Department of Surgery, Division of General Surgery, American University of Beirut-Medical Center, Beirut, Lebanon.
Department of Clinical Psychology, University of Edinburgh, Edinburgh, UK.
BMC Med Educ. 2022 Apr 18;22(1):290. doi: 10.1186/s12909-022-03353-3.
Traditionally, practical skills are taught on face-to-face (F-F) basis. COVID-19 pandemic brought distance learning (DL) to the spotlight because of the social distancing mandates. We sought to determine the acceptability and effectiveness of DL of basic suturing in novice learners.
A prospective randomized controlled trial involving 118 students was conducted. Participants were randomized into two groups for learning simple interrupted suturing: F-F and DL-groups. Evaluation was conducted by two assessors using a performance checklist and a global rating tool. Agreement between the assessors was calculated, and performance scores of the participants were compared. Participants' satisfaction was assessed via a questionnaire.
Fifty-nine students were randomized to the F-F group and 59 to the DL-group. Satisfactory agreement between the assessors was demonstrated. All participants were successful in placing three interrupted sutures, with no significant difference in the performance between the groups. 25(44.6%) of the respondents in the DL-group provided negative comments related to the difficulties of remotely learning visuospatial concepts, 16(28.5%) preferred the F-F approach.
DL of basic suturing is as effective as the F-F approach in novice learners. It is acceptable by the students despite the challenges related to the remote learning of practical skills.
传统上，实践技能是通过面对面（F-F）的方式教授的。由于社交距离限制，新冠疫情使得远程学习（DL）成为焦点。我们旨在确定初学者对基础缝合术 DL 的接受程度和效果。
进行了一项涉及 118 名学生的前瞻性随机对照试验。参与者被随机分为两组，通过 F-F 和 DL 组学习简单间断缝合：使用操作检查表和总体评分工具进行评估。计算了评估者之间的一致性，并比较了参与者的表现分数。通过问卷调查评估参与者的满意度。
59 名学生被随机分配到 F-F 组，59 名学生被随机分配到 DL 组。评估者之间表现出令人满意的一致性。所有参与者都成功地放置了三个间断缝合，两组之间的表现没有显著差异。25 名（44.6%）DL 组的受访者对远程学习空间概念的困难提出了负面评价，16 名（28.5%）更喜欢 F-F 方法。
对于初学者来说，基础缝合术的 DL 与 F-F 方法一样有效。尽管与远程学习实践技能相关的挑战，但它被学生所接受。
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