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Vogt L, Schauwinhold M, Rossaint R, Schenkat H, Klasen M, Sopka S. At the limits of digital education. The importance of practical education for clinical competencies learning in the field of emergency medicine: A controlled non-randomized interventional study. Front Med (Lausanne) 2022; 9:993337. [PMID: 36186826 PMCID: PMC9523109 DOI: 10.3389/fmed.2022.993337] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2022] [Accepted: 08/31/2022] [Indexed: 11/13/2022] Open
Abstract
Introduction A high-quality education of future physicians is essential. Modern approaches interlock the acquisition of theoretical knowledge and practical skills in a spiral curriculum, leading to a mutual learning benefit for knowledge and application. This model was challenged by the elimination of hands-on trainings during the pandemic, which were often replaced by purely digital teaching models. Given the holistic nature of the spiral curriculum, we assumed that a purely digital model would have an impact on knowledge acquisition due to missing hands-on learning opportunities. The aim of the study was to investigate, using an emergency seminar as an example, whether purely digital training leads to a difference in theoretical knowledge compared to the traditional model. Materials and methods Study design: We used a two-groups design comparing a sample of medical students taught in 2020 with a purely digital teaching format (DF; n = 152) with a historical control group taught with a traditional format (TF; n = 1060). Subject of investigation was a seminar on emergency medicine, taking place in the 4th year. Outcome parameters: The primary outcome parameter was the students' acquired knowledge, measured by the score achieved in the final exams. Students' evaluation of the seminar was used as a secondary outcome parameter. Results Students in the DF group scored significantly lower than students in the TF group in the final exams. Students in the DF group rated the course significantly worse than students in the TF group. Discussion The study results illustrate that purely digital education leads to inferior knowledge acquisition compared to the traditional spiral curriculum. A possible explanation may lie in a deeper processing of the information (e.g., understanding the information by experience and analysis) and accordingly a better memory recall. Moreover, the students' critical appraisal of the DF may have had an unfavorable effect on learning performance. Moderating factors may be lower learning motivation or the “zoom fatigue” effect. Conclusion These study results clearly illustrate the importance of hands-on teaching for knowledge acquisition. The interlocking of theoretical knowledge and practical skills, as ensured by the spiral curriculum, is essential.
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Affiliation(s)
- Lina Vogt
- Clinic for Anesthesiology, University Hospital Rheinisch-Westfälische Technische Hochschule Aachen, Medical Faculty, Rheinisch-Westfälische Technische Hochschule Aachen, Aachen, Germany
- AIXTRA – Competence Center for Training and Patient Safety, Medical Faculty, Rheinisch-Westfälische Technische Hochschule Aachen, Aachen, Germany
- *Correspondence: Lina Vogt
| | - Michael Schauwinhold
- Clinic for Anesthesiology, University Hospital Rheinisch-Westfälische Technische Hochschule Aachen, Medical Faculty, Rheinisch-Westfälische Technische Hochschule Aachen, Aachen, Germany
- AIXTRA – Competence Center for Training and Patient Safety, Medical Faculty, Rheinisch-Westfälische Technische Hochschule Aachen, Aachen, Germany
| | - Rolf Rossaint
- Clinic for Anesthesiology, University Hospital Rheinisch-Westfälische Technische Hochschule Aachen, Medical Faculty, Rheinisch-Westfälische Technische Hochschule Aachen, Aachen, Germany
