Seiwerth Ingmar, Bartel S, Herzog M, Schumann G, Pein M K, Gey A, Plontke S K
Universitätsklinik und Poliklinik für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie, Martin-Luther-Universität Halle-Wittenberg, Universitätsklinikum Halle (Saale), Ernst-Grube-Str. 40, 06120, Halle (Saale), Deutschland.
Klinik für HNO-Krankheiten, Kopf- und Halschirurgie, Carl-Thiem-Klinikum Cottbus, Cottbus, Deutschland.
HNO. 2022 Feb;70(2):140-147. doi: 10.1007/s00106-021-01117-x. Epub 2021 Nov 23.
The first wave of the SARS-CoV‑2 pandemic required substantial changes in the teaching of medical students, with strict avoidance of direct contact between students and patients. Therefore, the teaching format "bedside teaching" was implemented and conducted as an interactive video-based distance bedside teaching.
The objective of this study was to analyze a students' evaluation of this teaching concept in otorhinolaryngology.
From an ENT examination room, the situation was transmitted live to the students in a lecture hall, who could interact with the patients through a video connection. Macro-, micro-, and endoscopic images were transmitted into the lecture hall in real time. Evaluation was performed by means of an online questionnaire with 13 questions (Likert scale) as well as by free-text feedback.
The response rate was 16.8% (42 of 250 students). Overall, 85.7% had a positive impression, and it was generally considered that the concept was well implemented in light of the special situation. However, students would rather not renounce direct patient contact, even if a certain compensation by video transmission was reported. Overall, this teaching concept was considered as educative, and students could imagine using such a teaching concept more often in the future.
This teaching model cannot replace classical bedside teaching, but represents a good alternative-particularly in otorhinolaryngology-if classical bedside teaching is not possible due to the pandemic situation. Aspects of the interactive video-based distance bedside teaching could be implemented into classical teaching concepts in the future.
在严重急性呼吸综合征冠状病毒2（SARS-CoV-2）大流行的第一波期间，医学生的教学需要做出重大改变，要严格避免学生与患者直接接触。因此，实施了“床边教学”这种教学形式，并以基于视频的交互式远程床边教学的方式进行。
本研究的目的是分析学生对耳鼻喉科这种教学理念的评价。
从耳鼻喉检查室将情况实时传输到阶梯教室的学生那里，学生可以通过视频连接与患者互动。宏观、微观和内镜图像实时传输到阶梯教室。通过一份有13个问题的在线问卷（李克特量表）以及自由文本反馈进行评价。
回复率为16.8%（250名学生中的42名）。总体而言，85.7%的学生有积极印象，并且普遍认为鉴于特殊情况，该理念实施得很好。然而，即使报告了通过视频传输有一定补偿，学生们还是不愿意放弃与患者的直接接触。总体而言，这种教学理念被认为具有教育意义，学生们可以想象未来会更频繁地使用这样的教学理念。
这种教学模式不能取代传统的床边教学，但如果由于疫情形势无法进行传统床边教学，它是一个很好的替代方式，尤其是在耳鼻喉科。基于视频的交互式远程床边教学的一些方面未来可以融入传统教学理念中。
