Facts to Snacks. Evaluating the Effectiveness of Bite-Sized Animations in Teaching Palliative Care to Medical Students.

Kai Lin Megan Chua, Jin Qi Valerie Chan, Laurence Lean Chin Tan, James Alvin Low
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Abstract

Background: Current palliative care training in medical school is inadequate in preparing doctors to provide quality palliative care. Little attention is paid to determining effective methods of training.

Objective: To assess the use of bite-sized animations in improving the confidence, knowledge and attitudes of medical students towards palliative care.

Methods: A mixed methods cohort study was adopted for the study. 50 medical students without prior palliative training completed questionnaires before and after watching a 12-part animated palliative care video series called PowerFacts. Of these participants, 18 underwent semi-structured interviews.

Results: The quantitative results showed that animations are effective in improving the confidence (P < .001) and knowledge (P < .001), but not the attitudes (P = .183) of medical students. Confidence, knowledge and attitudes were not correlated. Analysis of follow-up interviews of a convenience sample of participants showed that animations can be effective in teaching knowledge and does fill some gaps in palliative education for medical undergraduates. However, the content delivered as a sole learning tool is inadequate in preparing medical students for clinical practice.

Conclusion: All participants achieved level 1 (reaction), some achieved level 2 (learning) but most did not achieve level 3 (behaviour) of the Kirkpatrick's model. There is a need for a multimodal approach in the comprehensive teaching of palliative care in undergraduate medical training to achieve all four levels of the Kirkpatrick Model.

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从事实到点心。评估 "一口大小 "的动画片在向医科学生教授姑息治疗时的效果。
背景:目前医学院的姑息关怀培训不足以培养医生提供高质量的姑息关怀服务。人们很少关注如何确定有效的培训方法:方法:采用混合方法进行队列研究:研究采用混合方法队列研究。50 名未接受过姑息关怀培训的医学生在观看由 12 个部分组成的姑息关怀系列动画视频《PowerFacts》前后填写了调查问卷。在这些参与者中,有 18 人接受了半结构化访谈:定量结果显示,动画片能有效提高医学生的信心(P < .001)和知识(P < .001),但不能改善医学生的态度(P = .183)。信心、知识和态度之间没有相关性。对方便抽样的参与者进行的后续访谈分析表明,动画片可以有效地传授知识,确实填补了医学本科生姑息教育的一些空白。然而,作为唯一的学习工具提供的内容不足以帮助医学生为临床实践做好准备:所有参与者都达到了柯克帕特里克模型的第 1 级(反应),一些人达到了第 2 级(学习),但大多数人没有达到第 3 级(行为)。有必要在医学本科生培训中采用多模式的姑息关怀综合教学方法,以达到柯克帕特里克模型的所有四个水平。
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