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Types of Online CME Instruction

Type of Instruction	Definition of Type of Instruction
Board Review/ Self-Assessment	A board review/self-assessment course is a comprehensive review of an area of medicine. The student can take the course either for his/her own satisfaction or to prepare for board certification or recertification.
Case-Based Interactive	A sample or simulated "patient" is presented. The program presents a small amount of information about the patient and waits for your response. The program gives positive or negative feedback on your answers and presents some additional information or teaching points before allowing you to proceed to the next piece of information and set of questions or choices.
Correspondence	A group of students is assigned to read or view an instruction during a specific time period. Then there are synchronous or asynchronous discussions between the instructor and the students or between the students.
Game	The program is presented in game format; as you answer questions or make choices, your score goes up or down. You may compete against yourself or against other players.
Guideline-Based	The main thrust of this kind of instruction is to describe and explain an evidence-based guideline or consensus statement. These instructions are usually text-based or text and graphics-based.
Question-and- Answer	The program asks the student a question or series of questions (usually multiple choice), then gives immediate feedback about the answer and an explanation of the correct and incorrect choices with some (brief or extended) instruction about the topic.
Self-directed search	You search the literature (Medline, textbooks, guidelines, etc) to find answers to your own questions generated by patient interaction. You receive credit for the time that you spent doing that search.
Slide-Audio Lecture	This kind of course attempts to simulate attendance at a live lecture. You see the speaker's slides. You hear the speaker's words. You may also see a full-text transcript of the speaker's words. Sometimes you see "still" pictures of the speaker. Often you are able to pause the speaker or go back and listen and look at the slides again. Three common formats are RealAudio, Windows Media Player and QuickTime.
Slides-Only (OR Slides and Text)	You view the speaker's slides, usually PowerPoint. Sometimes you can also can read a full-text transcript of the speaker's words.
Slide-Video Lecture	Similar to slide-audio lecture, but you see video pictures of the speaker and sometimes of the content (e.g., a surgical procedure).
Streaming Video	This type of course presents a videotaped procedure, usually surgical, either in its entirety or limited to the most pertinent sections.
Text and Graphics	This kind of instruction is similar to Text-Only, but in addition to text and tables, there may be charts, drawings, photographs, x-ray pictures, pathology slides and animations. Many Text and Graphics sites present the user with a "thumbnail" of the graphic; to see the full graphic, the user must click on the thumbnail.
Text-and-Audio	You hear the speaker giving his presentation and you also can read or print a text summary of the lecture content.
Text-Only	The instruction is like a journal or book chapter. Often, the instruction is many pages long, and you may find it convenient to print the instruction and read it offline. An increasing number of sites use pdf format for their text-based instruction. "Text-only" instruction may also include a few tables.

Arranged In the order "most traditional" to "least traditional"

Type of Instruction	Definition of Type of Instruction
Text-Only	The instruction is like a journal or book chapter. Often, the instruction is many pages long, and you may find it convenient to print the instruction and read it offline. An increasing number of sites use pdf format for their text-based instruction. "Text-only" instruction may also include a few tables.
Text and Graphics	This kind of instruction is similar to Text-Only, but in addition to text and tables, there may be charts, drawings, photographs, x-ray pictures, pathology slides and animations. Many Text and Graphics sites present the user with a "thumbnail" of the graphic; to see the full graphic, the user must click on the thumbnail.
Text-and-Audio	You hear the speaker giving his presentation and you also can read or print a text summary of the lecture content.
Slides-Only (OR Slides and Text)	You view the speaker's slides, usually PowerPoint. Sometimes you can also can read a full-text transcript of the speaker's words.
Slide-Audio Lecture	This kind of course attempts to simulate attendance at a live lecture. You see the speaker's slides. You hear the speaker's words. You may also see a full-text transcript of the speaker's words. Sometimes you see "still" pictures of the speaker. Often you are able to pause the speaker or go back and listen and look at the slides again. Three common formats are RealAudio, Windows Media Player and QuickTime.
Slide-Video Lecture	Similar to slide-audio lecture, but you see video pictures of the speaker and sometimes of the content (e.g., a surgical procedure).
Guideline-Based	The main thrust of this kind of instruction is to describe and explain an evidence-based guideline or consensus statement. These instructions are usually text-based or text and graphics-based.
Question-and- Answer	The program asks the student a question or series of questions (usually multiple choice), then gives immediate feedback about the answer and an explanation of the correct and incorrect choices with some (brief or extended) instruction about the topic.
Case-Based Interactive	A sample or simulated "patient" is presented. The program presents a small amount of information about the patient and waits for your response. The program gives positive or negative feedback on your answers and presents some additional information or teaching points before allowing you to proceed to the next piece of information and set of questions or choices.
Correspondence	A group of students is assigned to read or view an instruction during a specific time period. Then there are synchronous or asynchronous discussions between the instructor and the students or between the students.
Board Review/ Self-Assessment	A board review/self-assessment course is a comprehensive review of an area of medicine. The student can take the course either for his/her own satisfaction or to prepare for board certification or recertification.
Streaming Video	This type of course presents a videotaped procedure, usually surgical, either in its entirety or limited to the most pertinent sections.
Game	The program is presented in game format; as you answer questions or make choices, your score goes up or down. You may compete against yourself or against other players.
Self-directed search	You search the literature (Medline, textbooks, guidelines, etc) to find answers to your own questions generated by patient interaction. You receive credit for the time that you spent doing that search.

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