Department of Clinical Genetics, University of Tsukuba Hospital, Japan.
Department of General Medicine and Primary Care, University of Tsukuba Hospital, Japan.
Int J Med Educ. 2024 Nov 22;15:139-149. doi: 10.5116/ijme.6736.4367.
The aim of this study was to confirm and evaluate the learning effect of a physician-facing e-learning course on genetic medicine for improving genomic literacy.
We employed qualitative and quantitative methodology to survey 103 physicians who took the course at a national university in Japan. Evaluations were conducted at the levels of participant feedback, learning, and behaviour. Participants completed a questionnaire and test (full score = 100) before and after the course. Pre- and post-test scores were compared using paired-samples t-tests and Mann-Whitney U test was used to compare the difference their clinical experience. The effect size was estimated using Cohen's d.
Responses were obtained from 96 physicians. Approximately 80% (n = 75-93) of participants responded positively to the course, a result supported by the qualitative data. The mean scores for the pre- and post-test showed an increase from 71.25 to 74.58 (p=0.008). In particular, mean test scores increased significantly from 68.94 to 75.53 (p<0.001) in physicians with no clinical experience in genetic medicine, while no significance was observed scores for physicians with clinical experience in genetics from 73.47 to 73.67 (p=0.903). Behavioural assessment was carried out for 28 participants; however, no statistically significant differences were identified.
Our findings indicate that our e-learning course was useful for physicians with no experience of genetic medicine. For those with experience, it may be necessary to provide more practice-based education and educational methodologies. Behavioural assessment needs to be examined further.
本研究旨在确认和评估面向医生的电子学习课程在提高基因组素养方面对遗传医学学习的效果。
我们采用定性和定量方法调查了日本一所国立大学的 103 名参加该课程的医生。在参与者反馈、学习和行为三个层面进行评估。参与者在课程前后完成了一份问卷和测试(满分=100 分)。采用配对样本 t 检验比较前后测试的分数,采用曼-惠特尼 U 检验比较他们临床经验的差异。采用 Cohen's d 估计效应量。
从 96 名医生中获得了回复。大约 80%(n=75-93)的参与者对课程给予了积极的反馈,这一结果得到了定性数据的支持。预测试和后测试的平均分数从 71.25 分增加到 74.58 分(p=0.008)。特别是,没有遗传医学临床经验的医生的测试平均分数从 68.94 分显著增加到 75.53 分(p<0.001),而有遗传医学临床经验的医生的分数从 73.47 分增加到 73.67 分(p=0.903)则没有显著差异。对 28 名参与者进行了行为评估,但未发现统计学差异。
我们的研究结果表明,我们的电子学习课程对没有遗传医学经验的医生很有用。对于有经验的医生,可能需要提供更多基于实践的教育和教育方法。需要进一步检查行为评估。