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The Pharmaceutical Journal Vol 265 No 7118 p558-562
October 14, 2000 Pharmacy education

Use of web-based learning to teach pharmacy undergraduates

By Malcolm Andrew

It is forecast that there will be 300m people using the internet by 2003. This article looks at the use of web-based learning to augment the delivery of a pharmaceutical microbiology module to pharmacy students

Our annual feature on pharmacy education includes articles on the use of internet technology to teach pharmacy undergraduates, pharmacy education in the Netherlands and how good pharmaceutical practice has been built into undergraduate pharmacy training in South Africa. It also contains details of the pharmacy courses offered by British universities and approved by the Royal Pharmaceutical Society of Great Britain, along with details of courses for pharmacists offered by three further universities

The internet, the world wide web and e-commerce have rapidly integrated themselves into all aspects of our lives. For many, it has become commonplace to order groceries, manage bank accounts, arrange travel and choose holidays online using the internet.
In academia, this technology has established itself as a method of delivering distance learning and is now slowly being introduced into traditional undergraduate courses where students are studying full-time. This is being driven by

Moreover, the use of this new technology is implicit in the Dearing report2 and may be explicit in a university’s teaching and learning strategic plan. Consequently, we are seeing a huge commitment of resources to this means of delivering learning.1

How is it used?
The internet can be used in a number of ways to deliver learning.3 The examples below are illustrated with my own web pages used for delivering a pharmaceutical microbiology and biotechnology module to second year pharmacy undergraduates at De Montfort university.

Passive conveyance of information Web pages are an effective means of passively delivering information to large groups and, because they can be updated easily and cheaply, offer an advantage where the information does not remain current for long. Simple examples are reading lists, course timetables, “flat” lecture notes, tutor/tutee lists.

Figure 1. A web page listing learning resources

Figure 1 shows part of the web page listing learning resources for the pharmaceutical microbiology and biotechnology module. Besides simply listing the resources — as a paper-based version would do — this web page also gives students access to the online version of the recommended textbooks and links to an online bookseller and a comparative pricing website, should they wish to purchase a book. From this page, the user can also link directly to all the web-based computer-aided learning programmes designed for the module.
Interactive learning The ability of web pages to contain text, high quality graphics, hyperlinks, sound and video, facilitates the provision of interactive learning to actively engage the learner. By asking for frequent user input, by providing self-assessment and giving instant feedback online, web-based learning material, like some other forms of computer-aided learning, can provide reassurance for the student that learning is taking place in the way intended by the educator, even in the tutor’s absence. It can also stimulate the student to undertake independent learning through the provision of hyperlinks to other, searchable, sources of information on the world wide web.

Figure 2. A microbiology tutor web page

Figure 2 shows a web page from the practical microbiology tutor. Students work progressively through this package prior to attending each practical class. The exercises are illustrated with high quality images. Students see examples of the results they are expected to obtain, they receive background information about the exercises and are challenged with questions to stimulate them to think about the concepts behind the techniques. There are also links to external health-related web sites, such as that of the Public Health Laboratory Service. In this way, students arrive at each class better prepared for the practical exercises and can place their work into context more easily.

Assessment Like computer program written in other formats, web pages can be used to deliver assessments. By using, for example, Javascript, the user’s response can be evaluated and instant feedback can be given.

Figure 3. Web pages can offer tuition in microbiological calculations

Figure 3 shows a web page that gives tuition in microbiological calculations. Every time the programme is run, the questions remain the same but new values are inserted. Clicking the “help” button provides a description in the scrolling text box of how the calculation can be tackled. Students are given three weeks to use this package in their own time before they undertake an unseen, time-limited spot test without the use of calculators.

Students’ views of web-based learning

A total of 59 students also took up an invitation to make written comments on their experience of web-based learning. All were positive. A representative selection of their comments is:

“It is a new way of learning and encourages student-centred learning as it is relatively easy to find and use, without masses of text books in front of you.”

“The web-based material was excellent. I wish all modules had support like this. Now that the material is available outside the university it’s even better and will be very handy for revision and also impresses parents, etc.”

“Loved the website, especially now it’s available from outside university.”

“I found the website very useful and easy to follow. The microbiology practical tutor and the dangerous microbes programmes were very good. Study would be a lot easier if all lecturers had a website like this.”

“By using the web-based programmes, I found the practicals more understandable and beneficial to the course.”

“The website was a different way to aid learning and encouraged more effort to be put in to preparation for the labs.”

“The calculations tutor was very good as the answers were given and explained in a very understandable manner. This was good as many modules expect you to excel in maths and not all of us do.”

“The website is an excellent way to receive information. The only problem being that the printers in the computer node are rubbish and therefore taking printouts is difficult.

Student support and feedback Communication between student and tutor over the internet enables students to voice concerns and receive support and feedback, even at a distance. E-mail is a simple means of communication. A more sophisticated mechanism is to use computer conferencing, such as a chat room, where real-time or asynchronous textual communication can take place between a number of individuals. This could be between tutor and students in on-line tutorials or among students alone undertaking collaborative learning.4

Useful for feedback
A web page is also a useful means of providing feedback to the whole student group.

