Effect of E-Learning on appropriate antibiotic prescribing by medical students: A quasi-experimental study during COVID-19 pandemic

Narjes Sayyadi-Rahaghi, Hamidreza Banafsheh, R. Abbasi, F. Jeddi, Ehsan Nabovati
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Abstract

Aims: This study aimed to determine the effect of E-learning on the understanding of appropriate antibiotic prescribing (AAP) by medical students and to assess their satisfaction with this method. Materials and Methods: This quasi-experimental study was conducted among the physiopathology students of Kashan University of Medical Sciences in the first and second semesters of 2020–2021. Students were divided into E-learning education as an intervention group (IG) and face-to-face education as a control group (CG). After the final examination, the mean scores of students in both groups were compared. In addition, the level of students' satisfaction in the IG with E-learning method was assessed using a standard questionnaire. Data were analyzed using SPSS 22. Results: We included 85 and 47 students in the CG and IG. The mean and standard deviation (SD) of the understanding score about antibiotics in the E-learning group and the face-to-face education group were 18.8 ± 1.26 and 17.16 ± 1.93 out of 19, respectively, which were statistically significantly different (P = 0.004). The mean and SD of the overall score of satisfaction of the students in the IG was 85.48 ± 23.08 out of 130 points (medium level). Furthermore, the level of satisfaction of male students was significantly higher than female students (P = 0.009). Conclusion: E-learning was effective in improving the process of educating students to the AAP. This education method can be used as an alternative or complementary of face-to-face education, especially in critical conditions such as the pandemic of diseases including COVID-19.
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电子学习对医学生合理处方抗生素的影响:新冠肺炎大流行期间的准实验研究
目的:本研究旨在了解电子学习对医学生抗生素合理处方(AAP)认识的影响,并评估其满意度。材料与方法:本准实验研究在2020-2021年第一学期和第二学期卡山医科大学生理病理学专业的学生中进行。学生被分为E-learning教育作为干预组(IG)和面对面教育作为对照组(CG)。期末考试结束后,比较两组学生的平均成绩。此外,使用标准问卷评估了学生对电子学习方法的满意度。数据采用SPSS 22进行分析。结果:实验组85例,实验组47例。E-learning组与面授组抗菌药物理解评分的均值和标准差(SD)分别为18.8±1.26和17.16±1.93(满分19分),差异有统计学意义(P = 0.004)。学生整体满意度的平均分和标准差为85.48±23.08分(满分130分,中等水平)。此外,男学生的满意度显著高于女学生(P = 0.009)。结论:E-learning能有效地改善学生对AAP的教育过程。这种教育方法可以作为面对面教育的替代或补充,特别是在COVID-19等疾病大流行等危急情况下。
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