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Preparing for obstetric anaesthesia-An educational randomised controlled trial comparing e-learning to written course

Mette Legaard Andersson1, Patricia Duch2, Ebbe Lahn Bessmann3

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E-learning significantly improved knowledge in obstetric anaesthesia residents compared to traditional study materials. This randomized controlled trial shows e-learning enhances medical education preparation.

Keywords:
E-learningmedical educationobstetric anaesthesia

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Area of Science:

  • Medical Education
  • Anesthesiology
  • E-learning

Background:

  • E-learning is widely adopted in postgraduate medical education, offering personalized learning and interactive assessments.
  • Existing meta-analyses suggest e-learning's effectiveness is comparable to traditional methods, but study quality varies.
  • This study evaluates e-learning's impact on preparing participants for an obstetric anaesthesia course.

Purpose of the Study:

  • To determine if e-learning modules better prepare obstetric anaesthesia course participants than self-study of written materials.
  • To assess the impact of e-learning on knowledge acquisition, anxiety levels, and simulation performance.

Main Methods:

  • A randomized controlled trial assigned second-year resident anaesthetists to e-learning or written materials for specific topics.
  • The primary outcome was knowledge assessed via multiple-choice questions (0-35 score) post-e-learning and pre-course.
  • Secondary outcomes included pre-simulation anxiety, simulation performance, and knowledge at 4 and 12 weeks post-course.

Main Results:

  • A per-protocol analysis of 45 participants showed a statistically significant knowledge increase with e-learning (mean difference 1.8, p=0.002).
  • The difference favored e-learning over written materials.
  • No significant differences were observed in secondary outcomes (anxiety, simulation performance, delayed knowledge).

Conclusions:

  • This blinded randomized controlled trial demonstrated that e-learning provides a statistically significant, albeit numerically small, knowledge advantage over written materials.
  • E-learning is an effective tool for enhancing preparation in specialized medical training like obstetric anaesthesia.