低收入和中等收入国家在新冠疫情期间心血管专业培训学员对基于虚拟和模拟器学习体验的反馈——一项横断面研究
Cardiovascular fellow-in-training feedback on virtual and simulator-based learning experience during Covid-19 pandemic in a low to middle income country - A cross-sectional study.
作者信息
Shams Pirbhat, Ahmed Intisar, Shahab Hunaina, Kadani Zehra, Khan Aisal, Shams Marvi, Saeed Yawer, Bokhari Saira, Khan Aamir Hameed
机构信息
Section of Cardiology, Department of Medicine, The Aga Khan University Hospital, Karachi, Pakistan.
Tabba Heart Institute, Karachi, Pakistan.
出版信息
Ann Med Surg (Lond). 2021 Sep;69:102786. doi: 10.1016/j.amsu.2021.102786. Epub 2021 Sep 4.
BACKGROUND
COVID-19 pandemic has introduced us to a greater need of virtual learning platforms and has resulted in less clinical exposure for fellows-in-training. Virtual and simulator-based learning is not widely available in LMIC. It is imperative to analyze feedback of CV fellow-in-training regarding this mode of learning before large scale implementation.
METHODOLOGY
This was an observational study conducted between July-August 2020. A multicentered survey was conducted. Survey questionnaire was disseminated to FIT (fellow-in-training) via Google Forms. The questionnaire contained a total of 24 questions about virtual and simulator-based learning during the pandemic.
RESULTS
A total of 68 FIT responded to the survey. The mean age was 29.9 years. There were 37% females and 63% males. Majority (75%) agreed that it was easier for them to reach for online sessions than physical sessions. 60% FIT were confident in asking questions or giving comments during the online sessions. 57.4% FIT felt it easier to go through cardiovascular imaging/illustrations via online platforms. 50% (34) were confident that if online sessions had to continue, they would have enough academic learning before they graduated from the program and 54.4% (37) wanted online sessions to continue even beyond the pandemic days. 37.5% (18 out of 48) agreed that the simulator-based teaching was helping them practice skills in times of less clinical exposure.
CONCLUSION
COVID-19 pandemic has significantly impacted cardiovascular FIT learning curve because of less hands-on and lack of physical teaching sessions. LMIC have lack of robust e-learning platforms. Virtual learning is convenient for academic learning with growing acceptance amongst fellows. FIT from LMIC are less acquaint to simulator-based teaching and there is a need to invest in simulator-based cardiovascular teaching in LMIC.
背景
新冠疫情使我们对虚拟学习平台的需求大增，导致培训学员的临床接触机会减少。基于虚拟和模拟器的学习在低收入和中等收入国家并不广泛普及。在大规模实施之前，必须分析心血管科培训学员对这种学习模式的反馈。
方法
这是一项于2020年7月至8月进行的观察性研究。开展了一项多中心调查。通过谷歌表单向培训学员发放调查问卷。该问卷共有24个关于疫情期间基于虚拟和模拟器学习的问题。
结果
共有68名培训学员回复了调查。平均年龄为29.9岁。女性占37%，男性占63%。大多数人（75%）认为参加在线课程比参加实体课程更容易。60%的培训学员在在线课程中敢于提问或发表评论。57.4%的培训学员认为通过在线平台查看心血管影像/插图更容易。50%（34人）相信如果在线课程继续，他们在完成培训项目毕业前会有足够的学术学习，54.4%（37人）希望在线课程即使在疫情结束后也能继续。37.5%（48人中有18人）认为基于模拟器的教学在临床接触较少的时期帮助他们练习技能。
结论
由于实践操作减少和缺乏实体教学课程，新冠疫情显著影响了心血管科培训学员的学习曲线。低收入和中等收入国家缺乏强大的电子学习平台。虚拟学习便于学术学习，且越来越受到学员的认可。来自低收入和中等收入国家的培训学员对基于模拟器的教学不太熟悉，因此有必要在低收入和中等收入国家投资开展基于模拟器的心血管教学。
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