The recent article describing multimedia computer-assisted instruction (MCAI) in cardiology represents the future of medical education in many ways.1 However, the article leaves the impression that the implementation of MCAI is only possible with funding that is well beyond the reach of the average clinician-teacher. The description by Waugh et al1 should be complemented with descriptions of less expensive, equally effective demonstrations of MCAI. We use MCAI regularly in two different domains of academic medicine: ambulatory adult medicine and pediatric oncology.
Our efforts in a community health center offer insight into the assistance of such technology in a primary care setting. A video camera is used to capture short quick-time movie clips of important physical findings, which are then easily and quickly transferred to video-editing software. A written case history of clinical dilemma along with video footage can be assembled in literally minutes. A small library of clinical