E‐Learning Module on Chronic Low Back Pain in Older Adults: Evidence of Effect on Medical Student Objective Structured Clinical Examination Performance
Identifieur interne : 004988 ( Main/Exploration ); précédent : 004987; suivant : 004989E‐Learning Module on Chronic Low Back Pain in Older Adults: Evidence of Effect on Medical Student Objective Structured Clinical Examination Performance
Auteurs : Debra K. Weiner [États-Unis] ; Natalia E. Morone [États-Unis] ; Heiko Spallek [États-Unis] ; Jordan F. Karp [États-Unis] ; Michael Schneider [États-Unis] ; Carol Washburn [États-Unis] ; Michael P. Dziabiak [États-Unis] ; John G. Hennon [États-Unis] ; D. Michael Elnicki [États-Unis]Source :
- Journal of the American Geriatrics Society [ 0002-8614 ] ; 2014-06.
Descripteurs français
- KwdFr :
- MESH :
- diagnostic : Douleur chronique, Lombalgie.
- normes : Examen physique.
- Compétence clinique, Enquêtes et questionnaires, Enseignement médical, Humains, Internet, Sujet âgé, Étudiant médecine.
- Pascal (Inist)
- Wicri :
English descriptors
- KwdEn :
- Academic achievement, Aged, Chronic, Chronic Pain (diagnosis), Clinical Competence, Clinical investigation, Clinical performance, Computer aid, E-learning, Education, Medical (methods), Elderly, Geriatrics, Gerontology, Humans, Internet, Low Back Pain (diagnosis), Low back pain, Lumbar spine, Medicine, Objective, Occupational training, Pain, Physical Examination (standards), Resident (student), Students, Medical, Surveys and Questionnaires, Teaching.
- MESH :
- diagnosis : Chronic Pain, Low Back Pain.
- methods : Education, Medical.
- standards : Physical Examination.
- Aged, Clinical Competence, Humans, Internet, Students, Medical, Surveys and Questionnaires.
Abstract
The Institute of Medicine has highlighted the urgent need to close undergraduate and graduate educational gaps in treating pain. Chronic low back pain (CLBP) is one of the most common pain conditions, and older adults are particularly vulnerable to potential morbidities associated with misinformed treatment. An e‐learning case‐based interactive module was developed at the University of Pittsburgh Center of Excellence in Pain Education, one of 12 National Institutes of Health–designated centers, to teach students important principles for evaluating and managing CLBP in older adults. A team of six experts in education, information technology, pain management, and geriatrics developed the module. Teaching focused on common errors, interactivity, and expert modeling and feedback. The module mimicked a patient encounter using a standardized patient (the older adult with CLBP) and a pain expert (the patient provider). Twenty‐eight medical students were not exposed to the module (Group 1) and 27 were exposed (Group 2). Their clinical skills in evaluating CLBP were assessed using an objective structured clinical examination (OSCE). Mean scores were 62.0 ± 8.6 for Group 1 and 79.5 ± 10.4 for Group 2 (P < .001). Using an OSCE pass–fail cutoff score of 60%, 17 of 28 Group 1 students (60.7%) and 26 of 27 Group 2 students (96.3%) passed. The CLBP OSCE was one of 10 OSCE stations in which students were tested at the end of a Combined Ambulatory Medicine and Pediatrics Clerkship. There were no between‐group differences in performance on eight of the other nine OSCE stations. This module significantly improved medical student clinical skills in evaluating CLBP. Additional research is needed to ascertain the effect of e‐learning modules on more‐advanced learners and on improving the care of older adults with CLBP.
Url:
- https://api.istex.fr/document/1465850107D233A8015121CE99C35E3B12F10274/fulltext/pdf
- http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4288568
DOI: 10.1111/jgs.12871
Affiliations:
Links toward previous steps (curation, corpus...)
