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Computer-assisted teaching of epistaxis management: a Randomized Controlled Trial
Jordan T Glicksman1, Michael G Brandt, Roger V Moukarbel
1Department of Otolaryngology, Schulich School of Medicine and Dentistry, University of Western Ontario, London, Ontario, Canada.
Computer-assisted learning (CAL) significantly improved medical students' technical skills in nasal packing compared to traditional text-based methods. Most students preferred CAL for procedural knowledge acquisition.
Area of Science:
- Medical Education
- Surgical Skills Training
Background:
- Effective instruction of technical skills is crucial for novice medical trainees.
- Traditional text-based learning may not be optimal for procedural skill acquisition.
Purpose of the Study:
- To evaluate the efficacy of computer-assisted learning (CAL) versus text-based instruction for teaching nasal packing techniques.
- To compare student preference for CAL versus text-based learning modules.
Main Methods:
- A prospective, blinded, randomized-controlled trial involving 47 first-year medical students.
- Students were randomized to receive instruction on nasal packing via CAL or text-based articles.
- Skill assessment used standardized subjective and objective measures, evaluated by blinded otolaryngologists before and after instruction.
Main Results:
- Both groups showed improved nasal packing skills post-training.
- CAL learners demonstrated significantly greater improvement in overall skill and checklist performance for both techniques (P < .001).
- 94.6% of students preferred CAL over text-based learning materials.
Conclusions:
- Computer-assisted learning (CAL) is a more effective method for teaching technical procedural skills to novice medical trainees than traditional text-based instruction.
- CAL leads to superior objective and subjective skill improvements.
- Student preference strongly favors CAL for acquiring procedural knowledge.
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