Simulation vs Video-Assisted Learning on Retentivity of Clinical Competency and Knowledge of Basic Airway Devices in Medical Students: A Preliminary Study

T. Subramaniam, A. H. B. Azizan, L. S. Yan, D. Sivanendran, T. U. Wen, D. R. G. Kirihettige
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Abstract

Introduction: Teaching and learning challenges are common in clinical leaning settings and this research was conducted to determine the effectiveness of learning about simple airway devices using video assistance compared with face-to-face simulated learning.Methodology: A randomized single-blinded comparative study was conducted over 2 months, employing OBA (One Best Answer) and DOPS (Direct Observation of Practical Skills) to evaluate knowledge and practical skills of 20 third-year medical students without prior exposure to airway adjuncts. Assessments were conducted immediately, at 2 weeks and at 8 weeks post-exposure to either a video or simulated activity. Learning style was identified using a VARK questionnaire before the study.Results: Mann -Whitney U test showed that during the third DOPS assessment (U = 17.50, p = 0.011), the simulation group performed better than the video-assisted group with no difference in the first and second assessments. No difference was noted in OBA scores. Friedman test, followed by a Wilcoxon signed-rank test, showed a decrease from the first to the third OBA scores within the video group (Z = -2.038, p = 0.042), and no change in the simulation group. Learning styles did not influence performance. No differences in knowledge were noted between the two groups but knowledge decay was identified within the video-assisted group.Conclusion: No difference in knowledge was identified between the two groups. There was knowledge decay within the video-assisted group. Retention of procedural skills was better for the simulation group. The learning styles of students did not affect the outcome. Video-assisted learning can be useful for simple devices for remote learning and enhance blended learning. Further research with a larger sample size would be beneficial.
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模拟与视频辅助学习对医科学生临床能力和基本气道设备知识的保持力的影响:初步研究
简介:教学和学习方面的挑战在临床学习环境中很常见:本研究旨在确定使用视频辅助学习简单气道装置与面对面模拟学习的效果:这项随机单盲对比研究历时 2 个月,采用 OBA(最佳答案)和 DOPS(实践技能直接观察法)评估 20 名三年级医学生的知识和实践技能,这些学生之前未接触过气道辅助设备。分别在接触视频或模拟活动后的即时、2 周和 8 周进行评估。研究前使用 VARK 问卷确定了学习风格:Mann -Whitney U 检验表明,在第三次 DOPS 评估中(U = 17.50,p = 0.011),模拟组的表现优于视频辅助组,而在第一次和第二次评估中没有差异。OBA 分数没有差异。弗里德曼检验(Friedman test)和威尔科克森符号秩检验(Wilcoxon signed-rank test)显示,视频组的 OBA 分数从第一次到第三次都有所下降(Z = -2.038,p = 0.042),而模拟组则没有变化。学习方式对成绩没有影响。两组学生的知识水平没有差异,但视频辅助组学生的知识水平有所下降:结论:两组学生的知识水平没有差异。结论:两组学生的知识水平没有差异,但视频辅助组学生的知识水平有所下降。模拟组对程序性技能的保留更好。学生的学习风格对结果没有影响。视频辅助学习对于远程学习的简单设备很有用,并能加强混合式学习。进一步开展样本量更大的研究将大有裨益。
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