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J Med Educ Curric Dev. 2018 Apr 26;5:2382120518771913. doi: 10.1177/2382120518771913. eCollection 2018 Jan-Dec.

Evaluation of an E-Learning Course for Clubfoot Treatment in Tanzania: A Multicenter Study.

Author information

1
Department of Surgery, Stanford University School of Medicine, Stanford, CA, USA.
2
Division of Trauma and Orthopedic Surgery, Department of Surgery, Bugando Medical Centre, Mwanza, Tanzania.
3
Department of Physiotherapy, Mbeya Zonal Referral Hospital, Mbeya, Tanzania.

Abstract

In total, 80% of clubfoot cases occur in low- and middle-income countries, where lack of clinical knowledge of the Ponseti method of treatment presents as a major barrier to treatment. This study aims to determine the effectiveness of an electronic learning course to teach clinicians in Tanzania Ponseti method theory. A total of 30 clinicians were recruited from clinics with high referral rates for clubfoot patients and invited to 1 of 3 training sites: Mbeya (n = 15), Zanzibar (n = 10), and Mwanza (n = 5). Baseline knowledge, measured through a pretest, was compared to performance on a posttest after e-learning course completion. Scores for Mbeya and Zanzibar participants improved from 44 ± 12.5 to 69.8 ± 16.5 (P < .0001) and 44.3 ± 14.0 to 67.9 ± 21.4 (P = .01), respectively. Our results suggest that an e-learning course may be an effective method of disseminating Ponseti method theory in Tanzania. Successful implementation requires an understanding of the device availability and technology literacy of the users.

KEYWORDS:

Electronic learning; Ponseti method; clubfoot; global health; low- and middle-income countries; medical education

Conflict of interest statement

Declaration of conflicting interests:The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

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