Medical Teacher 31 (6) 562, 2009

Web based Integrated Procedural electronic medicine (IPEM) and medical education.

J. O. Ogunranti

Department of Anatomy, Faculty of Medical Sciences, University of Jos, Jos, Nigeria
Professor Sir John Oluwole Ogunranti is  Professor of Anatomy of  University of Jos and Noble member of Knights of Justice of United Kingdom.

Sadly medical education today has disconnected from its scientific roots and is in a total mess since it  emphasizes rote over understanding and selects book knowledge over procedural ones. The greatest problem of all is ROTE LEARNING by which the best students in learning by rote get the distinctions and awards but are lousy practitioners. Some subjects such as embryology are designed for rote, while others, like cadaver dissection have disappeared. Are. Also procedural medicine whether therapeutic or diagnostic is not taught in most medical schools before graduation. Two main ways of combating this problem include integration and procedural learning and styled integrated procedural electronic medicine (IPEM).

Integration provides a holistic approach to medicine and its learning since patients present integrated and not in subjects. An electronic medium that captures skills to be acquired and makes them user friendly can go a long way in solving the technology problems of modern medical education, to include integration.

Electronic School of Medicine and IPEM

A school which took seven years to build (2001-8) provides a means of learning procedures and integrating medicine at Its model of electronic medicine for medical education can examine a patient, order investigations and perform postmortems without any gadgetry except a virtual screen and manipulating mouse and keyboards with integration of subjects of medicine for learning. Other programs include dissections (eDissector), embryology with animations of all processes, histology with animations of histological functions, and all other subjects in medicine. There are programs in form of electronic objective structured clinical examination (eOSCE) to include long and short cases with multiple choice questions that provide objective scores.

Other programs which are more complex in nature are available at this school and they include eMidwife, eSurgeon, eDoctor, eSubjects etc. But just like all programs designed by humans it has its limitations. It may not be well amenable to all the fives senses. It uses mainly for vision and hearing. It also uses JAVA program for fine discrimination and encryption.


OGUNRANTI, J.O.  (1987) Video technology in integrated anatomy education. Learning, Media and Technology, 13, pp. 63-67.