Figure 4. A feedback page which allows comparison of performance

Figure 4 shows the feedback on coursework assessment given to all the students at the end of the module. Providing the distribution of marks in the histogram allows students to place their performance within the context of the cohort.
The website for this module also has a web page reporting the results of the university student feedback questionnaire. Students are able to see what the cohort thought of the module and can read the tutor’s response to the points raised, thereby closing the quality loop and making the exercise more meaningful to the students.

Virtual learning environments
Course delivery software packages (also called virtual learning environments) provide the ability to incorporate all these learning approaches into a single learning environment. Learners log on to the system, using their unique ID and password, and can then visit different areas to

An example of such a package that has been adopted in many universities throughout the world is WebCT.

Glossary of terms

Chat room A means by which a group of people can communicate with each other by computer, either in real-time or asynchronously, and where, unlike e-mail, all members of the group can read, and respond to, each communication. Mail posted in chat rooms is often themed (threaded) to facilitate its reading and administration.

Flat lecture notes A term used to describe posting lecture notes on a website, which consist solely of large chunks of information (often only text) with little or no interactivity required by the user.

Hyperlinks A means of jumping from one web page to another or to a different place on the same page. The jump may be within the document being viewed or to a document on another site on the world wide web. Hyperlinks can be text (usually underlined) or mouse-clickable images.

Hypertext Markup Language (HTML) The computer language (or code) used to write web pages that must be interpreted by web browsers in order to display the page on-screen.

Internet A global system of linked computer networks accessible to all.

Intranet A series of computers on a network within an organisation and to which individuals outside the organisation do not normally have access.
Javascript A programming language, whose code sits inside a web page and offers interaction between the user and the page.

Upload The processes of copying web page files residing on a computer to a web server, so enabling them to become available on the internet or an intranet.

Web-based learning Using web pages to deliver learning via the internet and/or an intranet. Also referred to as asynchronous learning, virtual learning and online learning.

Web browser A program, such as Netscape or Internet Explorer that interprets HTML code, so allowing a user to view web pages.

Web pages Documents existing as computer files that can be accessed from the world wide web and viewed using a web browser. They can contain text, sound and video material.

Web server A computer connected to a network that stores web pages and serves them up, on demand, to other computers on the network.

World wide web (WWW) A means of retrieving documents (web pages) over the internet. These documents and the links between them comprise a web of information.

Benefits for learners
First and foremost, web-based learning provides flexibility. With access to the internet or a university intranet, learners can study anywhere, any time and at their own pace without being reliant on software being installed on a particular computer. As an extreme example of this flexibility of access, the website for this module was accessed several times in the small hours of Christmas morning.
While sitting at the computer, either on- or off-campus, the learner has access to a mind-boggling amount of information all in one place. For example, free on-line versions of The Pharmaceutical Journal, the British National Formulary, the Electronic Medicines Compendium or the Merck Manual of Diagnosis and Therapy are but a mouse click away for students using the author’s website. The world wide web can be likened to a massive library with an unlimited supply of books, which is open 24-hours a day.

Active engagement
The interactive nature of good quality web-based learning material can actively engage the learner and is perceived by students to enhance their learning experience. Students in two cohorts were asked to respond anonymously to six statements, using a five-point Likert scale: strongly agree, agree, neutral, disagree, strongly disagree

Table 1: Percentage of students agreeing or strongly agreeing with statements on web-based learning
  Percentage of students
Statement 1998-89
(n=81)
1999-2000
(n=89)
A. It enhanced my learning experience
B. It was clear and easy to use
C. It was of the appropriate intellectual standard
D. I liked learning in this way
E. It increased my interest in microbiology
F. It increased my confidence in using computers
95
96
89
56
47
63
86
95
90
44
44
44

(Table 1). This indicates that some students are less enthusiastic than others to adopt this technology (see statement D), but this is not an uncommon finding.5
Certainly, these two cohorts of students performed better in their summative assessments than previous cohorts where web-based learning was not employed to augment the delivery of this module. For example, in the unseen spot test that followed students using the microbiological calculations tutor (Figure 3), 95 per cent of students in both cohorts scored a mark of 50 per cent or above, with 34 per cent and 28 per cent, respectively, achieving full marks. Greater success has also been achieved in the end-of-module unseen written examination.

Benefits for tutors
Unlike archival media, such as CD-ROMs or printed material, web pages can be corrected and updated conveniently, speedily and cheaply from the tutor’s desk. This avoids the embarrassment all academics will have experienced of getting their student handouts back from the university printing unit only to find that there is a glaring mistake on the first page or that the information has recently been superseded. Updating can be performed in a minute or two by simply altering the web page on the tutor’s computer, as one would alter a word-processed document, then uploading it onto the web server containing the website. Provided the network protocols allow it, this can even be done if the tutor’s computer is remote from the university.

