Service de Médecine Intensive-Réanimation, AP-HP, Hôpital de Bicêtre, Hôpitaux Universitaires Paris-Saclay, Le Kremlin-Bicêtre, France.
Université Paris-Saclay, UVSQ, Univ. Paris-Sud, Inserm U1018, Equipe d'Epidémiologie respiratoire intégrative, CESP, 94807, Villejuif, France.
BMC Med Educ. 2021 Dec 1;21(1):595. doi: 10.1186/s12909-021-03025-8.
Understanding respiratory physiology and mechanical ventilation is a challenge for healthcare workers, particularly, medical residents. A team of French-speaking experts developed an innovative MOOC incorporating interactive simulation-based videos and serious games aiming at improving knowledge and skills in mechanical ventilation. Our objective was to evaluate the long-term knowledge retention regarding key concepts presented in this MOOC.
French residents registered for the MOOC 2020's winter session were invited to participate in a two-step study. The first step consisted in evaluating students' pre-course knowledge of respiratory physiology and mechanical ventilation fusing a 20 five-item multiple choice questions test with a total score ranging from 0 to 100. For the second step, the same students answered the same test (after shuffling the questions) six months after the completion of the course. We assessed the impact of this MOOC on the students' knowledge retention by comparing pre-course and post-course scores.
Of the 102 residents who agreed to participate in the study, 80 completed the course and their mean ± SD pre-course score was 76.0 ± 8.0. Fifty-one respondents also completed the second and their post-course score was significantly higher than the baseline one (83.1 ± 7.3 vs. 77.5 ± 7.6, p < 0.001). Scores of the first and second rounds did not differ upon comparing respondents' background specialty or number of years of residency. For the vast majority of individual questions (96%), the success rate was higher at the post-course than at the pre-course assessment.
An innovative MOOC incorporating simulation-based videos was effective in teaching medical residents basic mechanical ventilation knowledge and skills, especially in the field of respiratory physiology and ventilatory modes. We observed effective long-term knowledge retention with a higher score at the post-course assessment six months after the completion of the course compared with the pre-course score.
理解呼吸生理和机械通气对医疗保健工作者，特别是医学住院医师来说是一个挑战。一组讲法语的专家开发了一门创新的 MOOC，其中包含互动模拟视频和严肃游戏，旨在提高机械通气方面的知识和技能。我们的目标是评估该 MOOC 中呈现的关键概念的长期知识保留情况。
受邀参加 2020 年冬季学期 MOOC 的法国住院医师参加了一项两步研究。第一步是评估学生在呼吸生理和机械通气方面的课前知识，通过融合 20 个五分制多项选择题测试，总分为 0 到 100 分。第二步，同一批学生在课程结束六个月后回答相同的测试（问题顺序打乱）。我们通过比较课前和课后成绩来评估该 MOOC 对学生知识保留的影响。
在同意参加研究的 102 名住院医师中，有 80 人完成了课程，他们的平均课前分数为 76.0±8.0。51 名回答者还完成了第二轮测试，他们的课后分数明显高于基线分数（83.1±7.3 与 77.5±7.6，p<0.001）。在比较回答者的背景专业或住院年限时，第一轮和第二轮的分数没有差异。对于绝大多数个别问题（96%），在课后评估中的成功率高于课前评估。
一门结合模拟视频的创新 MOOC 有效地教授了医学住院医师基本的机械通气知识和技能，特别是在呼吸生理和通气模式方面。我们观察到有效的长期知识保留，在课程结束六个月后的课后评估中得分更高，与课前分数相比。
