instructional design, delivery, and evaluation of interactive case-based e-cme contents

Background and purpose: studies have shown the advantages of e-cme programs. developing case-based e-cme activities, which is a popular format of e-cme programs, is difficult and time-consuming. in this article, we have discussed our experience in designing instructional system for creating case-based e-cme contents. methods: we designed the instructional system in five steps (i.e., system analysis, design, development, delivery, and evaluation) to create e-contents. we held several sessions with subject experts to analyze the system. then, we determined the contents’ framework and created a plan for faculty members’ development and incentives. in the development phase, we held workshops for faculty members and trained e-learning advisors who were to help faculties create contents. incentives were legitimized. then, we delivered programs to the learners who would fill a program evaluation questionnaire after completing the study of each program. results: a total of 20 e-cme programs were developed and delivered to the learners and a total of 3644 learner-programs were studied. the cases rated the programs as 4.56 (sd=0.65) on a 1–5 likert-type scale. conclusions: results showed that the learners rated this learning activity highly. however, we faced some challenges in developing the contents. in future, designing a comprehensive instructional system would help overcome these barriers.