Consumables reduced
Web-based material reduces or obviates the need for the tutor to generate printed material or to provide the learner with CD-ROMs or other consumable learning media. It is consumable-free. Furthermore, unlike consumable media, web-based learning material is difficult to deface or steal and is all in one place. This means that students do not arrive on the doorstep at inopportune moments claiming that they have lost their schedule or cannot find the reference.
Web pages give students access to high quality, full-colour images at low cost, relative to such provision as paper handouts. The creation of such images, using a digital camera and picture-editing software, is well within the capability of many academics after a little training.

Pre-course information
Web-based material is also a convenient way of delivering pre-course information to students. For example, we strongly advise our new students to work through our Pharmscape website before they arrive for enrolment. This site describes our pharmacy course and puts their learning into the context of a practising pharmacist.
This technology can be used to deliver a course in a stepwise fashion at a pace determined by the tutor and tailored to the needs of individual students. In addition, using a course management system, such as
WebCT, the tutor can monitor how much time individual students have spent on the material and how they have performed in their assessments.

What are the disadvantages?
The production of high quality web-based learning material is very time-consuming for the tutor. It has been estimated that it can take up to 200 hours to produce enough material for one hour of student study time.2 However, once the material has been produced, it can be used for an infinite number of learners without incurring consumable costs.
The learner must have access to a computer and to the internet . While many institutions, including De Montfort university, have fulfilled a Dearing report recommendation to give all students open access to a networked desktop computer by 2000-01,2 not all students have this access off-campus. Furthermore, some students have their computer time on-campus rationed.

An unregulated medium
Since the internet is largely unregulated, the possibility exists that some of the material derived from it may be of dubious quality and inaccurate. If students are required to use the internet on their own initiative as a searchable source of information, they need tuition on how to evaluate websites. There are websites, such as Internet Detective, that provide this.
Students find it difficult to shed the hard copy habit. They feel a need to print out all the web-page material largely because, like many of us, they find material easier to assimilate in printed form. This can put a strain on printers, may incur costs for the student and can be tedious, thereby antagonising the learner.
Screen fatigue
Too much computer-aided learning leads to “screen fatigue” so the total amount of such work that students are required to undertake throughout the course should be monitored. Furthermore, not all students like using computers — although it could be argued that most of them will be required to use one when they become pharmacists.
The computer that never crashes has yet to be invented and computer downtime can lead to frustration among learners. Good system support is required to maximise the chances of providing uninterrupted service.
Delivering learning solely via the web can create a sense of isolation in the learner and, while lack of student contact might seem attractive to some academics, nothing can replace the face-to-face tuition that students studying on-campus rightly expect.

Conclusions
For those academics contemplating using this technology, there are a number of points to consider:

Notwithstanding these caveats, I have found producing web-based learning material and using it to be very rewarding, particularly because of the extent to which it has been used by students and the high levels of attainment they have achieved.

Useful links

A Beginner’s Guide to HTML
http://www.ncsa.uiuc.edu/General/Internet/WWW/HTMLPrimer.html

eBNF
http://bnf.org/

Bookbrain — a comparative pricing site for books
http://www.bookbrain.co.uk/

Electronic Medicines Compendium
http://emc.vhn.net/ (requires simple registration to use)

Evaluation of Information Sources — a comprehensive source of sites for evaluating information
http://www.vuw.ac.nz/~agsmith/evaln/evaln.htm

Internet Detective — a fun interactive tutorial on how to evaluate websites
http://www.sosig.ac.uk/desire/internet-detective.html

Merck Manual of Diagnosis & Therapy
http://www.merck.com/pubs/mmanual/

Net tips for writers and designers
http://www.dsiegel.com/tips/

The Pharmaceutical Journal
http://www.pharmj.com/

Pharmscape
http://www.as.dmu.ac.uk/pharmscape/

The Virtual University — website accompanying the book cited in the text
http://westworld.dmu.ac.uk/vu-rbl/

WebCT
http://www.webct.com/

Web Developer’s Virtual Library
http://wdvl.com/

Web Style Guide Basic design principles for creating web sites
http://info.med.yale.edu/caim/manual/

World Wide Web Virtual Library
http://www.vlib.org/

Dr Andrew is a teacher fellow at De Montfort university, Leicester, and principal lecturer in pharmaceutical microbiology in the school of pharmacy and pharmaceutical sciences. He can be contacted at mhea@dmu.ac.uk

References

  1. Ryan S, Scott B, Freeman H, Patel D. The Virtual University: the internet & resource-based learning. London: Kogan Page; 2000.
  2. Dearing, R. Higher education in the learning society. Report of the Committee of Inquiry into Higher Education. 1997. Available online at http://www.ncl.ac.uk/ncihe/index.htm
  3. Warren A, Brunner D, Maier P, Barnett L. Technology in Teaching and Learning: An Introductory Guide. London: Kogan Page; 1998.
  4. Maier P, Barnett L, Warren A, Brunner D. Using technology in teaching and learning. London: Kogan Page; 1998.
  5. French D, Hale C, Johnson C, Farr G. Internet-based learning. London: Kogan Page;1999.