Table 6 Impact of E-resources on Clinical Practice and Learning

PMM website

pGALS app

ELM

• Used to improve knowledge within this area and as a refresher to update and review current knowledge base. Not all countries have access to a paediatric rheumatology specialism and for these people the site enables them to view clinical cases they might otherwise not have access to within their learning environment.

• Provides an intuitive source to better inform decision-making and practice, guide patient treatment and aid explaining condition to families. In particular, it informs users about systematic approach to examination and this in turn thought to enhance confidence and ability to examine children proficiently.

• Informs users about simple systematic approach to examination and serves as useful refresher or revision aid. Increased knowledge gained from the app thought to make examination easier, enhance confidence and improve examination technique.

• Equips the user with the necessary knowledge and skills to discern between abnormal and normal, screen asymptomatic and symptomatic patients and distinguish musculoskeletal conditions.

• Used to expand knowledge within a particular area of interest and to consolidate and review current knowledge base or as part of CPD.

• Provides content to better inform decision-making and practice and give additional reasoning that can be applied when assessing patients or explaining condition to families. Increased knowledge gained from ELM thought to aid clinical reasoning and make MSK examination easier, improve examination technique and enhance confidence particularly in relation to assessment and examination.

“It has improved my confidence and skills to facilitate better outcomes”.

“In my country no one have a paediatric rheumatology specialty so we can learn a lot about cases from PMM and teach our student”.

“When I don’t have any protocol (in Brazil some hospitals doesn’t have at all) to guide me, I choose PMM to help me and solve some problems”.

“Its easy, for free and intuitive way to find answers and guide a treatment for a patient”.

“It will enhance my capability to check paediatrics efficiently”.

“Making easier the clinical examination”.

“Increases my capability in diagnosis”.

“Improve in terms of examination, assessment, investigation and management”.

“Gaining wider knowledge of signs, symptoms and examination of a child”.

“It helped me improve my technique to perform pGALS”.

“I think it came from wanting to consolidate what I had read. It was almost like a test to yourself. Did I actually understand what I read and what would I be inclined to do if I were presented with a certain situation”.

PMM website

pGALS app

ELM

• Used within undergraduate and trainee teaching material and students and trainees directed to site for self-directed learning or review.

• Used within undergraduate and trainee teaching material and students and trainees directed to app for self-directed learning.

• Used to prepare teaching material and inform teaching topics; and students and trainees directed to ELM for self-directed learning.

“I refer all trainees and CME candidates to it”.

“I can revise the knowledge of clinical history and examination skills before my teaching session”.

“Clear, focused especially on the basics that were not taught in med school. Therefore this resource is excellent as I want to teach the topics to medical students”.

“I use for teaching and signpost students to it”.

“Acts as an introduction for me before lectures”.

“This is very informative and attractive for us … by this we can increase our capabilities to give suggestions to others”.

“I really want to do as much online courses as possible to have edge when enrolling for my masters”.

PMM website

pGALS app

ELM

• Enables clinicians working in different specialties or areas to consider things from a rheumatology perspective.

• Highlights key issues with MSK medicine.

• Increases awareness of JIA and other rheumatological conditions in children in healthcare providers within and outside of the specialism.

• Increases knowledge in colleagues and AHP.

• Completion of the courses thought to increase awareness of rheumatological conditions in children and encourage those outside the specialism to consider MSK diagnoses when assessing patients.

“Being an orthopaedic surgeon its useful to see problems from a rheumatological perspective”.

“PMM is a very useful website for non paediatric rheumatologists. Highly recommend as a learning resource”.

“Increases knowledge in colleagues and AHP”.

“List out the common MSK problems of paediatrics”.