Nantes Université, UFR Odontologie, CHU Nantes, PHU4 OTONN, Nantes, France.
Nantes Université, Oniris, University of Angers, CHU Nantes, INSERM, Regenerative Medicine and Skeleton, RMeS, UMR 1229, Nantes, France.
Eur J Dent Educ. 2024 Nov;28(4):943-954. doi: 10.1111/eje.13030. Epub 2024 Jul 31.
To determine whether blended learning results in better educational outcomes compared to traditional learning in the acquisition of oral surgery technical skills for 4th-year undergraduate dental students.
Seventy-three students participated in this two-arm parallel randomized controlled trial. Only students in the blended learning group had access to the online preparation platform for oral surgery practical work (PW) on a pig's jaw and to the debriefing. Kirkpatrick's four-level model was used to assess the educational outcomes directly after (levels 1 and 2) and 6 months later, after the start of the students' clinical activity (levels 3 and 4).
For level 1, higher global satisfaction scores were found for students in the blended learning compared to the traditional learning group (p = .002). For level 2, blended learning resulted in an increase in knowledge score (p < .01), comparable to that observed in the traditional learning group. For level 3, students in the blended group made more progress in 6 months than those in the traditional group in terms of feeling able to assess and perform anaesthesia (p = .040) and surgical tooth extraction (p = .043). No difference in level 4 was found for the 6-month clinical surgical activity between groups, but students in the blended group felt more able to assess and perform the surgical management of a failed extraction requiring bone removal (p = .044).
Blended learning for oral surgery PW had a positive impact on three of the four Kirkpatrick levels (level 1, 3 and 4). Efforts should focus on the procedures that are perceived as the most difficult.
在 4 年制口腔医学生获取口腔外科技能方面,比较混合式学习与传统学习在教育成果方面的优劣。
共有 73 名学生参与了这项双臂平行随机对照试验。只有混合式学习组的学生可以访问口腔外科技能实践工作(PW)的在线预习平台(猪下颌骨)和反思讨论。采用柯克帕特里克的四级评估模型,在直接评估(1 级和 2 级)和学生临床活动开始后 6 个月(3 级和 4 级)后评估教育成果。
在 1 级,混合式学习组的学生在整体满意度评分上高于传统学习组(p=0.002)。在 2 级,混合式学习提高了知识评分(p<0.01),与传统学习组的效果相当。在 3 级,混合式学习组的学生在 6 个月后在能够评估和进行麻醉(p=0.040)和外科拔牙(p=0.043)方面比传统学习组进步更大。在 6 个月的临床手术活动中,4 级未发现两组之间的差异,但混合式学习组的学生感到更能够评估和进行需要去除骨组织的失败拔牙的外科管理(p=0.044)。
口腔外科技能 PW 的混合式学习对四级评估模型中的三个级别(1 级、3 级和 4 级)有积极影响。应重点关注被认为最困难的程序。