Nusem Erez, Bray Liam, Lillia Jonathon, Schofield Luke, Scott Karen M, Gunasekera Hasantha, Cheng Tegan L
The University of Sydney, Sydney, NSW Australia.
The Children's Hospital at Westmead, Sydney, NSW Australia.
Med Sci Educ. 2022 Nov 16;32(6):1513-1520. doi: 10.1007/s40670-022-01684-w. eCollection 2022 Dec.
3D printing has recently emerged as an alternative to cadaveric models in medical education. A growing body of research supports the use of 3D printing in this context and details the beneficial educational outcomes. Prevailing studies rely on participants' stated preferences, but little is known about actual student preferences.
A mixed methods approach, consisting of structured observation and computer vision, was used to investigate medical students' preferences and handling patterns when using 3D printed versus cadaveric models in a cardiac pathology practical skills workshop. Participants were presented with cadaveric samples and 3D printed replicas of congenital heart deformities.
Analysis with computer vision found that students held cadaveric hearts for longer than 3D printed models (7.71 vs. 6.73 h), but this was not significant when comparing across the four workshops. Structured observation found that student preferences changed over the workshop, shifting from 3D printed to cadaveric over time. Interactions with the heart models (e.g., pipecleaners) were comparable.
We found that students had a slight preference for cadaveric hearts over 3D printed hearts. Notably, our study contrasts with other studies that report student preferences for 3D printed learning materials. Given the relative equivalence of the models, there is opportunity to leverage 3D printed learning materials (which are not scarce, unlike cadaveric materials) to provide equitable educational opportunities (e.g., in rural settings, where access to cadaveric hearts is less likely).
3D打印最近已成为医学教育中尸体模型的一种替代方案。越来越多的研究支持在这种情况下使用3D打印,并详细阐述了其有益的教育成果。现有研究依赖于参与者表明的偏好,但对于学生的实际偏好却知之甚少。
采用一种混合方法,包括结构化观察和计算机视觉,以调查医学生在心脏病理学实践技能工作坊中使用3D打印模型与尸体模型时的偏好和操作模式。向参与者展示了先天性心脏畸形的尸体样本和3D打印复制品。
计算机视觉分析发现,学生拿着尸体心脏的时间比3D打印模型更长(7.71小时对6.73小时),但在四个工作坊之间进行比较时,这一差异并不显著。结构化观察发现,学生的偏好在工作坊过程中发生了变化,随着时间的推移从3D打印模型转向了尸体模型。与心脏模型(如细铁丝)的互动情况相当。
我们发现,与3D打印心脏相比,学生对尸体心脏略有偏好。值得注意的是,我们的研究与其他报告学生偏好3D打印学习材料的研究形成了对比。鉴于模型的相对等效性,有机会利用3D打印学习材料(与尸体材料不同,3D打印材料并不稀缺)来提供公平的教育机会(例如,在农村地区,那里获得尸体心脏的可能性较小)。