All subjects felt that their instructional method improved their understanding and confidence in FHR categorization. Subjects exposed to the Online method preferred this to an in-person lecture. CONCLUSION: The PALM resulted in more accurate and fluent categorization of FHR tracings compared to traditional lecture, and the effect persisted on delayed testing. Following the online PALM intervention, subjects showed comparably greater improvements over the control group whether they had received lectures online or in-person.
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