Imperial College Healthcare NHS Trust, London, UK.
London North West University Healthcare NHS Trust, London, United Kingdom.
Ir J Med Sci. 2023 Jun;192(3):985-993. doi: 10.1007/s11845-022-03074-y. Epub 2022 Jul 13.
Interactive case-based tutorials represent a well-established method of improving House Officer learning. There has been little research on how tutorials of this kind can be improved, and whether their use changes practice.
Our study aims to assess whether our eLearning tutorial on IV fluid and electrolyte prescribing improves the underlying knowledge base and confidence of participating House Officers, with regards to fluid and electrolyte balance physiology and prescribing.
An interactive eLearning module with core information on fluid and electrolyte prescribing and associated cases with questions and answers was created and distributed to participating House Officers in the 2019-2020 cohort nationwide. Participants were asked to complete pre-eLearning and post-eLearning questionnaires as well as a feedback survey to assess the efficacy of the module.
Forty-nine House Officers completed the eLearning module and associated questionnaires. A majority of participants (69.3%) reported their previous teaching on fluid and electrolyte management as "very poor", "poor" or "mediocre". The average score for the pre-eLearning knowledge test was 75%, compared to a score of 97% for the post-eLearning knowledge test, resulting in a 22% increase in correct answers (p < 0.001). We found an increase of 53% in feeling "confident" or "very confident" in assessing and managing fluid requirements, and an increase of 57.1% in feeling "confident" or "very confident" in managing electrolyte requirements after undertaking the eLearning module.
An interactive eLearning tutorial with real-world applications provides an effective, low-cost intervention that can improve confidence and skill in prescribing IV fluids.
互动案例式教程是一种提高住院医师学习效果的成熟方法。关于如何改进这类教程，以及它们的使用是否会改变实践，研究甚少。
我们的研究旨在评估我们关于静脉输液和电解质处方的电子学习教程是否能提高参与住院医师在液体和电解质平衡生理学和处方方面的基础知识和信心。
创建了一个带有关于静脉输液和电解质处方核心信息的互动电子学习模块，并附有相关病例和问答，分发给全国范围内 2019-2020 年 cohort 的参与住院医师。参与者被要求完成学习前和学习后问卷调查以及反馈调查，以评估该模块的效果。
49 名住院医师完成了电子学习模块和相关问卷。大多数参与者（69.3%）报告他们以前的液体和电解质管理教学“非常差”、“差”或“中等”。学习前知识测试的平均得分为 75%，而学习后知识测试的得分为 97%，这导致正确答案增加了 22%（p<0.001）。我们发现，在评估和管理液体需求方面，感到“有信心”或“非常有信心”的比例增加了 53%，在管理电解质需求方面，感到“有信心”或“非常有信心”的比例增加了 57.1%。
具有实际应用的互动电子学习教程是一种有效、低成本的干预措施，可以提高开具静脉输液的信心和技能。