| | - Henning Schenkat
- Dean of Students Office, Medical Faculty, Rheinisch-Westfälische Technische Hochschule Aachen, Aachen, Germany
| | - Martin Klasen
- Clinic for Anesthesiology, University Hospital Rheinisch-Westfälische Technische Hochschule Aachen, Medical Faculty, Rheinisch-Westfälische Technische Hochschule Aachen, Aachen, Germany
- AIXTRA – Competence Center for Training and Patient Safety, Medical Faculty, Rheinisch-Westfälische Technische Hochschule Aachen, Aachen, Germany
| | - Saša Sopka
- Clinic for Anesthesiology, University Hospital Rheinisch-Westfälische Technische Hochschule Aachen, Medical Faculty, Rheinisch-Westfälische Technische Hochschule Aachen, Aachen, Germany
- AIXTRA – Competence Center for Training and Patient Safety, Medical Faculty, Rheinisch-Westfälische Technische Hochschule Aachen, Aachen, Germany
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Brendlin AS, Molwitz I, Oechtering TH, Barkhausen J, Frydrychowicz A, Sulkowski T, Balks MF, Buchholz M, Lohwasser S, Völker M, Goldschmidt O, Johenning A, Schlender S, Paulus C, Antoch G, Dettmer S, Baeßler B, Maintz D, Pinto Dos Santos D, Vogl TJ, Hattingen E, Stoevesandt D, Reinartz S, Storz C, Müller-Peltzer K, Bamberg F, Rengier F, Weis M, Frisch A, Hansen NL, Kolb M, Maurer M, Nikolaou K, Afat S, Othman AE. CoRad-19 - Modular Digital Teaching during the SARS-CoV-2 Pandemic. ROFO-FORTSCHR RONTG 2022; 194:644-651. [PMID: 35439829 DOI: 10.1055/a-1752-0624] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
PURPOSE During the SARS-CoV-2 pandemic, higher education worldwide had to switch to digital formats. The purpose of this study was to evaluate CoRad-19, a digital teaching tool created by the German Radiological Society for medical students during the COVID-19 pandemic. MATERIALS AND METHODS A total of 13 German-speaking universities implemented CoRad-19 in their curriculum and partially or completely replaced their classes with the online courses. Previous experience and contact with radiology and the participants' opinions regarding the medium of e-learning were surveyed using a custom questionnaire. The subjective level of knowledge regarding the individual modules was also surveyed before and after participation to measure learning effects. The data of 994 medical students from the participating sites were analyzed and compared intraindividually using the Friedman test. RESULTS From 4/1/2020-10/1/2020, 451 complete data sets from a total of 994 surveys were included. E-learning was rated "very useful" both before and after course participation (4 [IQR 3-4], p = 0.527, r = 0.16). E-learning as a method was also rated as a "very good" medium both before and after participation (4 [IQR 3-4], p = 0.414, r = 0.17). After participation, participants rated radiology as particularly suitable for digital teaching (before: 3 [IQR 3-4] vs. after 4 [IQR 3-4], p = 0.005, r = 0.6). Significant learning gains were measurable in all course modules (p ≤ 0.009). Post-hoc analysis showed interest in radiology to increase significantly after course participation (p = 0.02). CONCLUSION In the representative survey, significant learning effects were observed in all course modules. In addition, it should be particularly emphasized that the students' interest in radiology was increased by course participation. Thus, the German Radiological Society provided significant support to German-speaking medical faculties with respect to maintaining excellent education using CoRad-19. KEY POINT · Co-Rad-19 course participation results in measurable subjective learning effects and increases student interest in radiology.. CITATION FORMAT · Brendlin AS, Molwitz I, Oechtering TH et al. CoRad-19 - Modular Digital Teaching during the SARS-CoV-2 Pandemic. Fortschr Röntgenstr 2022; DOI: 10.1055/a-1752-0624.
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Affiliation(s)
- Andreas Stefan Brendlin
- Department of Diagnostic and Interventional Radiology, Eberhard-Karls University, Tuebingen, Germany
| | - Isabel Molwitz
- Department of Diagnostic and Interventional Radiology and Nuclear Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Thekla Helene Oechtering
- Department of Radiology, University of Wisconsin-Madison, Madison, United States.,Department of Radiology and Nuclear Medicine, University Hospital Schleswig-Holstein, Lübeck, Germany
| | - Jörg Barkhausen
- Department of Radiology and Nuclear Medicine, University Hospital Schleswig-Holstein, Lübeck, Germany
| | - Alex Frydrychowicz
- Department of Radiology and Nuclear Medicine, University Hospital Schleswig-Holstein, Lübeck, Germany
| | - Tanja Sulkowski
- Department of Radiology and Nuclear Medicine, University Hospital Schleswig-Holstein, Lübeck, Germany
| | - Maren Friederike Balks
- Department of Radiology and Nuclear Medicine, University Hospital Schleswig-Holstein, Lübeck, Germany
| | - Michael Buchholz
- Department of Radiology and Nuclear Medicine, University Hospital Schleswig-Holstein, Lübeck, Germany
| | - Stefan Lohwasser
- German Roentgen Society "Deutsche Röntgengesellschaft", Berlin, Germany
| | - Martin Völker
- German Roentgen Society "Deutsche Röntgengesellschaft", Berlin, Germany
| | - Olaf Goldschmidt
- German Roentgen Society "Deutsche Röntgengesellschaft", Berlin, Germany
| | - Anja Johenning
- German Roentgen Society "Deutsche Röntgengesellschaft", Berlin, Germany
| | - Sabine Schlender
- German Roentgen Society "Deutsche Röntgengesellschaft", Berlin, Germany
| | - Christian Paulus
- German Roentgen Society "Deutsche Röntgengesellschaft", Berlin, Germany
| | - Gerald Antoch
- Department of Diagnostic and Interventional Radiology, University Hospital Essen, Essen, Germany
| | - Sabine Dettmer
- Department of Diagnostic and Interventional Radiology, Hannover Medical School, Hannover, Germany
| | - Bettina Baeßler
- Institute of Radiology, University of Würzburg, Würzburg, Germany
| | - David Maintz
- Department of Radiology, University Hospital of Cologne, Cologne, Germany
| | - Daniel Pinto Dos Santos
- Department of Diagnostic and Interventional Radiology, University Hospital Frankfurt, Frankfurt am Main, Germany
| | - Thomas J Vogl
- Department of Diagnostic and Interventional Radiology, University Hospital Frankfurt, Frankfurt am Main, Germany
| | - Elke Hattingen
- Institute of Neuroradiology, University Hospital Frankfurt, Frankfurt am Main, Germany
| | - Dietrich Stoevesandt
- Department of Radiology, Martin Luther University Halle-Wittenberg, Halle, Germany
| | - Sebastian Reinartz
- Department of Diagnostic and Interventional Radiology, RWTH Aachen University, Aachen, Germany
| | - Corinna Storz
- Department of Neuroradiology, University Medical Center Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany
| | - Katharina Müller-Peltzer
- Department of Diagnostic and Interventional Radiology, University Medical Center Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany
| | - Fabian Bamberg
- Department of Diagnostic and Interventional Radiology, University Medical Center Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany
| | - Fabian Rengier
- Clinic for Diagnostic and Interventional Radiology, Heidelberg University Hospital, Heidelberg, Germany
| | - Meike Weis
- Department of Radiology and Nuclear Medicine, Medical Faculty Mannheim, University Medical Center Mannheim, Heidelberg University, Mannheim, Germany
| | - Anne Frisch
- Department of Diagnostic and Interventional Radiology, Charité, Berlin, Germany
| | - Nienke Lynn Hansen
- Department of Diagnostic and Interventional Radiology, MVZ Rheinlandärzte GmbH, Willich, Germany
| | - Manuel Kolb
- Department of Diagnostic and Interventional Radiology, Eberhard-Karls University, Tuebingen, Germany
| | - Michael Maurer
- Department of Diagnostic and Interventional Radiology, Eberhard-Karls University, Tuebingen, Germany
| | - Konstantin Nikolaou
- Department of Diagnostic and Interventional Radiology, Eberhard-Karls University, Tuebingen, Germany
| | - Saif Afat
- Department of Diagnostic and Interventional Radiology, Eberhard-Karls University, Tuebingen, Germany
| | - Ahmed E Othman
- Department of Diagnostic and Interventional Radiology, Eberhard-Karls University, Tuebingen, Germany.,Department of Neuroradiology, University Medical Center, Mainz, Germany
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