Efficacy of a Web-Based Oral Case Presentation Instruction Module: Multicenter Randomized Controlled Trial
| Autor: | Linda Orkin Lewin, Howard Cabral, Michelle Noelck, Michael Dell, Jeanine C. Ronan, Colin M. Sox, Mary Brown, Rebecca Tenney-Soeiro, Michael Silverstein, Marta King, Jamie Sutherell, Rachel Thompson |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Students Medical Formative Feedback media_common.quotation_subject education Case presentation Pediatrics 01 natural sciences Session (web analytics) law.invention Education Distance Young Adult 03 medical and health sciences Presentation 0302 clinical medicine Randomized controlled trial law medicine Humans Web application 030212 general & internal medicine 0101 mathematics Schools Medical media_common Internet business.industry 010102 general mathematics Clinical Clerkship United States Confidence interval Multivariate Analysis Pediatrics Perinatology and Child Health Physical therapy Female business Program Evaluation |
| Zdroj: | Academic Pediatrics. 18:535-541 |
| ISSN: | 1876-2859 |
| DOI: | 10.1016/j.acap.2017.12.010 |
| Popis: | Objective Effective self-directed educational tools are invaluable. Our objective was to determine whether a self-directed, web-based oral case presentation module would improve medical students' oral case presentations compared to usual curriculum, and with similar efficacy as structured oral presentation faculty feedback sessions. Methods We conducted a pragmatic multicenter cluster randomized controlled trial among medical students rotating in pediatric clerkships at 7 US medical schools. In the clerkship's first 14 days, subjects were instructed to complete an online Computer-Assisted Learning in Pediatrics Program (CLIPP) oral case presentation module, an in-person faculty-led case presentation feedback session, or neither (control). At the clerkship's end, evaluators blinded to intervention status rated the quality of students' oral case presentations on a 10-point scale. We conducted intention-to-treat multivariable analyses clustered on clerkship block. Results Study participants included 256 CLIPP (32.5%), 263 feedback (33.3%), and 270 control (34.2%) subjects. Only 51.1% of CLIPP subjects completed the assigned presentation module, while 98.5% of feedback subjects participated in presentation feedback sessions. Compared to controls, oral presentation quality was significantly higher in the feedback group (adjusted difference in mean quality, 0.28; 95% confidence interval, 0.08, 0.49) and trended toward being significantly higher in the CLIPP group (0.19; 95% confidence interval, −0.006, 0.38). The quality of presentations in the CLIPP and feedback groups was not significantly different (−0.10; 95% confidence interval, −0.31, 0.11). Conclusions The quality of oral case presentations delivered by students randomized to complete the CLIPP module did not differ from faculty-led presentation feedback sessions and was not statistically superior to control. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect