Fritz Dieter, Hu Amanda, Wilson Tim, Ladak Hanif, Haase Peter, Fung Kevin
Department of Otolaryngology-Head and Neck Surgery, University of Western Ontario, London, Canada.
Arch Otolaryngol Head Neck Surg. 2011 Jun;137(6):598-603. doi: 10.1001/archoto.2011.76.
To determine the long-term retention of a 3-dimentional (3-D) educational computer model of the larynx to teach laryngeal anatomy and to compare it with standard written instruction (SWI).
Prospective randomized controlled trial.
University education program.
One hundred health care students.
For short-term assessment, 50 students were randomized to the 3-D model and 50 to SWI and were tested using a 20-question laryngeal test. Six months later, the same students were invited to retake the laryngeal anatomy test to examine long-term retention.
The score on a 20-item Web-based test that assessed the students' level of knowledge of laryngeal anatomy approximately 6 months after their initial exposure to the laryngeal anatomy teaching intervention.
Sixty-two students retook the test: 3-D (n = 30) and SWI (n = 32). No significant difference was noted in mean scores (P = .54) and change in scores (P = .59) between short- and long-term retention on the laryngeal anatomy test. There was a trend toward an increase in 3-D scores in both groups (P = .07) and a significant increase in 3-D scores in the 3-D group only (P = .049).
A low-fidelity model (SWI) is just as effective as a high-fidelity model (3-D) in teaching laryngeal anatomy. The acquired knowledge from either educational intervention may last up to 6 months for long-term retention. This study is one of the few in medical education to examine long-term retention.
确定用于教授喉解剖结构的三维(3-D)教育计算机模型的长期记忆效果,并将其与标准书面指导(SWI)进行比较。
前瞻性随机对照试验。
大学教育项目。
100名医护专业学生。
在短期评估中,50名学生被随机分配到3-D模型组,50名学生被分配到SWI组,并使用一份包含20道题的喉部测试进行测试。6个月后,邀请相同的学生重新进行喉部解剖测试以检查长期记忆效果。
在初次接触喉部解剖教学干预约6个月后,通过一份基于网络的20项测试的得分来评估学生对喉部解剖知识的掌握程度。
62名学生重新参加了测试:3-D模型组(n = 30)和SWI组(n = 32)。在喉部解剖测试的短期和长期记忆效果方面,平均得分(P = 0.54)和得分变化(P = 0.59)均无显著差异。两组的3-D模型得分均有上升趋势(P = 0.07),仅3-D模型组的得分有显著上升(P = 0.049)。
在教授喉解剖结构方面,低逼真度模型(SWI)与高逼真度模型(3-D)同样有效。从任何一种教育干预中获得的知识在长期记忆中可持续长达6个月。本研究是医学教育中少数几项考察长期记忆效果的研究之一。