摘要：Computer based learning is an attractive solution to the increasing problem of providing self-directed/directed continuing education for medical postgraduate trainees on multiple sites with fewer teachers and clinical resources available. This study explores the practicalities and views regarding e-learning of trainees working in three hospitals in the same NHS Trust in London. Use of nominal group technique indicated that ease of access to computers and the internet was ranked highly by all groups and may be a significant barrier to trainees' use of e-learning. Use of questionnaires to explore views in more depth demonstrated that not all junior postgraduate trainees made use of e-learning materials prior to planned teaching sessions, despite requests to do so; spoken and written reinforcement may be needed to increase use of e-learning materials. Telephone interviews with senior postgraduate respiratory trainees indicated that they seem receptive to the positive benefits of using e-learning as part of their postgraduate training as long as social interaction and face-to-face teaching on study days is maintained. The exact function and content of each e-module and whether it needs to be compulsory or optional need to be determined if there is to be successful implementation of e-learning.
