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Face-to-Face Versus Distance Learning of Basic Suturing Skills

4 марта 2022 г. обновлено: Dr. Ahmad Zaghal, American University of Beirut Medical Center

Traditional Face-to-Face Versus Distance Learning of Basic Suturing Skills in Novice Learners

The main objective of this study is to determine the acceptability and effectiveness of Distance Learning (DL) of basic suturing skills in novice learners.

A prospective randomized controlled trial involving 118 pre-medical and medical students with no previous experience in suturing was conducted. Participants were randomized into two groups for learning simple interrupted suturing: F-F and DL groups (59 students in each group) . Evaluation was conducted by two independent assessors. Agreement between the assessors was calculated, and performance scores of the participants were compared between the two groups.

All the participants demonstrated their ability to place three interrupted sutures, with no significant difference in the performance between the two groups. All the respondents positively rated the teaching sessions, found them useful and enjoyable.

Distance learning of basic suturing is as effective as the face-to-face approach in novice learners

Обзор исследования

Статус

Завершенный

Условия

Вмешательство/лечение

Подробное описание

At our hospital, during the initial lock-down period in March and April 2020, all medical students' clinical clerkships were temporarily cancelled, and their educational activities switched to web-based remote learning, utilizing teleconferencing and commercially available web-based interactive clinical modules. Teaching surgical technical skills, such as basic suturing, presented itself as a more challenging component of the clinical education under these unusual circumstances as compared to teaching cognitive skills and knowledge, which raised questions and concerns around the effectiveness and acceptability of distance learning of basic surgical skills.

In this study, the investigators aimed to compare the effectiveness and retention of distance learning to the traditional face-to-face learning of basic (simple interrupted) suturing in novice learners. This study entails a prospective randomized trial involving two arms (traditional face-to-face versus distance learning of basic simple interrupted suturing) in pre-medical students as well as first and second year medical students at the American University of Beirut (AUB). Immediately after the teaching session as part of research, two independent surgeons assessed the students' simple interrupted suturing performance using a validated checklist and OSATS global rating.

The difference in performance was used to determine the effectiveness of distance learning of basic suturing as compared to the traditional instructional method. In addition, the students in both groups were asked to complete a questionnaire (immediately after the teaching session) to investigate their satisfaction and confidence.

Тип исследования

Наблюдательный

Регистрация (Действительный)

118

Контакты и местонахождение

В этом разделе приведены контактные данные лиц, проводящих исследование, и информация о том, где проводится это исследование.

Места учебы

  • Ливан
      • Beirut, Ливан, 1104
        • American University of Beirut Medical Center

Критерии участия

Исследователи ищут людей, которые соответствуют определенному описанию, называемому критериям приемлемости. Некоторыми примерами этих критериев являются общее состояние здоровья человека или предшествующее лечение.

Критерии приемлемости

Возраст, подходящий для обучения

От 18 лет до 25 лет (Взрослый)

Принимает здоровых добровольцев

Да

Полы, имеющие право на обучение

Все

Метод выборки

Вероятностная выборка

Исследуемая популяция

Pre-medical, first, and second-year medical students from a four-year Doctor of Medicine graduate-entry programme. Premedical students include senior biology, medical laboratory, and nutrition students. All participants had no previous experience with suturing. Basic suturing is one of the educational activities of the third-year medical students, before which students are not normally exposed to basic suturing skills teaching sessions. The participants were recruited via an email sent to all the potential candidates for participation in this study.

Описание

Inclusion Criteria:

  • Pre-medical, first, and second-year medical students with no previous experience in suturing.

Exclusion Criteria:

  • Previous experience in suturing.Refusal of enrolment.

Учебный план

В этом разделе представлена ​​подробная информация о плане исследования, в том числе о том, как планируется исследование и что оно измеряет.

Как устроено исследование?

Детали дизайна

Когорты и вмешательства

Группа / когорта
Вмешательство/лечение
Control group: Face-to-Face learning of simple interrupted suturing
  • The students watched a video demonstrating simple interrupted suturing, with the instructor commenting on the steps.
  • The students then watched the video again.
  • The instructor then demonstrated the procedure for the students.
  • The students then practiced suturing with immediate and specific feedback provided by the instructor until he and the students were satisfied with the performance.
Study group: Distance learning (tele simulation) of simple interrupted suturing
  • The instructor ran the interactive tele simulation sessions utilising web-based video-conferencing technology (WebEx platform). The students used their personal smartphones or laptops with audio-video capabilities. The instructor ran the session through his smartphone.
  • The instructor shared a video demonstrating simple interrupted suturing while commenting on the steps (the same video used in the control group).
  • The instructor then ran the video again for the students.
  • The instructor then demonstrated the skill for the students by turning on his camera.
  • The students then practiced suturing, and periodically turned on their cameras to receive live and specific feedback from the instructor on their performance, until the instructor and the students were satisfied.
  • No face-to-face interactions between the students and the instructor.
Другой: Tele simulation
Interactive tele simulation sessions utilising web-based video-conferencing technology (WebEx platform).

