Guérard-Poirier Natasha, Meloche-Dumas Léamarie, Beniey Michèle, Torres Andrei, Kapralos Bill, Dhane Malek, Mercier Frédéric, Younan Rami, Dubrowski Adam, Patocskai Erica
Faculty of Medicine, Université de Montréal, Montreal, QC H2X3E4 Canada.
Department of Surgery, Université de Montréal, Montreal, QC H2X3E4 Canada.
Discov Educ. 2023;2(1):19. doi: 10.1007/s44217-023-00041-2. Epub 2023 Jul 17.
Progress in remote educational strategies was fueled by the advent of the COVID-19 pandemic. This pilot RCT explored the efficacy of a decentralized model of simulation based on principles of observational and peer-to-peer learning for the acquisition of surgical skills.
Sixty medical students from the University of Montreal learned the running subcuticular suture in four different conditions: (1) Control group (2) Self-learning (3) Peer-learning (4) Peer-learning with expert feedback. The control group learned with error-free videos, while the others, through videos illustrating strategic sub-optimal performances to be identified and discussed by students. Performance on a simulator at the end of the learning period, was assessed by an expert using a global rating scale (GRS) and checklist (CL).
Students engaging in peer-to-peer learning strategies outperformed students who learned alone. The presence of an expert, and passive vs active observational learning strategies did not impact performance.
This study supports the efficacy of a remote learning strategy and demonstrates how collaborative discourse optimizes the students' acquisition of surgical skills. These remote simulation strategies create the potential for implantation in future medical curriculum design.: NCT04425499 2020-05-06.
2019年冠状病毒病大流行推动了远程教学策略的发展。这项试点随机对照试验探讨了一种基于观察性和 peer-to-peer 学习原则的分散式模拟模型在获取外科技能方面的效果。
来自蒙特利尔大学的60名医学生在四种不同条件下学习连续皮下缝合：（1）对照组（2）自主学习（3）同伴学习（4）有专家反馈的同伴学习。对照组通过无错误视频学习，而其他组通过展示策略性次优表现的视频学习，学生需识别并讨论这些表现。学习期结束时，由一名专家使用整体评分量表（GRS）和检查表（CL）对模拟器上的表现进行评估。
采用 peer-to-peer 学习策略的学生表现优于独自学习的学生。专家的存在以及被动与主动观察性学习策略对表现没有影响。
本研究支持远程学习策略的有效性，并展示了协作性讨论如何优化学生对外科技能的掌握。这些远程模拟策略为未来医学课程设计的应用创造了潜力。：NCT04425499 2020年5月6日。
