1. Date of download: 6/22/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Taking a Fresh Look at the Skull Base in Otorhinolaryngology With Web-Based Simulation: Student’s Interactive Skull-Base Trainer (SISTer) JAMA Otolaryngol Head Neck Surg. 2015;141(2):154-159. doi:10.1001/jamaoto.2014.3041 Examples of Screen CardsScreenshot of 2 typical screen cards. A, Dichotomous composition of text and multimedia content. B, Multiple-choice question. Figure Legend:

2. Date of download: 6/22/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Taking a Fresh Look at the Skull Base in Otorhinolaryngology With Web-Based Simulation: Student’s Interactive Skull-Base Trainer (SISTer) JAMA Otolaryngol Head Neck Surg. 2015;141(2):154-159. doi:10.1001/jamaoto.2014.3041 Motivation of Students to Work With SISTerResults of a multiple-selection question in percentages of 48 users (multiple answers possible). “Relevance for examination” was stated as one point of motivation to work with the e-learning application by almost all of the users, followed by “curiosity” and “advantages of e-learning.” ORL indicates otorhinolaryngology. Figure Legend:

3. Date of download: 6/22/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Taking a Fresh Look at the Skull Base in Otorhinolaryngology With Web-Based Simulation: Student’s Interactive Skull-Base Trainer (SISTer) JAMA Otolaryngol Head Neck Surg. 2015;141(2):154-159. doi:10.1001/jamaoto.2014.3041 Self-assessment of Analytical and Clinical Problem-Solving Skills for 48 UsersResults of evaluation in percentages for analytical and problem-solving skills by means of multiple-choice questions. More than 80% of the learners rated the program as beneficial. Figure Legend:

4. Date of download: 6/22/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Taking a Fresh Look at the Skull Base in Otorhinolaryngology With Web-Based Simulation: Student’s Interactive Skull-Base Trainer (SISTer) JAMA Otolaryngol Head Neck Surg. 2015;141(2):154-159. doi:10.1001/jamaoto.2014.3041 Acceptance of e-Learning and Specific Interest in the Subject for 48 UsersAnswers of multiple-choice questions. There was a request for more e-learning, and the skull base was noted as particularly suitable as a subject by about three-quarters of the students. Figure Legend:

5. Date of download: 6/22/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Taking a Fresh Look at the Skull Base in Otorhinolaryngology With Web-Based Simulation: Student’s Interactive Skull-Base Trainer (SISTer) JAMA Otolaryngol Head Neck Surg. 2015;141(2):154-159. doi:10.1001/jamaoto.2014.3041 Assessment of Individual Cross-Linking of LearningForty-eight users were asked multiple-choice questions on integration of the e- learning application into the existing curriculum. About 80% stated that the online contents complemented the lecture well and facilitated comprehension of the formerly unknown contents. Figure Legend: