Use of the Smartphone App WhatsApp as an E-Learning Method for Medical Residents: Multicenter Controlled Randomized Trial
Use of the Smartphone App WhatsApp as an E-Learning Method for Medical Residents: Multicenter Controlled Randomized Trial
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DOI：
10.2196/12825
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发表时间：
2019-04-09
影响因子：
5
通讯作者：
Compere, Vincent
中科院分区：
文献类型：
--
作者：
Clavier, Thomas;Ramen, Julie;Compere, Vincent
背景：WhatsApp智能手机应用是世界上使用最广泛的即时通讯应用。最近的研究报道了WhatsApp用于教育目的，但没有前瞻性研究将WhatsApp的教学效果与任何其他教学模式进行比较。目的：本研究的主要目的是衡量通过WhatsApp学习计划对住院医生临床推理的影响。方法：这项前瞻性、随机、多中心研究在法国四所大学医院的一、二年级麻醉住院医师（线下招募）中进行。住院医师被随机分为两组在线教学（WhatsApp和对照组）。WhatsApp小组受益于WhatsApp应用程序上每天发布的教学文档，以及由一位资深医生监督的每周临床病例。在对照组，居民可以通过传统的计算机电子学习（e-learning）平台访问相同的文件。医学推理通过文字一致性测试（SCT；主要参数）在线自我评估，医学知识使用多项选择题（mcq）评估。居民们还完成了一份在线满意度问卷。结果：本研究随机抽取了62名居民（WhatsApp组32名，对照组30名），每组22名居民回答了在线最终评估。我们发现WhatsApp组和对照组在sct方面存在差异（60% [SD 9%] vs 68% [SD 11%]； P= 0.006），但在mcq方面没有差异（18/30 [SD 4] vs 16/30 [SD 4]； P= 0.22）。在满意度方面，WhatsApp组的整体满意度高于对照组（8/10[四分位数范围8-9]vs 8/10[四分位数范围8-8]；P= 0.049）。结论：与传统的电子学习相比，使用WhatsApp进行住院医生教学与较差的临床推理相关，尽管全球赞赏程度更高。使用WhatsApp可能会分散与使用智能手机有关的注意力。智能手机对临床推理的影响有待进一步研究。
Background: The WhatsApp smartphone app is the most widely used instant messaging app in the world. Recent studies reported the use of WhatsApp for educational purposes, but there is no prospective study comparing WhatsApp's pedagogical effectiveness to that of any other teaching modality.Objective: The main objective of this study was to measure the impact of a learning program via WhatsApp on clinical reasoning in medical residents.Methods: This prospective, randomized, multicenter study was conducted among first- and second-year anesthesiology residents (offline recruitment) from four university hospitals in France. Residents were randomized in two groups of online teaching (WhatsApp and control). The WhatsApp group benefited from daily delivery of teaching documents on the WhatsApp app and a weekly clinical case supervised by a senior physician. In the control group, residents had access to the same documents via a traditional computer electronic learning (e-learning) platform. Medical reasoning was self-assessed online by a script concordance test (SCT; primary parameter), and medical knowledge was assessed using multiple-choice questions (MCQs). The residents also completed an online satisfaction questionnaire.Results: In this study, 62 residents were randomized (32 to the WhatsApp group and 30 to the control group) and 22 residents in each group answered the online final evaluation. We found a difference between the WhatsApp and control groups for SCTs (60% [SD 9%] vs 68% [SD 11%]; P=.006) but no difference for MCQs (18/30 [SD 4] vs 16/30 [SD 4]; P=.22). Concerning satisfaction, there was a better global satisfaction rate in the WhatsApp group than in the control group (8/10 [interquartile range 8-9] vs 8/10 [interquartile range 8-8]; P=.049).Conclusions: Compared to traditional e-learning, the use of WhatsApp for teaching residents was associated with worse clinical reasoning despite better global appreciation. The use of WhatsApp probably contributes to the dispersion of attention linked to the use of the smartphone. The impact of smartphones on clinical reasoning should be studied further.