Bashir Khalid, Rauf Lubna, Yousuf Abdulla, Anjum Shahzad, Bashir Mohammed Talha, Elmoheen Amr
Department of Emergency Medicine, Hamad General Hospital, Doha, Qatar.
College of Medicine, Qatar University, Doha, Qatar.
Adv Med Educ Pract. 2021 Oct 16;12:1223-1227. doi: 10.2147/AMEP.S309001. eCollection 2021.
Patients commonly seek medical advice with dizziness symptoms. One of the common subtypes of dizziness is benign paroxysmal positional vertigo (BPPV). The American Academy of Neurology recommends that physicians should be trained in the physical maneuvers for the treatment of BPPV.
The study participants were educated about BPPV using Gagne's instructional strategy. Before and after the education, three parameters were used for assessing their knowledge and skills about BPPV. Twenty MCQs for knowledge assessment and two skill stations, Dix-Hallpike test (DH) and canalith repositioning maneuver (CR) were used. An experienced emergency medicine (EM) faculty supervised the assessment.
Nineteen EM residents participated in the study; mean age was 28.4 years (±1.7). Twelve (63.15%) were male, and seven (36.9%) were female. The median score before the course for the DH test was 2 (1.7-3.0) and improved to 5(4.0-5.0). Similarly, CR's median score improved from 2 (1.0-2.3) to 5 (4.7-5.0). Both of these skills improved by 60%. Pre-intervention MCQs mean score was 15.2 (14.4-16.1), which increased to 18.0 (17.4-18.6). MCQs improvement was recorded as 14%.
The educational plan delivered by utilizing the Gagne's instructional design has resulted in significant improvement of the knowledge about BPPV.
患者常因头晕症状寻求医疗建议。头晕的常见亚型之一是良性阵发性位置性眩晕（BPPV）。美国神经病学学会建议医生应接受治疗BPPV的物理操作培训。
采用加涅的教学策略对研究参与者进行BPPV相关教育。在教育前后，使用三个参数评估他们关于BPPV的知识和技能。使用20道多项选择题进行知识评估，并设置两个技能站，即 Dix-Hallpike 试验（DH）和半规管结石复位手法（CR）。由一位经验丰富的急诊医学教员监督评估。
19名急诊医学住院医师参与了该研究；平均年龄为28.4岁（±1.7）。12名（63.15%）为男性，7名（36.9%）为女性。课程开始前DH测试的中位数分数为2（1.7 - 3.0），提高到了5（4.0 - 5.0）。同样，CR的中位数分数从2（1.0 - 2.3）提高到5（4.7 - 5.0）。这两项技能均提高了60%。干预前多项选择题的平均分数为15.2（14.4 - 16.1），提高到了18.0（17.4 - 18.6）。多项选择题的提高记录为14%。
利用加涅教学设计实施的教育计划使关于BPPV的知识有了显著提高。
