Briggs Blake, Kalra Sarathi, Masneri David, Husain Iltifat
Graduate School of Medicine, University of Tennessee Medical Center, Knoxville, TN, USA.
Department of Emergency Medicine, University of Texas MD Anderson Cancer Center, Houston, TX, USA.
J Med Educ Curric Dev. 2023 Sep 11;10:23821205231192335. doi: 10.1177/23821205231192335. eCollection 2023 Jan-Dec.
Teaching procedural skills via digital platforms is challenging. There is a paucity of literature on the feasibility of implementing an online asynchronous web-based learning (WBL) module for endotracheal intubation in Emergency Medicine. Learners completed a pre-test questionnaire prior to reviewing the module to assess their current knowledge. After completion of the online module, another assessment on airway management competency was completed. The purpose of our pilot study was to determine the feasibility of implementing an online airway module and investigate knowledge acquisition among learners who completed it. Additionally, we compared the relationship between pre-module confidence and knowledge between various training levels of those who completed the module.
The study was IRB exempt. We conducted a quasi-experimental pre- and post-test study, where learners took a multiple-choice question-based test before watching content module, and after completion of modules, they went on to complete post-test questions. All responses were collected using Google survey and the data were collected over a period of 6 months. We performed descriptive statistics for the pre- and post-module. Frequency distribution was used for data summarization and chi-square test was used to assess the difference between variables.
We received 366 responses in the pre-test module and 105 in post-test module. Responses were summarized into 5 broad categories which assessed knowledge about airway technique, anatomical landmarks, formulas for selecting blade size, tube size, depth of tube, and case-based scenarios. All questions showed a higher percentage of correct answers in the post-assessment compared to the pre-assessment.
The results demonstrated that this WBL airway module resulted in significant knowledge acquisition, as well as increased confidence when approaching airway management. The study demonstrated that a WBL airway module is a feasible method of asynchronous education for healthcare providers in all levels of training.
通过数字平台教授操作技能具有挑战性。关于在急诊医学中实施用于气管插管的在线异步网络学习(WBL)模块的可行性的文献很少。学习者在查看该模块之前完成了一份预测试问卷,以评估他们当前的知识水平。在线模块完成后,又完成了一次气道管理能力评估。我们的试点研究的目的是确定实施在线气道模块的可行性,并调查完成该模块的学习者的知识获取情况。此外,我们比较了完成该模块的不同培训水平的人员在模块前的信心与知识之间的关系。
该研究无需经过机构审查委员会(IRB)批准。我们进行了一项准实验性的前后测试研究,学习者在观看内容模块之前参加基于多项选择题的测试,模块完成后,他们继续完成后测试问题。所有回复均通过谷歌调查问卷收集,数据收集历时6个月。我们对模块前后的数据进行了描述性统计。频率分布用于数据汇总,卡方检验用于评估变量之间的差异。
我们在预测试模块中收到了366份回复,在后测试模块中收到了105份回复。回复被归纳为5大类,评估了有关气道技术、解剖标志、选择喉镜叶片尺寸的公式、气管导管尺寸、气管导管深度以及基于病例的场景等方面的知识。与预评估相比,所有问题在后评估中的正确答案百分比都更高。
结果表明,这个WBL气道模块带来了显著的知识获取,以及在进行气道管理时信心的增强。该研究表明,WBL气道模块是一种对各级培训的医疗保健提供者进行异步教育的可行方法。