第一人称视角直播法与面对面教学法在提高外科实习学生伤口缝合技能方面的客观比较:随机对照试验。

IF 3.2 Q1 EDUCATION, SCIENTIFIC DISCIPLINES JMIR Medical Education Pub Date : 2024-08-30 DOI:10.2196/52631
Freda Halim, Allen Widysanto, Petra Octavian Perdana Wahjoepramono, Valeska Siulinda Candrawinata, Andi Setiawan Budihardja, Andry Irawan, Taufik Sudirman, Natalia Christina, Heru Sutanto Koerniawan, Jephtah Furano Lumban Tobing, Veli Sungono, Mona Marlina, Eka Julianta Wahjoepramono
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引用次数: 0

摘要

背景:利用数字化网络教学媒体提高医学生的外科手术技能是不可或缺的,但客观上仍未得到广泛探讨。第一人称视角的在线教学方法可能更有效,因为它能为外科实习学生实现基本外科技能提供更多的真实感:本研究旨在客观评估使用 GoPro 摄像机的第一人称视角直播(LS)教学法与标准面对面(FTF)教学法相比,在提高外科实习学生简单伤口缝合技能方面的效果:进行了一项前瞻性、平行、非盲、单中心、随机对照试验。在2023年1月至4月期间,随机抽取并招募了民望大学外科系的实习学生,采用LS或FTF教学法学习简单的间断缝合技能。所有学员在培训前和培训一周后都接受了客观评估,评估方法为直接观察手术技能(DOPS)法。对 DOPS 结果和学习后的调查问卷进行了分析:本研究共纳入了 74 名学生,每组 37 人(50%)。对每位学员实验前和实验后的 DOPS 分数进行配对分析后发现,LS 法与 FTF 法在提高学员手术技能方面的效果相当(LS:平均 27.5,SD 20.6 vs FTF:平均 24.4,SD 16.7;P=.48):第一人称视角 LS 培训课程可提高学生掌握简单手术技能(如简单伤口缝合)的能力,其效果与当前的 FTF 教学方法相当。使用LS方法教授一项实用技能也能让学员更有信心独立完成手术。LS 教学法的其他优势,如可以在无菌环境外进行学习,也很有前景。我们建议,在使用 LS 教学法之前,应提高摄像头的视听质量,并确保稳定的网络连接。
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Objective Comparison of the First-Person-View Live Streaming Method Versus Face-to-Face Teaching Method in Improving Wound Suturing Skills for Skin Closure in Surgical Clerkship Students: Randomized Controlled Trial.

Background: The use of digital online teaching media in improving the surgical skills of medical students is indispensable, yet it is still not widely explored objectively. The first-person-view online teaching method may be more effective as it provides more realism to surgical clerkship students in achieving basic surgical skills.

Objective: This study aims to objectively assess the effectiveness of the first-person-view live streaming (LS) method using a GoPro camera compared to the standard face-to-face (FTF) teaching method in improving simple wound suturing skills in surgical clerkship students.

Methods: A prospective, parallel, nonblinded, single-center, randomized controlled trial was performed. Between January and April 2023, clerkship students of the Department of Surgery, Pelita Harapan University, were randomly selected and recruited into either the LS or FTF teaching method for simple interrupted suturing skills. All the participants were assessed objectively before and 1 week after training, using the direct observational procedural skills (DOPS) method. DOPS results and poststudy questionnaires were analyzed.

Results: A total of 74 students were included in this study, with 37 (50%) participants in each group. Paired analysis of each participant's pre-experiment and postexperiment DOPS scores revealed that the LS method's outcome is comparable to the FTF method's outcome (LS: mean 27.5, SD 20.6 vs FTF: mean 24.4, SD 16.7; P=.48) in improving the students' surgical skills.

Conclusions: First-person-view LS training sessions could enhance students' ability to master simple procedural skills such as simple wound suturing and has comparable results to the current FTF teaching method. Teaching a practical skill using the LS method also gives more confidence for the participants to perform the procedure independently. Other advantages of the LS method, such as the ability to study from outside the sterile environment, are also promising. We recommend improvements in the audiovisual quality of the camera and a stable internet connection before performing the LS teaching method.

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来源期刊
JMIR Medical Education
JMIR Medical Education Social Sciences-Education
CiteScore
6.90
自引率
5.60%
发文量
54
审稿时长
8 weeks
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