Stacey Stephen K, Boswell Christopher L, Cowan Karen K, Furlano Anthony J, McEleney Mark D, Morcomb Erin F, Tookey Christopher J
Family Health Clinic, Mayo Clinic Health System - Southwest Wisconsin Region, La Crosse, WI.
Mayo Family Clinic Kasson, Kasson, MN.
PRiMER. 2023 Jun 29;7:19. doi: 10.22454/PRiMER.2023.863182. eCollection 2023.
Social distancing and quarantine requirements imposed during the COVID-19 pandemic necessitated remote training in many learning situations that formerly focused on traditional in-person training. In this context, we developed an adaptive approach to teaching laceration repair remotely while allowing for synchronous instruction and feedback.
In April 2020, 35 family medicine residents from 4 programs in the Midwest United States participated in a real-time, remotely-delivered, 2-hour virtual procedure workshop of instruction in suture techniques for laceration repair. Paired-sample tests compared scores of learner self-confidence obtained during pre- and posttests. We interpreted short-answer responses with a mixed-methods analysis. Residents submitted photos and videos of suture techniques and received formative feedback based on a predefined rubric.
All residents completed the pre- and posttests. The posttest scores for self-confidence across the participants showed significant improvement for all suture techniques. Of the 67 short-answer responses, 38 responses (56.7%) were positive; 9 (13.4%) negative; 8 (11.9%) neutral; and 12 (17.9%) a combination of positive and negative. The workshop was rated by 34 residents (97.1%) as either "about the same as prior training experiences," "better than prior training experiences," or "much better than prior training experiences."
Learners reported that a remotely-delivered, real-time, synchronous suture technique workshop was a valuable experience. Further research is needed to establish the efficacy of this platform to promote procedural competence.
在新冠疫情期间实施的社交距离和隔离要求，使得许多以前专注于传统面对面培训的学习场景需要进行远程培训。在此背景下，我们开发了一种适应性方法，用于远程教授裂伤修复，同时提供同步指导和反馈。
2020年4月，来自美国中西部4个项目的35名家庭医学住院医师参加了一个为期2小时的实时远程虚拟操作研讨会，内容是裂伤修复缝合技术的教学。配对样本测试比较了学习者在测试前和测试后获得的自信心得分。我们采用混合方法分析来解读简答题的回答。住院医师提交了缝合技术的照片和视频，并根据预先定义的评分标准获得形成性反馈。
所有住院医师都完成了测试前和测试后的评估。所有参与者在所有缝合技术方面的测试后自信心得分均有显著提高。在67个简答题回答中，38个回答（56.7%）是积极的；9个（13.4%）是消极的；8个（11.9%）是中性的；12个（17.9%）是积极与消极的组合。34名住院医师（97.1%）将该研讨会评为“与以前的培训经历大致相同”、“比以前的培训经历更好”或“比以前的培训经历好得多”。
学习者报告称，远程实时同步的缝合技术研讨会是一次宝贵的经历。需要进一步研究以确定该平台促进操作能力的效果。
