Comparison of computer-assisted instruction and seminar instruction to acquire psychomotor and cognitive knowledge of epistaxis management

Comparison of computer-assisted instruction and seminar instruction to acquire psychomotor and cognitive knowledge of epistaxis management
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DOI:
10.1016/s0194-5998(99)70233-0
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发表时间:
1999-10-01
影响因子:
3.4
通讯作者:
Brown, DH
Brown, DH
中科院分区:
医学2区
文献类型:
--
作者:
Carr, MM;Reznick, RK;Brown, DH

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鼻出血是初级保健医生面临的常见问题。通常,医学院无法获得有关此问题的第一手经验。开发了计算机学习模块来解决鼻出血的实际管理问题。它由三年级职员进行评估,并与基于相同材料的互动研讨会进行比较。 58 名进行所需耳鼻喉科轮转的学生被随机分为 3 组:(1) 进行教学前测试,(2) 使用计算机模块,以及 (3) 参加小组研讨会。所有参与者都接受了简短的书面测试和实际测试,其中包括在模型患者中进行前鼻包放置。通过t检验比较两组的百分比分数,笔试分数、实践分数或综合分数之间在P=0.05的水平上没有显着差异。这项研究表明,通过计算机模块可以像通过小组互动研讨会一样有效地教授基本的患者管理和简单的程序。
Epistaxis is a common problem faced by primary care physicians. Typically, first-hand experience with this problem is not obtained in medical school. A computer learning module was developed to address practical management of epistaxis. It was evaluated by use of third-year clerks and compared with an interactive seminar based on the same material. Fifty-eight students doing their required otolaryngology rotations were randomly separated into 3 groups: (1) doing a preinstruction test, (2) using the computer module, and (3) participating in a small-group seminar. All participants were tested with a short written test and a practical test that involved performing anterior nasal pack placement in a model patient. Percentage scores for the 2 groups were compared by use of t tests, and there was no significant difference between the written, practical, or combined scores at a level where P = 0.05. This study shows that basic patient management and a simple procedure can be taught as effectively with a computer module as with a small-group interactive seminar.