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本科医学生对基于视听的肌肉骨骼体格检查技能在线教学模块的认知

Undergraduate Medical Students' Perceptions of an Online Audio-Visual-Based Module for Teaching Musculoskeletal Physical Examination Skills.

作者信息

Alomar Abdulaziz Z

机构信息

Arthroscopy and Sports Medicine Division, Orthopaedic Department, College of Medicine, King Saud University, Riyadh, KSA.

出版信息

J Med Educ Curric Dev. 2022 Feb 23;9:23821205221078794. doi: 10.1177/23821205221078794. eCollection 2022 Jan-Dec.

Abstract

INTRODUCTION

Video-based learning has gained prominence in medical education and, more recently, in musculoskeletal teaching. This study investigated medical students' perceptions of the effectiveness of online video-based learning for musculoskeletal physical examination skills.

METHODS

For one academic year, undergraduate medical students were instructed online through video-based learning before bedside teaching about the physical examination of knee and shoulder joints. At the end of the course, the students participated in a survey to assess their perceptions of the online video-based learning module using a pre-validated questionnaire. The questionnaire consisted of closed-ended and open-ended questions. The closed-ended question responses were assessed using a Likert scale; the open-ended responses were analyzed qualitatively.

RESULTS

In total, 242 out of 310 students who participated in the online video-based learning responded to the survey. Most students found the teaching approach to be satisfactory and preferable to traditional teaching methods. However, they also felt that these modules could not replace hands-on practice. The most helpful aspects of the training modules were a better understanding of the specific tests, technique, and sequence of administering the physical examination. Perceived limitations included the inadequately addressed theoretical basis of the physical examination and the special tests, the need for more time to explain clinical anatomy, and the practical implications of the positive special tests.

CONCLUSION

Undergraduate medical students perceive VBL as helpful for MPES learning. The positive aspects of the VBL approach in teaching MPES are that it is comprehensive, easily accessible, offers standardized teaching, save times, and it includes demonstrations of special tests, examination techniques, and the sequence and organization of the clinical examination. The main perceived limitations were lack of content regarding clinical reasoning and the anatomical basis of the clinical tests.

摘要

引言

基于视频的学习在医学教育中,以及最近在肌肉骨骼教学中都变得日益重要。本研究调查了医学生对基于在线视频的肌肉骨骼体格检查技能学习效果的看法。

方法

在一学年中,本科医学生在进行膝关节和肩关节体格检查的床边教学之前,通过基于视频的学习接受在线指导。课程结束时,学生们参与了一项调查,使用预先验证的问卷来评估他们对基于在线视频的学习模块的看法。问卷包括封闭式和开放式问题。封闭式问题的回答采用李克特量表进行评估;开放式回答进行定性分析。

结果

在参与基于在线视频学习的310名学生中,共有242名学生回复了调查。大多数学生认为这种教学方法令人满意,且优于传统教学方法。然而,他们也觉得这些模块无法替代实践操作。培训模块最有帮助的方面是能更好地理解体格检查的具体测试、技术和操作顺序。感知到的局限性包括体格检查和特殊测试的理论基础阐述不足、需要更多时间解释临床解剖学以及阳性特殊测试的实际意义。

结论

本科医学生认为基于视频的学习对肌肉骨骼体格检查技能学习有帮助。基于视频的学习方法在肌肉骨骼体格检查技能教学中的积极方面在于它全面、易于获取、提供标准化教学、节省时间,并且包括特殊测试、检查技术以及临床检查的顺序和组织的演示。主要感知到的局限性是缺乏关于临床推理和临床测试解剖学基础的内容。

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