Nepean Urology Research Group (NURG), Kingswood, NSW, Australia; Faculty of Medicine, University of Newcastle, Callaghan, NSW, Australia.
Nepean Urology Research Group (NURG), Kingswood, NSW, Australia.
J Surg Educ. 2019 Mar-Apr;76(2):440-445. doi: 10.1016/j.jsurg.2018.08.013. Epub 2018 Sep 23.
This study aims to evaluate the effectiveness of portable video media (PVM) compared to standard verbal communication (SVC) as a novel adjunct for surgical education of junior medical officers and medical students, in terms of knowledge acquisition and participant satisfaction.
The effective, continued education of final year medical students and junior doctors is the foundation of quality healthcare. The development of new media technologies and rapid internet streaming has resulted in an opportunity for the integration of PVM into medical education. PVM is an educational platform with the advantage of being standardized, efficient, and readily available.
This is a multicenter, prospective, and randomized controlled crossover study. Participants completed a preintervention knowledge test and were then randomized in an allocation ratio of 1:1 to receive surgical education regarding cystoscopy and ureteric stenting for acute renal colic via either PVM or SVC. A 32-point knowledge test and a modified Client Satisfaction Questionnaire-8 were then administered and the participants were then crossed over to the other educational method. The knowledge and satisfaction tests were then readministered.
Fifty-four participants were recruited for this study with 27 participants in each group. Both groups had a 18% to 20% increase in knowledge scores following the first intervention p < 0.001 and on crossover there was a further 4% increase in knowledge scores, p < 0.01. There was no significant difference between the groups in knowledge scores before intervention, p = 0.23 after first intervention p = 0.74 or following crossover p = 0.09. After first intervention, participants in the group receiving PVM education first had a significant 8% higher satisfaction score compared to the SVC group, p = 0.023.
Our study has shown that PVM shows similar efficacy in information uptake to traditional forms of education. Furthermore, PVM was shown to have higher satisfaction scores compared to SVC. Further studies will need to evaluate the use of PVM for education in other surgical and medical domains and assess the long-term knowledge retention.
本研究旨在评估便携式视频媒体（PVM）与标准口头交流（SVC）作为一种新的辅助手段，在知识获取和参与者满意度方面，对初级医师和医学生进行外科教育的效果。
对住院医师和初级医生进行有效的继续教育是提供高质量医疗保健的基础。新媒体技术的发展和快速的互联网流媒体为将 PVM 融入医学教育提供了机会。PVM 是一种具有标准化、高效和易于获取的教育平台。
这是一项多中心、前瞻性、随机对照交叉研究。参与者完成了一项干预前知识测试，然后按照 1:1 的分配比例随机分为两组，分别通过 PVM 或 SVC 接受关于急性肾绞痛的膀胱镜检查和输尿管支架置入术的外科教育。然后进行 32 分的知识测试和改良的客户满意度问卷-8，然后交叉到另一种教育方法。然后重新进行知识和满意度测试。
本研究共招募了 54 名参与者，每组 27 名。两组在第一次干预后知识得分均增加了 18%至 20%，p<0.001，交叉后知识得分进一步增加了 4%，p<0.01。两组在干预前的知识得分无显著差异，p=0.23；第一次干预后，p=0.74；交叉后，p=0.09。第一次干预后，首先接受 PVM 教育的组的满意度评分比 SVC 组高 8%，p=0.023。
我们的研究表明，PVM 在信息获取方面与传统教育形式具有相似的效果。此外，与 SVC 相比，PVM 的满意度评分更高。需要进一步的研究来评估 PVM 在其他外科和医学领域的教育应用，并评估长期的知识保留。
