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在线课程对医学生开具平衡膳食处方能力的影响:一项非劣效性试验。

Efficacy of an online course in developing competency for prescribing balanced diet by medical students: A non - inferiority trial.

机构信息

Additional Professor, Department of Community Medicine, Government Medical College, Kollam, Kerala, India.

Scientist E, Centre for Development of Advanced Computing, Thiruvananthapuram, Kerala, India.

出版信息

Indian J Public Health. 2021 Jan-Mar;65(1):51-56. doi: 10.4103/ijph.IJPH_1248_20.

Abstract

BACKGROUND

In the COVID era, medical education has been hit hard. Paradoxically, the need for health professionals has increased. Online methods are being widely used, but its efficacy is rarely measured.

OBJECTIVES

This study was conducted to find the efficacy of an online course in developing competency among medical students to prescribe balanced diet.

METHODS

An online module was hosted at https://drzinia.moodlecloud.com/. A noninferiority trial was conducted among voluntary participants of the third MBBS students, in 2019. Stratified block randomization was done, so that ten students were allocated to the intervention arm of online sessions and ten students were allocated to the control arm of classroom sessions. Pretest assessments, seven assessments related to sessions conducted, and a postassessment were done. Generalized estimating equations were done to adjust for the effects of other confounders and see whether the intervention was a significant determinant of ability to prescribe balanced diet.

RESULTS

Baseline variables were comparable in the two groups. The pretest scores were not significantly different in the two groups. The mean total marks scored by the online group (47.33/70) was not significantly different (t=0.68; p=0.50) from that of the class room group (45.70/70). The posttest scores were significantly higher than the pretest scores. Ninety-percent of students in the online course agreed that they could effectively learn through an online course.

CONCLUSION

Online teaching is effective to learn the prescription of balanced diet. Similar efforts in other domains can make medical education evidence based in the current scenario.

摘要

背景

在新冠疫情时代,医学教育受到了严重冲击。但具有讽刺意味的是,对卫生专业人员的需求却增加了。在线方法被广泛应用,但在线教学的效果却鲜少被评估。

目的

本研究旨在评估在线课程在培养医学生开具平衡膳食处方能力方面的效果。

方法

在 2019 年,我们在 https://drzinia.moodlecloud.com/ 上托管了一个在线模块。我们在自愿参加的三年级医学生中开展了一项非劣效性试验。采用分层区组随机化,将 10 名学生分配到在线课程干预组,10 名学生分配到课堂课程对照组。进行了预测试评估、与课程相关的七次评估以及后测试评估。使用广义估计方程来调整其他混杂因素的影响,以确定干预是否是开具平衡膳食处方能力的重要决定因素。

结果

两组的基线变量相当。两组的预测试评分无显著差异。在线组的平均总得分(47.33/70)与课堂组(45.70/70)相比没有显著差异(t=0.68;p=0.50)。后测试评分显著高于预测试评分。90%的在线课程学生同意他们可以通过在线课程有效地学习。

结论

在线教学在学习开具平衡膳食处方方面是有效的。在当前情况下,在其他领域进行类似的努力可以使医学教育具有循证依据。

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