Peer learning, lectures and online learning--putting it all together.

Introduction: This paper evaluates usage of discussion forums forming part of an integrated online learning environment that supplements a face to face general practice registrar training program.

Method: Basic general practice registrars were given training in the use of the online learning environment, which was explicitly linked to their other educational activities. A group of advanced registrars was given access to the online environment without any formal training or support and without specific curriculum linkage. Usage data were in the form of quantitative analysis of site logs, posts to discussion forums before and after a website redesign, and qualitative feedback from focus groups.

Results: The majority of basic registrars accessed forums to read messages. Only one third posted messages. The number of registrars to access forums was similar before and after site redesign. Log data indicated greater exploration of resources in the redesigned environment. The group of advanced registrars used the online resources significantly less than the basic registrars.

Discussion: These data underscore the importance of linking curriculum to online learning resources, and of providing adequate information technology training and support.