McCarthy David, O'Gorman Ciaran, Gormley Gerard
Centre for Medical Education, Queen's University Belfast, Whitla Medical Building, 97 Lisburn Road, Belfast BT9 7BL.
Dept. of General Practice, Queen's University Belfast, Dunluce Health Centre, 1 Dunluce Avenue, Belfast BT9 7HR.
Ulster Med J. 2015 Oct;84(3):173-8.
The use and integration of Technology Enhanced Learning (TEL) resources in medical education has attracted considerable commentary and support. "Virtual Patients" are one such resource. Whilst evidence exists supporting the benefits of these resources, there has not been specific consideration of their implications for teaching microbiology; nor attention paid to both the internal and external factors that influence learner engagement with virtual patients. The principle aims of this study are to identify factors that explicitly and implicitly influence the student's interaction with a microbiology virtual patient resource and how these interactions reflect upon the use of the resource.
A mixed method quantitative (online questionnaire; n=161) and qualitative (student focus groups; N=11) study was undertaken amongst third year medical students enrolled at Queen's University Belfast in the academic year 2012-2013.
The results supported prior evidence that virtual patients are a useful learning tool (mean score of 5.09 out of 7) that helped them to integrate microbiology principles with clinical experiences. How students used the virtual patients and the depth of the subsequent benefits was dependent upon their perception of the importance of the resource. This was influenced by a number of factors including how the resources were presented and positioned within the curriculum, whether they were formally examined or timetabled and the importance attributed by peers who had already completed the examinations.
Integration of virtual patients into the microbiology curriculum is widely endorsed and may even be considered superior to other methods of teaching. How students use these resources is dependent upon a positive perception of their importance. Educators should be aware of the factors that shape this perception when integrating TEL resources into curricula.
技术增强学习(TEL)资源在医学教育中的应用与整合已引发了大量的评论与支持。“虚拟患者”就是这样一种资源。尽管有证据支持这些资源的益处,但尚未专门考虑它们对微生物学教学的影响;也未关注影响学习者与虚拟患者互动的内部和外部因素。本研究的主要目的是确定明确和隐含地影响学生与微生物学虚拟患者资源互动的因素,以及这些互动如何反映该资源的使用情况。
对2012 - 2013学年在贝尔法斯特女王大学就读的三年级医学生进行了一项混合方法研究,包括定量研究(在线问卷;n = 161)和定性研究(学生焦点小组;N = 11)。
结果支持了先前的证据,即虚拟患者是一种有用的学习工具(平均得分7分中的5.09分),有助于他们将微生物学原理与临床经验相结合。学生使用虚拟患者的方式以及随后受益的程度取决于他们对该资源重要性的认知。这受到多种因素的影响,包括资源在课程中的呈现方式和位置、是否进行正式考核或安排时间以及已完成考核的同伴所赋予的重要性。
将虚拟患者整合到微生物学课程中得到广泛认可,甚至可能被认为优于其他教学方法。学生使用这些资源的方式取决于对其重要性的积极认知。教育工作者在将TEL资源整合到课程中时应意识到塑造这种认知的因素。