Mobile Learning App: A Novel Method to Teach Clinical Decision Making in Prosthodontics
Mobile Learning App: A Novel Method to Teach Clinical Decision Making in Prosthodontics
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DOI：
10.4103/1357-6283.210514
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发表时间：
2017-01-01
影响因子：
0.7
通讯作者：
Rathi, Akhil
中科院分区：
文献类型：
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作者：
Deshpande, Saee;Chahande, Jaishree;Rathi, Akhil
背景：口腔修复涉及使用人工替代品来替换丢失的牙面结构。由于许多材料和技术的可用性，临床医生关于适当选择假体的临床决策需要批判性思维能力，并且要求很高。特别是在研究生培训期间，学习者没有接触到各种案例，因此他们的临床推理技能没有得到最佳发展。因此，顺应科技融入教育的趋势，我们为此开发了一款移动学习应用程序。本研究的目的是评估学习者对该应用程序实用性的看法以及对其临床决策技能的影响。方法：在获得知情同意后，印度那格浦尔 VSPM 牙科学院修复科的实习生在 2015 年 5 月至 2016 年 5 月学年期间收到了要在其 Android 智能手机中安装该应用程序的链接。他们的看法被记录在使用 5 点李克特量表的反馈问卷中。脚本一致性测试（SCT）用于检查临床推理能力的变化。结果：在收到该链接的 120 名学生中，有 102 名学生下载了该链接，92 名学生填写了反馈问卷并参加了 SCT（回复率：76%）。超过三分之二的实习生对该应用程序的总体反应是积极的，他们表示通过该应用程序对假肢的临床决策更有信心，94% 的学生认为该应用程序应与传统教学技术一起定期使用。平均 SCT 分数为测试前 41.5 (+/- 1.7) 和测试后 63 (+/- 2.4) (P < 0.005)。讨论：口腔修复临床决策是一款移动学习应用程序，是提高口腔修复康复规划临床推理能力的有效方法。深受学生好评。
Background: Prosthodontics involves replacing lost dentofacial structures using artificial substitutes. Due to availability of many materials and techniques, clinician's clinical decision-making regarding appropriate selection of prosthesis requires critical thinking abilities and is demanding. Especially during graduate training years, learners do not receive the exposure to a variety of cases, thus their clinical reasoning skills are not developed optimally. Therefore, using the trend of incorporating technology in education, we developed a mobile learning app for this purpose. The aim of this study was to evaluate learners' perceptions of this app's utility and impact on their clinical decision-making skills. Methods: After taking informed consent, interns of the Department of Prosthodontics of VSPM Dental College, Nagpur, India, during the academic year May 2015-May 2016 were sent the link for the app to be installed in their Android smartphones. Their perceptions were recorded on a feedback questionnaire using 5-point Likert scale. The script concordance test (SCT) was used to check for changes in clinical reasoning abilities. Results: Out of 120 students who were sent the link, 102 downloaded the link and 92 completed the feedback questionnaire and appeared for the SCT (response rate: 76%). The overall response to the app was positive for more than two-thirds of interns, who reported a greater confidence in their clinical decision-making around prostheses through this app and 94% of the students felt that this app should be regularly used along with conventional teaching techniques. Mean SCT scores were pretest 41.5 (+/- 1.7) and posttest 63 (+/- 2.4) (P < 0.005). Discussion: Clinical decision-making in prosthodontics, a mobile learning app, is an effective way to improve clinical reasoning skills for planning prosthodontic rehabilitation. It is well received by students.