- to stream Istex, to step Corpus: 000488
- to stream Istex, to step Curation: 000488
- to stream Istex, to step Checkpoint: 000498
- to stream Pmc, to step Corpus: 001318
- to stream Pmc, to step Curation: 001293
- to stream Pmc, to step Checkpoint: 001543
- to stream PubMed, to step Corpus: 002927
- to stream PubMed, to step Curation: 002914
- to stream PubMed, to step Checkpoint: 002914
- to stream Ncbi, to step Merge: 002045
- to stream Ncbi, to step Curation: 002045
- to stream Ncbi, to step Checkpoint: 002045
- to stream Main, to step Merge: 004C21
- to stream PascalFrancis, to step Corpus: 000845
- to stream PascalFrancis, to step Curation: 003D86
- to stream PascalFrancis, to step Checkpoint: 000999
- to stream Main, to step Merge: 005922
- to stream Main, to step Curation: 004988
Le document en format XML
<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">E‐Learning Module on Chronic Low Back Pain in Older Adults: Evidence of Effect on Medical Student Objective Structured Clinical Examination Performance</title><author><name sortKey="Weiner, Debra K" sort="Weiner, Debra K" uniqKey="Weiner D" first="Debra K." last="Weiner">Debra K. Weiner</name></author><author><name sortKey="Morone, Natalia E" sort="Morone, Natalia E" uniqKey="Morone N" first="Natalia E." last="Morone">Natalia E. Morone</name></author><author><name sortKey="Spallek, Heiko" sort="Spallek, Heiko" uniqKey="Spallek H" first="Heiko" last="Spallek">Heiko Spallek</name></author><author><name sortKey="Karp, Jordan F" sort="Karp, Jordan F" uniqKey="Karp J" first="Jordan F." last="Karp">Jordan F. Karp</name></author><author><name sortKey="Schneider, Michael" sort="Schneider, Michael" uniqKey="Schneider M" first="Michael" last="Schneider">Michael Schneider</name></author><author><name sortKey="Washburn, Carol" sort="Washburn, Carol" uniqKey="Washburn C" first="Carol" last="Washburn">Carol Washburn</name></author><author><name sortKey="Dziabiak, Michael P" sort="Dziabiak, Michael P" uniqKey="Dziabiak M" first="Michael P." last="Dziabiak">Michael P. Dziabiak</name></author><author><name sortKey="Hennon, John G" sort="Hennon, John G" uniqKey="Hennon J" first="John G." last="Hennon">John G. Hennon</name></author><author><name sortKey="Elnicki, D Michael" sort="Elnicki, D Michael" uniqKey="Elnicki D" first="D. Michael" last="Elnicki">D. Michael Elnicki</name></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:1465850107D233A8015121CE99C35E3B12F10274</idno><date when="2014" year="2014">2014</date><idno type="doi">10.1111/jgs.12871</idno><idno type="url">https://api.istex.fr/document/1465850107D233A8015121CE99C35E3B12F10274/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">000488</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">000488</idno><idno type="wicri:Area/Istex/Curation">000488</idno><idno type="wicri:Area/Istex/Checkpoint">000498</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Checkpoint">000498</idno><idno type="wicri:doubleKey">0002-8614:2014:Weiner D:e:learning:module</idno><idno type="wicri:source">PMC</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4288568</idno><idno type="RBID">PMC:4288568</idno><idno type="wicri:Area/Pmc/Corpus">001318</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001318</idno><idno type="wicri:Area/Pmc/Curation">001293</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">001293</idno><idno type="wicri:Area/Pmc/Checkpoint">001543</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">001543</idno><idno type="wicri:source">PubMed</idno><idno type="wicri:Area/PubMed/Corpus">002927</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">002927</idno><idno type="wicri:Area/PubMed/Curation">002914</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">002914</idno><idno type="wicri:Area/PubMed/Checkpoint">002914</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">002914</idno><idno type="wicri:Area/Ncbi/Merge">002045</idno><idno type="wicri:Area/Ncbi/Curation">002045</idno><idno type="wicri:Area/Ncbi/Checkpoint">002045</idno><idno type="wicri:doubleKey">0002-8614:2014:Weiner D:e:learning:module</idno><idno type="wicri:Area/Main/Merge">004C21</idno><idno type="wicri:source">INIST</idno><idno type="RBID">Pascal:14-0183512</idno><idno type="wicri:Area/PascalFrancis/Corpus">000845</idno><idno type="wicri:Area/PascalFrancis/Curation">003D86</idno><idno type="wicri:Area/PascalFrancis/Checkpoint">000999</idno><idno type="wicri:explorRef" wicri:stream="PascalFrancis" wicri:step="Checkpoint">000999</idno><idno type="wicri:doubleKey">0002-8614:2014:Weiner D:e:learning:module</idno><idno type="wicri:Area/Main/Merge">005922</idno><idno type="wicri:Area/Main/Curation">004988</idno><idno type="wicri:Area/Main/Exploration">004988</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main">E‐Learning