[Tuebingen Education System (TES)--An interactive case demonstration software].

Background: Presentations based on slides, videos and/or computer presentations are usually sequentially structured, resulting in an inflexible order of the demonstrated information and examination results. However, in (medical) education such a system only inadequately reflects the real physician-patient situation.
Materials and Methods: The software solution presented here is based on the widespread computer programme Microsoft PowerPoint(R) (PPT) which offers an opportunity to present information via text boxes, figures, illustrations, video sequences and/or audio files in an user-friendly way. However, PPT's capabilities of simulating realistic decision processes (e. g. by "interactive keys" and "hyperlinks") are still restricted as far as adapting the order of the information/slides to the individual demand is concerned. The Tuebingen Education System (TES) uses an additional user interface based on Visual Basic. By means of this, every examination result or information can be chosen via five additional pull-up menus in an arbitrary order. Furthermore, the pathway - i. e. the examinations used to arrive at a diagnosis - as well as the costs incurred are documented in parallel and are finally compared to the costs incurred using an optimum pathway.
Results: TES has been used routinely in the education of the students and residents of the University Eye Hospital Tuebingen for three (half-)terms. Meanwhile, an adapted version of TES is used to educate students in the department of paediatric surgery. TES was judged in extensive evaluations of both subjects very positively.
Conclusions: TES is an easy to use tool suitable for lecturers and students, a further step towards realistic, practice-oriented and interactive education.