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Flexible e-learning video approach to improve fundus examination skills for medical students: a mixed-methods study

Authors :
Kiyoshi Shikino
Claudia A. Rosu
Daiki Yokokawa
Shingo Suzuki
Yusuke Hirota
Katsumi Nishiya
Masatomi Ikusaka
Source :
BMC Medical Education, Vol 21, Iss 1, Pp 1-9 (2021)
Publication Year :
2021
Publisher :
BMC, 2021.

Abstract

Abstract Background Training for the fundus examination using traditional teaching is challenging, resulting in low generalist physicians’ confidence in performing the funduscopic examination. There is growing evidence suggesting a flexible e-learning video approach’s value in teaching physical examination procedures. However, whether the flexible e-learning video approach is superior to the traditional, face-to-face (F2F) lecture-based teaching for the funduscopic exam and the cognitive processes supporting its effectiveness has not yet been determined. Methods We conducted a sequential explanatory mixed-method study to compare the flexible e-learning video approach’s effectiveness versus the F2F lecture-based approach for teaching the funduscopic exam to medical students at Chiba University in Japan. Medical students were randomly assigned to either a flexible e-learning video approach group or a F2F lecture approach group. We then quantitatively measured the diagnostic accuracy of funduscopic findings before and after attending the specific classrooms. Next, we conducted student focus groups to explore the students’ thinking processes in the flexible e-learning video approach vs. the F2F lecture-based teaching of fundus examination. The qualitative data were analyzed using the qualitative content analysis method. Results The mean diagnostic accuracy scores in the post-test significantly increased from pre-test in the intervention group (36.6 to 63.4%, p

Details

Language :
English
ISSN :
14726920
Volume :
21
Issue :
1
Database :
Directory of Open Access Journals
Journal :
BMC Medical Education
Publication Type :
Academic Journal
Accession number :
edsdoj.33ed7156034e49a9a4c7fb58a44ce66e
Document Type :
article
Full Text :
https://doi.org/10.1186/s12909-021-02857-8