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JMIR Med Educ. 2017 May 10;3(1):e10. doi: 10.2196/mededu.5434.

Development and Assessment of an E-learning Course on Pediatric Cardiology Basics.

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Faculdade de Ciências da Universidade do Porto and Faculdade de Medicina da Universidade do Porto, Porto, Portugal.
Círculo do Coração, Unidade de Cardiologia e Medicina Fetal, Real Hospital Português de Pernambuco, Recife, Brazil.
Instituto de Telecomunicações, Faculty of Sciences of the University of Porto, Porto, Portugal.



Early detection of congenital heart disease is a worldwide problem. This is more critical in developing countries, where shortage of professional specialists and structural health care problems are a constant. E-learning has the potential to improve capacity, by overcoming distance barriers and by its ability to adapt to the reduced time of health professionals.


The study aimed to develop an e-learning pediatric cardiology basics course and evaluate its pedagogical impact and user satisfaction.


The sample consisted of 62 health professionals, including doctors, nurses, and medical students, from 20 hospitals linked via a telemedicine network in Northeast Brazil. The course was developed using Moodle (Modular Object Oriented Dynamic Learning Environment; Moodle Pty Ltd, Perth, Australia) and contents adapted from a book on this topic. Pedagogical impact evaluation used a pre and posttest approach. User satisfaction was evaluated using Wang's questionnaire.


Pedagogical impact results revealed differences in knowledge assessment before and after the course (Z=-4.788; P<.001). Questionnaire results indicated high satisfaction values (Mean=87%; SD=12%; minimum=67%; maximum=100%). Course adherence was high (79%); however, the withdrawal exhibited a value of 39%, with the highest rate in the early chapters. Knowledge gain revealed significant differences according to the profession (X22=8.6; P=.01) and specialty (X22=8.4; P=.04). Time dedication to the course was significantly different between specialties (X22=8.2; P=.04).


The main contributions of this study are the creation of an asynchronous e-learning course on Moodle and the evaluation of its impact, confirming that e-learning is a viable tool to improve training in neonatal congenital heart diseases.


cardiology; congenital heart defects; continuing medical education; distance learning; pediatrics

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