Farahmand Shervin, Jalili Ebrahim, Arbab Mona, Sedaghat Mojtaba, Shirazi Mandana, Keshmiri Fatemeh, Azizpour Arsalan, Valadkhani Somayeh, Bagheri-Hariri Shahram
Department of Emergency Medicine, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Department of Community Medicine, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Acta Med Iran. 2016 Sep;54(9):600-604.
Distance learning is expanding and replacing the traditional academic medical settings. Managing trauma patients seems to be a prerequisite skill for medical students. This study has been done to evaluate the efficiency of distance learning on performing the initial assessment and management in trauma patients, compared with the traditional learning among senior medical students. One hundred and twenty senior medical students enrolled in this single-blind quasi-experimental study and were equally divided into the experimental (distance learning) and control group (traditional learning). All participants did a written MCQ before the study. The control group attended a workshop with a 50-minute lecture on initial management of trauma patients and a case simulation scenario followed by a hands-on session. On the other hand, the experimental group was given a DVD with a similar 50-minute lecture and a case simulation scenario, and they also attended a hands-on session to practice the skills. Both groups were evaluated by a trauma station in an objective structured clinical examination (OSCE) after a month. The performance in the experimental group was statistically better (P=0.001) in OSCE. Distance learning seems to be an appropriate adjunct to traditional learning.
远程学习正在不断扩展并取代传统的医学学术环境。处理创伤患者似乎是医学生必备的技能。本研究旨在评估与高年级医学生的传统学习相比,远程学习在创伤患者初始评估和处理方面的效率。120名高年级医学生参与了这项单盲准实验研究,并被平均分为实验组(远程学习)和对照组(传统学习)。所有参与者在研究前都进行了书面多项选择题测试。对照组参加了一个工作坊,其中有一场关于创伤患者初始处理的50分钟讲座以及一个病例模拟场景,随后是实操环节。另一方面,实验组被给予一张包含类似50分钟讲座和病例模拟场景的DVD,他们也参加了实操环节来练习技能。一个月后,两组都在客观结构化临床考试(OSCE)中的创伤站接受评估。实验组在OSCE中的表现具有统计学意义上的优势(P = 0.001)。远程学习似乎是传统学习的合适辅助方式。