COVID-19 大流行期间，对五年级医学生进行强化治疗和麻醉学虚拟远程培训的效果：一项横断面研究。

The efficacy of virtual distance training of intensive therapy and anaesthesiology among fifth-year medical students during the COVID-19 pandemic: a cross-sectional study.

机构信息

Department of Anaesthesiology and Intensive Therapy, Semmelweis University, P.O.B. 2, H-1428, Budapest, Hungary.

出版信息

BMC Med Educ. 2021 Jul 22;21(1):393. doi: 10.1186/s12909-021-02826-1.

DOI:10.1186/s12909-021-02826-1

PMID:34294079

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8295977/

Abstract

BACKGROUND

The coronavirus disease (COVID-19) brought several challenges in medical education. The aim of our study was to investigate whether virtual distance trainings (VDT) organized during the COVID-19 pandemic at our university were effective in replacing in-person bed-side education in intensive therapy and anaesthesiology among fifth-year medical students, both from students' and instructors' perspectives.

METHODS

This was a cross-sectional study consisting of three parts: a 20-item students' questionnaire filled out by students participating in VDT, a 22-item instructors' questionnaire filled out by instructors taking part in virtual distance education and a 20-item knowledge test completed by students participating in VDT, as well as by students visiting bed-side trainings (BT) during the same semester, before COVID-19 pandemic. The questionnaires focused on effectiveness, content, self-preparedness, technical background and interactivity of VDT. Instructors' and students' responses given to the common questions, as well as the knowledge test results were compared. Mann-Whitney U test was used for group comparisons and binary logistic regression was performed to analyze the influence of previous health-care experience on students' feeling of self-preparedness.

RESULTS

One hundred thirthen students (response rate {RR}: 68%) and 29 instructors (RR: 97%) filled out the questionnaires. The majority of students found our VDT useful and effective; however, a considerable number of participants felt disadvantaged by taking VDT instead of BT sessions and would recommend keeping virtual distance education methods combined with BT. Instructors found VDT overall effective and deemed the transfer of their knowledge satisfactory; however, they described worse interactivity and contact with students during virtual sessions compared to in-person teaching. Instructors showed a clearer consensus that VDT should not replace BT in the future, while students' answers were more divided in this regard. Previous health-care experience did not influence students' feeling of self-preparedness. One hundred and twenty-seven students (56 after VDT {RR: 34%}; 71 after BT {RR: 67%}) completed the end-of-semester knowledge test. Students attending VDT performed better than students visiting BT (median score VDT:83.5 vs BT:77.3; p = 0.015).

CONCLUSIONS

Virtual distance learning incorporating virtual practice sessions was effective in maintaining continuous education of intensive therapy and anaesthesiology among fifth-year medical students during the COVID-19 outbreak.

摘要

背景

冠状病毒病（COVID-19）给医学教育带来了诸多挑战。我们的研究旨在探讨在 COVID-19 大流行期间，我们大学组织的虚拟远程培训（VDT）是否能够有效替代第五年医学生的重症监护和麻醉学的床边教育，从学生和教师的角度来看都是如此。

方法

这是一项横断面研究，包括三个部分：学生问卷调查，由参加 VDT 的学生填写，共 20 项；教师问卷调查，由参加虚拟远程教育的教师填写，共 22 项；学生知识测试，由参加 VDT 的学生以及在 COVID-19 大流行之前参加同一学期床边培训（BT）的学生填写。问卷调查的重点是 VDT 的有效性、内容、自我准备情况、技术背景和互动性。比较了教师和学生对常见问题的回答，以及知识测试的结果。使用 Mann-Whitney U 检验进行组间比较，使用二元逻辑回归分析学生自我准备感觉的影响因素。

结果

共有 133 名学生（应答率{RR}：68%）和 29 名教师（RR：97%）填写了问卷。大多数学生认为我们的 VDT 有用且有效；然而，相当一部分参与者认为参加 VDT 而不是 BT 课程处于劣势，并建议继续保留虚拟远程教育方法与 BT 结合。教师总体上认为 VDT 有效，并认为知识的传授令人满意；然而，他们在虚拟会议期间描述了与面对面教学相比互动性和与学生的联系更差。教师更清楚地认为 VDT 不应在未来取代 BT，而学生的回答在这方面则更为分歧。以前的医疗保健经验并没有影响学生的自我准备感觉。共有 127 名学生（VDT 后 56 名{RR}：34%；BT 后 71 名{RR}：67%）完成了学期末知识测试。参加 VDT 的学生的表现优于参加 BT 的学生（VDT 中位数得分：83.5 分；BT 中位数得分：77.3 分；p=0.015）。