Public Company for Health Emergencies (EPES), 21003 Huelva, Spain.
Department of Integrated Didactics, University of Huelva, 21007 Huelva, Spain.
Int J Environ Res Public Health. 2020 Oct 21;17(20):7681. doi: 10.3390/ijerph17207681.
Different studies show that mixed methodology can be effective in medical training. However, there are no conclusive studies in specialist training on advanced life support (ALS). The main objective of this research is to determine if, with mixed didactic methodology, which includes e-learning, similar results are produced to face-to-face training. The method used was quasi-experimental with a focus on efficiency and evaluation at seven months, in which 114 specialist doctors participated and where the analysis of the sociodemographic and pre-test variables points to the homogeneity of the groups. The intervention consisted of e-learning training plus face-to-face workshops versus standard. The results were the performance in knowledge and technical skills in cardiac arrest scenarios, the perceived quality, and the perception of the training. There were no significant differences in immediate or deferred performance. In the degree of satisfaction, a significant difference was obtained in favour of the face-to-face group. The perception in the training itself presented similar results. The main limitations consisted of sample volume, dropping out of the deferred tests, and not evaluating the transfer or the impact. Finally, mixed methodology including e-learning in ALS courses reduced the duration of the face-to-face sessions and allowed a similar performance.
不同的研究表明,混合方法在医学培训中可能是有效的。然而,在高级生命支持(ALS)的专科培训中,没有确凿的研究。本研究的主要目的是确定是否通过包括电子学习在内的混合教学方法,可以产生类似于面对面培训的效果。所使用的方法是准实验性的,重点是在七个月时的效率和评估,共有 114 名专科医生参与,对社会人口统计学和预测试变量的分析表明,这些组是同质的。干预措施包括电子学习培训加面对面研讨会与标准培训。结果是在心脏骤停情况下的知识和技术技能表现、感知质量和对培训的感知。即时或延迟表现没有显著差异。在满意度方面,面对面组获得了显著的优势。培训本身的感知结果相似。主要的局限性包括样本量、延迟测试的退出以及不评估转移或影响。最后,包括电子学习在内的 ALS 课程中的混合方法减少了面对面会议的时间,并允许获得类似的效果。