Что измеряет исследование?

Первичные показатели результатов

Мера результата
Мера Описание
Временное ограничение
Assessment of suturing skills in medical students via checklist
Временное ограничение: immediately after the intervention(suturing session)

The adopted ten-item checklist for assessing suturing skills in medical studentS differentiated between novice and expert performances and showed a narrow variation in the scores provided by three independent expert assessors.

Overall performance scores were calculated based on the formula used by the same authors: "cutoff time (seconds) - completion time (seconds) - (10 x sum of errors)" with higher scores indicating better performance
immediately after the intervention(suturing session)

Вторичные показатели результатов

Мера результата
Мера Описание
Временное ограничение
Assessment of suturing skills in medical students via OSATS
Временное ограничение: immediately after the intervention(suturing session)
OSATS is a validated observational assessment tool also used in medical students. It comprises of seven performance domains whereby learners are scored on a 5-point Likert scale on proper tissue handling, efficiency and economy of movements, instrument handling, suture handling, flow of the procedure, knowledge of the steps of the procedure, overall appearance of the suture, in addition to an overall assessment of the performance; higher scores indicate better performance
immediately after the intervention(suturing session)

Другие показатели результатов

Мера результата
Мера Описание
Временное ограничение
Questionnaire that assesses confidence and satisfaction
Временное ограничение: immediately after the intervention( suturing session)
The students were asked, on voluntary basis, to electronically fill a brief anonymous questionnaire after the completion of their respective sessions to evaluate their satisfaction (acceptability), confidence levels, and attitudes towards the instructional method they experienced (Figure 4). We followed the AMEE's guide No.87 (Artino et-al, 2014) recommendations for the survey items development, making sure to use clear self-explanatory language, avoid using negative-worded sentences, and include verbal labels for all the Likert-scale responses of the closed-ended items. We have also included three open-ended questions to gain a more detailed grasp of the students' perceptions of their learning experience.
immediately after the intervention( suturing session)

Соавторы и исследователи

Здесь вы найдете людей и организации, участвующие в этом исследовании.

Спонсор

American University of Beirut Medical Center

Следователи

  • Главный следователь: Ahmad Zaghal, MD, MSc, FACS, FEBPS, American University of Beirut Medical Center ; Department of Surgery

Даты записи исследования

Эти даты отслеживают ход отправки отчетов об исследованиях и сводных результатов на сайт ClinicalTrials.gov. Записи исследований и сообщаемые результаты проверяются Национальной медицинской библиотекой (NLM), чтобы убедиться, что они соответствуют определенным стандартам контроля качества, прежде чем публиковать их на общедоступном веб-сайте.

Изучение основных дат

Начало исследования (Действительный)

4 января 2021 г.

Первичное завершение (Действительный)

19 мая 2021 г.

Завершение исследования (Действительный)

19 мая 2021 г.

Даты регистрации исследования

Первый отправленный

24 февраля 2022 г.

Впервые представлено, что соответствует критериям контроля качества

4 марта 2022 г.

Первый опубликованный (Действительный)

11 марта 2022 г.

Обновления учебных записей

Последнее опубликованное обновление (Действительный)

11 марта 2022 г.

Последнее отправленное обновление, отвечающее критериям контроля качества

4 марта 2022 г.

Последняя проверка

1 марта 2022 г.

Дополнительная информация

Термины, связанные с этим исследованием

Ключевые слова

Другие идентификационные номера исследования

  • SBS-2020-0378

Планирование данных отдельных участников (IPD)

Планируете делиться данными об отдельных участниках (IPD)?

НЕТ

Описание плана IPD

The datasets generated and/or analysed during the current study are not publicly available due to the Institutional Review Board requirements but are available from the corresponding author upon a reasonable request.

Информация о лекарствах и устройствах, исследовательские документы

Изучает лекарственный продукт, регулируемый FDA США.

Нет

Изучает продукт устройства, регулируемый Управлением по санитарному надзору за качеством пищевых продуктов и медикаментов США.

Нет

Эта информация была получена непосредственно с веб-сайта clinicaltrials.gov без каких-либо изменений. Если у вас есть запросы на изменение, удаление или обновление сведений об исследовании, обращайтесь по адресу register@clinicaltrials.gov. Как только изменение будет реализовано на clinicaltrials.gov, оно будет автоматически обновлено и на нашем веб-сайте. .

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