Module on Chronic Low Back Pain in Older Adults: Evidence of Effect on Medical Student Objective Structured Clinical Examination Performance</title><author><name sortKey="Weiner, Debra K" sort="Weiner, Debra K" uniqKey="Weiner D" first="Debra K." last="Weiner">Debra K. Weiner</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>Geriatric Research, Education and Clinical Center, Veterans Affairs Pittsburgh Healthcare System, Pittsburgh</wicri:cityArea></affiliation><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>Division of Geriatric Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh</wicri:cityArea></affiliation><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>Department of Psychiatry, University of Pittsburgh, Pittsburgh</wicri:cityArea></affiliation><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>Department of Anesthesiology, University of Pittsburgh, Pittsburgh</wicri:cityArea></affiliation><affiliation wicri:level="3"><country>États-Unis</country><placeName><settlement type="city">Pittsburgh</settlement><region type="state">Pennsylvanie</region></placeName><wicri:orgArea>Clinical and Translational Science Institute, University of Pittsburgh, Pennsylvania</wicri:orgArea></affiliation><affiliation wicri:level="1"><country wicri:rule="url">États-Unis</country></affiliation></author><author><name sortKey="Morone, Natalia E" sort="Morone, Natalia E" uniqKey="Morone N" first="Natalia E." last="Morone">Natalia E. Morone</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>Geriatric Research, Education and Clinical Center, Veterans Affairs Pittsburgh Healthcare System, Pittsburgh</wicri:cityArea></affiliation><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>Clinical and Translational Science Institute, University of Pittsburgh, Pittsburgh</wicri:cityArea></affiliation><affiliation wicri:level="3"><country>États-Unis</country><placeName><settlement type="city">Pittsburgh</settlement><region type="state">Pennsylvanie</region></placeName><wicri:orgArea>Division of General Internal Medicine, Department of Medicine, University of Pittsburgh, Pennsylvania</wicri:orgArea></affiliation></author><author><name sortKey="Spallek, Heiko" sort="Spallek, Heiko" uniqKey="Spallek H" first="Heiko" last="Spallek">Heiko Spallek</name><affiliation wicri:level="3"><country>États-Unis</country><placeName><settlement type="city">Pittsburgh</settlement><region type="state">Pennsylvanie</region></placeName><wicri:orgArea>Department of Dental Public Health, School of Dental Medicine, University of Pittsburgh, Pennsylvania</wicri:orgArea></affiliation></author><author><name sortKey="Karp, Jordan F" sort="Karp, Jordan F" uniqKey="Karp J" first="Jordan F." last="Karp">Jordan F. Karp</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>Department of Psychiatry, University of Pittsburgh, Pittsburgh</wicri:cityArea></affiliation><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>Department of Anesthesiology, University of Pittsburgh, Pittsburgh</wicri:cityArea></affiliation><affiliation wicri:level="3"><country>États-Unis</country><placeName><settlement type="city">Pittsburgh</settlement><region type="state">Pennsylvanie</region></placeName><wicri:orgArea>Clinical and Translational Science Institute, University of Pittsburgh, Pennsylvania</wicri:orgArea></affiliation></author><author><name sortKey="Schneider, Michael" sort="Schneider, Michael" uniqKey="Schneider M" first="Michael" last="Schneider">Michael Schneider</name><affiliation wicri:level="3"><country>États-Unis</country><placeName><settlement type="city">Pittsburgh</settlement><region type="state">Pennsylvanie</region></placeName><wicri:orgArea>School of Health and Rehabilitation Sciences, University of Pittsburgh, Pennsylvania</wicri:orgArea></affiliation></author><author><name sortKey="Washburn, Carol" sort="Washburn, Carol" uniqKey="Washburn C" first="Carol" last="Washburn">Carol Washburn</name><affiliation wicri:level="3"><country>États-Unis</country><placeName><settlement type="city">Pittsburgh</settlement><region type="state">Pennsylvanie</region></placeName><wicri:orgArea>Center for Instructional Development and Distance Education, University of Pittsburgh, Pennsylvania</wicri:orgArea></affiliation></author><author><name sortKey="Dziabiak, Michael P" sort="Dziabiak, Michael P" uniqKey="Dziabiak M" first="Michael P." last="Dziabiak">Michael P. Dziabiak</name><affiliation wicri:level="3"><country>États-Unis</country><placeName><settlement type="city">Pittsburgh</settlement><region type="state">Pennsylvanie</region></placeName><wicri:orgArea>Division of General Internal Medicine, Department of Medicine, University of Pittsburgh, Pennsylvania</wicri:orgArea></affiliation></author><author><name