在线学习在提高初级医疗学员心电图解读技能的有效性:混合方法观察性研究
Amr Elkammash1, Mian W Ahmed2, Mustafa Alsinan3
1Cardiology, Cambridge University Hospitals NHS Foundation Trust, Cambridge, GBR.
Cureus
|August 24, 2023
概括
随着COVID-19的流行,初级医生的心电图 (ECG) 解释能力受到影响. 在线案例解决问题的会议比讲座更有效地提高了信心,并减少了ECG阅读的感知困难.
科学领域:
- 医学教育 医学教育
- 心脏病学 心脏病学
- 数字健康数字健康
背景情况:
- 随着COVID-19的流行,传统的医学教育受到破坏,这限制了新任医生的临床技能培训,特别是心电图 (ECG) 解释.
- 这导致人们越来越依赖虚拟学习环境和在线教育模块来发展医疗技能.
研究的目的:
- 评估大流行对实习医生的信心的影响以及对独立ECG解释的感知困难.
- 评估两种不同的在线学习模式 - - 讲座和案例解决网络研讨会 - - 在提高心电图解释技能的有效性.
主要方法:
- 一个混合方法的观察性研究,包括三个阶段:初始横截面评估,在线讲座的队列研究和在线基于案例的讨论的队列研究.
- 结果,包括ECG解释的信心和感知困难,使用1到10的利克尔特尺度进行了测量.
主要成果:
- 最初,100%的受训者报告说在独立ECG解释方面存在重大困难 (得分≥6) 和76.5%缺乏信心 (得分≤6).
- 在线讲座使平均信心提高了1.9分,感知难度降低了2.7分 (p<0.02).
- 与基于讲座的在线学习相比,在线案例解决问题课程在信心和感知困难方面取得了卓越的改善 (p=0.011).
结论:
- COVID-19 流行病对初级医学学员的心电图解读能力产生了不利影响.
- 在线医学教育,特别是交互式案例问题解决,是提高学员对心电图解释的信心和能力的有效策略.
- 基于案例的在线学习方法比教学讲座更有利于提高医疗学员的ECG解释技能.
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