Gao X, Wong L M, Chow D Y S, Law X J, Ching L Y L
Faculty of Dentistry, The University of Hong Kong, Hong Kong.
Eur J Dent Educ. 2015 Feb;19(1):38-43. doi: 10.1111/eje.12099. Epub 2014 Apr 28.
Acquiring competency in performing clinical procedures is central to professional education of healthcare providers. Internet visual resources (IVR), defined as visual materials openly accessible on public websites, provides a new channel to learn clinical procedures. This qualitative study aimed to profile the experience and opinions of undergraduate students (in dentistry, medicine and nursing) in learning clinical procedures through IVR.
From clinical degree programmes (Bachelor of Dental Surgery, Bachelor of Medicine, Bachelor of Surgery, and Bachelor of Nursing) of University of Hong Kong, 31 students were recruited to join six focus group discussions, which were transcribed and subjected to thematic analysis using inductive method, in which themes emerge from data.
Students actively looked for IVRs through various means and used them for pre-clinical preparation, post-clinical revision, learning simple and advanced procedures, exploring alternative and updated techniques, and benchmarking against international peers. IVRs were valued for their visual stimulation, inclusion of a wide variety of real-life cases, convenience in access, user-friendliness and time-saving features. Students tended to share and discuss IVRs with their peers rather than with tutors, even when contents deviated from school teaching or faculty's e-learning materials. When doubts persisted, they chose to follow faculty guidelines for examination purpose. Students were frustrated sometimes by difficulties in judging the scientific quality, lack of immediate interactive discussions and loosely structured presentations in some IVRs. Teachers' attitudes towards IVR appeared to vary greatly.
Despite the wide spectrum of experience and opinions, IVR was generally viewed by undergraduates from across clinical faculties as enhancing their clinical confidence and self-perceived competency, enriching their learning experience and serving as an important supplement to formal learning in the planned curriculum.
获得临床操作能力是医疗保健提供者专业教育的核心。互联网视觉资源(IVR),即公共网站上可公开获取的视觉材料,为学习临床操作提供了新渠道。本定性研究旨在描述本科学生(牙科、医学和护理学专业)通过IVR学习临床操作的体验和看法。
从香港大学的临床学位课程(牙医学士、医学学士、外科学士和护理学学士)中招募了31名学生,参加6次焦点小组讨论,讨论内容被转录,并采用归纳法进行主题分析,即主题从数据中浮现。
学生通过各种方式积极寻找IVR,并将其用于临床前准备、临床后复习、学习简单和高级操作、探索替代和更新技术以及与国际同行进行比较。IVR因其视觉刺激、包含各种实际案例、获取方便、用户友好和节省时间等特点而受到重视。学生倾向于与同龄人分享和讨论IVR,而不是与导师,即使内容与学校教学或教师的电子学习材料不一致。当疑问仍然存在时,他们出于考试目的选择遵循教师的指导方针。有时,学生因难以判断某些IVR的科学质量、缺乏即时互动讨论和结构松散的演示而感到沮丧。教师对IVR的态度似乎差异很大。
尽管经验和看法各不相同,但来自各个临床专业的本科生普遍认为IVR增强了他们的临床信心和自我认知能力,丰富了他们的学习体验,并作为计划课程中正规学习的重要补充。