sortKey="Hennon, John G" sort="Hennon, John G" uniqKey="Hennon J" first="John G." last="Hennon">John G. Hennon</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>Geriatric Research, Education and Clinical Center, Veterans Affairs Pittsburgh Healthcare System, Pittsburgh</wicri:cityArea></affiliation><affiliation wicri:level="3"><country>États-Unis</country><placeName><settlement type="city">Pittsburgh</settlement><region type="state">Pennsylvanie</region></placeName><wicri:orgArea>University Center for Social and Urban Research, University of Pittsburgh, Pennsylvania</wicri:orgArea></affiliation></author><author><name sortKey="Elnicki, D Michael" sort="Elnicki, D Michael" uniqKey="Elnicki D" first="D. Michael" last="Elnicki">D. Michael Elnicki</name><affiliation wicri:level="3"><country>États-Unis</country><placeName><settlement type="city">Pittsburgh</settlement><region type="state">Pennsylvanie</region></placeName><wicri:orgArea>Division of General Internal Medicine, Department of Medicine, University of Pittsburgh, Pennsylvania</wicri:orgArea></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Journal of the American Geriatrics Society</title><title level="j" type="alt">JOURNAL OF THE AMERICAN GERIATRICS SOCIETY</title><idno type="ISSN">0002-8614</idno><idno type="eISSN">1532-5415</idno><imprint><biblScope unit="vol">62</biblScope><biblScope unit="issue">6</biblScope><biblScope unit="page" from="1161">1161</biblScope><biblScope unit="page" to="1167">1167</biblScope><biblScope unit="page-count">7</biblScope><date type="published" when="2014-06">2014-06</date></imprint><idno type="ISSN">0002-8614</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0002-8614</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Academic achievement</term><term>Aged</term><term>Chronic</term><term>Chronic Pain (diagnosis)</term><term>Clinical Competence</term><term>Clinical investigation</term><term>Clinical performance</term><term>Computer aid</term><term>E-learning</term><term>Education, Medical (methods)</term><term>Elderly</term><term>Geriatrics</term><term>Gerontology</term><term>Humans</term><term>Internet</term><term>Low Back Pain (diagnosis)</term><term>Low back pain</term><term>Lumbar spine</term><term>Medicine</term><term>Objective</term><term>Occupational training</term><term>Pain</term><term>Physical Examination (standards)</term><term>Resident (student)</term><term>Students, Medical</term><term>Surveys and Questionnaires</term><term>Teaching</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Compétence clinique</term><term>Douleur chronique (diagnostic)</term><term>Enquêtes et questionnaires</term><term>Enseignement médical ()</term><term>Examen physique (normes)</term><term>Humains</term><term>Internet</term><term>Lombalgie (diagnostic)</term><term>Sujet âgé</term><term>Étudiant médecine</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Chronic Pain</term><term>Low Back Pain</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Douleur chronique</term><term>Lombalgie</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Education, Medical</term></keywords><keywords scheme="MESH" qualifier="normes" xml:lang="fr"><term>Examen physique</term></keywords><keywords scheme="MESH" qualifier="standards" xml:lang="en"><term>Physical Examination</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Clinical Competence</term><term>Humans</term><term>Internet</term><term>Students, Medical</term><term>Surveys and Questionnaires</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Compétence clinique</term><term>Enquêtes et questionnaires</term><term>Enseignement médical</term><term>Humains</term><term>Internet</term><term>Sujet âgé</term><term>Étudiant médecine</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Assistance ordinateur</term><term>Chronique</term><term>Douleur</term><term>E-learning</term><term>Enseignement</term><term>Etudiant en médecine</term><term>Exploration clinique</term><term>Formation professionnelle</term><term>Gériatrie</term><term>Gérontologie</term><term>Interne (étudiant)</term><term>Lombalgie</term><term>Médecine</term><term>Objectif</term><term>Performance clinique</term><term>Personne âgée</term><term>Rachis lombaire</term><term>Réussite scolaire</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Enseignement</term><term>Formation professionnelle</term><term>Gérontologie</term><term>Médecine</term><term>Personne âgée</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract">The Institute of Medicine has highlighted the urgent need to close undergraduate and graduate educational gaps in treating pain. Chronic low back pain (CLBP) is one of the most common pain conditions, and older adults are particularly vulnerable to potential morbidities associated with misinformed