Medical Program, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia.
Department of Anatomy, Histology, and Pharmacology, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia.
Med Educ Online. 2023 Dec;28(1):2182665. doi: 10.1080/10872981.2023.2182665.
Social restrictions due to the COVID-19 pandemic have shifted most learning methods into online courses, especially for medical skills education. However, the effects of online courses on medical skill education amongst medical students are still arguable. The study aims to analyse medical students' knowledge, attitude, practice and satisfaction towards medical skills between online and offline courses.
We performed a case-control study conducted among 533 medical students with online (as a case group, = 288) and offline courses (as a control group, = 245). We evaluated three fundamental medical skills, including history taking [HT], lung physical examination [LPE], and heart physical examination [HPE]. We tested the knowledge and skills among students through theory and practical examinations. Students' attitudes and satisfaction were assessed using a validated questionnaire.
The scores for knowledge and practical skills among the online group were significantly higher ( = 0.016, = 0.004, respectively). In comparison, the scores for the students' attitudes and satisfaction were substantially lower ( = 0.000, = 0.003, respectively) compared to the control group. Most of the students in both groups passed the exam (case vs. control = 81.94%; 83.27%, respectively). Males were the only factor associated with a higher rate of passing the examination (OR 0.42, 95% CI [0.27-0.67], = 0.000).
Online learning could be an alternative approach on improving student's knowledge and practice towards medical skill especially amidst COVID-19 pandemic, however further consideration on student's attitude and satisfaction are mandatory to achieve appropriate competence as future general practitioner.
由于 COVID-19 大流行而实施的社会限制措施已将大多数学习方法转移到在线课程，尤其是在医学技能教育方面。然而，在线课程对医学生医学技能教育的影响仍存在争议。本研究旨在分析医学生对在线和线下课程的医学技能的知识、态度、实践和满意度。
我们进行了一项病例对照研究，共有 533 名医学生参加，其中包括在线课程（病例组，n=288）和线下课程（对照组，n=245）。我们评估了三项基本的医学技能，包括病史采集[HT]、肺部体检[LPE]和心脏体检[HPE]。我们通过理论和实践考试来测试学生的知识和技能。学生的态度和满意度使用经过验证的问卷进行评估。
在线组的知识和实践技能得分明显更高（p=0.016，p=0.004）。相比之下，与对照组相比，学生的态度和满意度得分要低得多（p=0.000，p=0.003）。两组的大多数学生都通过了考试（病例组与对照组分别为 81.94%和 83.27%）。男性是唯一与考试通过率较高相关的因素（OR 0.42，95%CI [0.27-0.67]，p=0.000）。
在线学习可能是在 COVID-19 大流行期间提高学生医学技能知识和实践能力的一种替代方法，然而，为了达到未来全科医生的适当能力，必须进一步考虑学生的态度和满意度。
