dean in the UNMC College of Medicine.

Many universities have begun using multimedia interactive courses to

teach diagnosis classes, Dr. Wigton said, but nobody had ever done a carefully

designed study to show the teaching method worked better.

This research showed that it works better for this particular setting,

he said.

Dr. Wigton and Devin Nickol, M.D., co-authored Grundmans research.

Dr. Nickol teaches the physical and history class in which students participated

in Grundmans project. Dr. Wigton noted that the material covered during

the weeklong period is additional subject matter to what first-year students

would normally learn.

The research was conducted last fall among 121 first-year UNMC medical

students in a physical diagnosis class. Grundman said the multimedia teaching

programs simulate an actual patient exam.

Students were divided into two groups that were as similar as possible

in terms of undergraduate grade point average and pre-test scores.

When studying diagnoses of the eye, one group used the multimedia approach

while the other group learned via traditional methods. The groups were

flip-flopped when learning about the ear.

In each case, the group that used the multimedia approach tested statistically

better and those students spent more time studying. Their study time was

tracked through computer log-on and log-out times, and by the time they

spent using the traditional, written teaching versions in the library.

There were a lot more pictures in that multimedia version, Grundman

said. We also included a lot of interactivity to get the students thinking

about the material as they were going through the programs.

Grundman began her research in the summer of 1999, after she received

a fellowship through the deans office of the UNMC College of Medicine.

Throughout last summer, Grundman completed the bulk of her research

and developed its multimedia programs. This spring, she submitted her abstract

to the SGIM, a group of 2,200 members of general internists from academic

centers. Her project was chosen from more than 650 submitted. She presented

her paper at the three-day SGIM meeting, and was awarded a plaque and $250

for winning.

Grundman is the first Nebraskan to receive the award, Dr. Wigton said.

He said its highly unusual for a medical student to win over research

fellows.

Grundman had no inkling that shed win the award until her name was

announced.

I actually was quite amazed that I won, Grundman said. Its one of

those things that you know you are against a lot of people whove done

research for a lot longer than you have and are much more experienced at

it. Its hard to think that my research was comparable to theirs when I

havent done it as much. But I was very happy.

Grundman, a University of Nebraska-Lincoln graduate and Nebraska City

native, said she worked with chemical education and multimedia development

when she was at UNL. Her first research project, she said, took what she

learned and applied it to medicine.

Grundman said she may continue the research this fall on the same group

of students.

We might want to give them another test to see if theyre retaining

the knowledge; to see if theres still that difference a year afterwards,

she said.

UNMC is the only public academic health science center in the state.

Through its commitment to research, education, outreach and patient care,

UNMC has established itself as one of the country’s leading centers for

cancer research and treatment, solid organ transplantation and arthritis.

During the past year, nearly $31 million in research grants and contracts

were awarded to UNMC scientists, and UNMCs funding from the National Institutes

of Health increased by 28 percent, going from $16.2 million to $20.7 million.

UNMC’s educational programs are responsible for training more health professionals

practicing in Nebraska than any other institution.