treatment. An e‐learning case‐based interactive module was developed at the University of Pittsburgh Center of Excellence in Pain Education, one of 12 National Institutes of Health–designated centers, to teach students important principles for evaluating and managing CLBP in older adults. A team of six experts in education, information technology, pain management, and geriatrics developed the module. Teaching focused on common errors, interactivity, and expert modeling and feedback. The module mimicked a patient encounter using a standardized patient (the older adult with CLBP) and a pain expert (the patient provider). Twenty‐eight medical students were not exposed to the module (Group 1) and 27 were exposed (Group 2). Their clinical skills in evaluating CLBP were assessed using an objective structured clinical examination (OSCE). Mean scores were 62.0 ± 8.6 for Group 1 and 79.5 ± 10.4 for Group 2 (P < .001). Using an OSCE pass–fail cutoff score of 60%, 17 of 28 Group 1 students (60.7%) and 26 of 27 Group 2 students (96.3%) passed. The CLBP OSCE was one of 10 OSCE stations in which students were tested at the end of a Combined Ambulatory Medicine and Pediatrics Clerkship. There were no between‐group differences in performance on eight of the other nine OSCE stations. This module significantly improved medical student clinical skills in evaluating CLBP. Additional research is needed to ascertain the effect of e‐learning modules on more‐advanced learners and on improving the care of older adults with CLBP.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Pennsylvanie</li></region><settlement><li>Pittsburgh</li></settlement></list><tree><country name="États-Unis"><region name="Pennsylvanie"><name sortKey="Weiner, Debra K" sort="Weiner, Debra K" uniqKey="Weiner D" first="Debra K." last="Weiner">Debra K. Weiner</name></region><name sortKey="Dziabiak, Michael P" sort="Dziabiak, Michael P" uniqKey="Dziabiak M" first="Michael P." last="Dziabiak">Michael P. Dziabiak</name><name sortKey="Elnicki, D Michael" sort="Elnicki, D Michael" uniqKey="Elnicki D" first="D. Michael" last="Elnicki">D. Michael Elnicki</name><name sortKey="Hennon, John G" sort="Hennon, John G" uniqKey="Hennon J" first="John G." last="Hennon">John G. Hennon</name><name sortKey="Hennon, John G" sort="Hennon, John G" uniqKey="Hennon J" first="John G." last="Hennon">John G. Hennon</name><name sortKey="Karp, Jordan F" sort="Karp, Jordan F" uniqKey="Karp J" first="Jordan F." last="Karp">Jordan F. Karp</name><name sortKey="Karp, Jordan F" sort="Karp, Jordan F" uniqKey="Karp J" first="Jordan F." last="Karp">Jordan F. Karp</name><name sortKey="Karp, Jordan F" sort="Karp, Jordan F" uniqKey="Karp J" first="Jordan F." last="Karp">Jordan F. Karp</name><name sortKey="Morone, Natalia E" sort="Morone, Natalia E" uniqKey="Morone N" first="Natalia E." last="Morone">Natalia E. Morone</name><name sortKey="Morone, Natalia E" sort="Morone, Natalia E" uniqKey="Morone N" first="Natalia E." last="Morone">Natalia E. Morone</name><name sortKey="Morone, Natalia E" sort="Morone, Natalia E" uniqKey="Morone N" first="Natalia E." last="Morone">Natalia E. Morone</name><name sortKey="Schneider, Michael" sort="Schneider, Michael" uniqKey="Schneider M" first="Michael" last="Schneider">Michael Schneider</name><name sortKey="Spallek, Heiko" sort="Spallek, Heiko" uniqKey="Spallek H" first="Heiko" last="Spallek">Heiko Spallek</name><name sortKey="Washburn, Carol" sort="Washburn, Carol" uniqKey="Washburn C" first="Carol" last="Washburn">Carol Washburn</name><name sortKey="Weiner, Debra K" sort="Weiner, Debra K" uniqKey="Weiner D" first="Debra K." last="Weiner">Debra K. Weiner</name><name sortKey="Weiner, Debra K" sort="Weiner, Debra K" uniqKey="Weiner D" first="Debra K." last="Weiner">Debra K. Weiner</name><name sortKey="Weiner, Debra K" sort="Weiner, Debra K" uniqKey="Weiner D" first="Debra K." last="Weiner">Debra K. Weiner</name><name sortKey="Weiner, Debra K" sort="Weiner, Debra K" uniqKey="Weiner D" first="Debra K." last="Weiner">Debra K. Weiner</name><name sortKey="Weiner, Debra K" sort="Weiner, Debra K" uniqKey="Weiner D" first="Debra K." last="Weiner">Debra K. Weiner</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Amérique/explor/PittsburghV1/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 004988 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 004988 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Amérique
|area= PittsburghV1
|flux= Main
|étape= Exploration
|type= RBID
|clé= ISTEX:1465850107D233A8015121CE99C35E3B12F10274
|texte= E‐Learning Module on Chronic Low Back Pain in Older Adults: Evidence of Effect on Medical Student Objective Structured Clinical Examination Performance
}}
| This area was generated with Dilib version V0.6.38. |  |