온라인 임상술기 비디오를 활용한 연습 : 장점과 도전

Use of online clinical videos for clinical skills training for medical students: benefits and challenges

Hye Won Jang1 and Kyong-Jee Kim2*

Background

OSCE를 활용한 평가에 많은 비용을 투자하고 있음

Having students acquire competency in basic clinical skills is an important goal of medical education. As such, medical schools offer OSCE (Objective Structured Clinical Examination) to evaluate students for their clinical skills and they spend a significant amount of time self-studying clinical skills [1]. Therefore, it is important that medical schools offer students learning resources to support their self-study of clinical skills.

의사국가고시에 실시기험이 도입된 이후 e-learning이 도입되었음.

There has been a growing emphasis on improving the teaching and learning of clinical skills in Korean medical education as OSCE has become part of the national licensing examination since 2009. There have been challenges in medical schools to reform their curriculum on clinical skills as it requires a great deal of resources. As a response to this issue, e-learning has been adopted in Korean medical schools. The present study aims to investigate student experiences of using e-learning to learn clinical skills and to identify areas for improvement to advance the theory and practice of e-learning for clinical education.

E-learning의 유용성에 대한 연구

Research shows that e-learning is effective in supporting clinical education. 

• People learn effectively from multimedia instructions, and they are of particular importance for medical education [2]. 
• Furthermore, educational videos afford us “to capitalize on the ability of moving images to teach procedures requiring skilled techniques and specialized physical examination [3].” 
• Accordingly, video demonstrations of clinical skills have shown to improve learning of clinical skills [4-10] and 
• medical students appreciate the availability of such learning resources [11,12].

다양한 형태의 e-learning이 있음. 그러나 어떻게 효율적 활용을 도울 것이며, 어떻게 교육과정에 통합시킬 것인가에 대한 연구 부족. 학습자에게는 기회이자 도전임.

Various formats are available for e-learning in clinical education. Among them, offering online videos on clinical skills (i.e., OSCE videos) is a popular format. Although the effectiveness of OSCE videos in learning outcomes are known, there is lack of research on how to make more effective use of them. Furthermore, there is little guidance on how to integrate e-learning into the curriculum despite the recommendation that information technology resources be integral part to supporting the clinical skills curriculum [13]. Use of technology presents both opportunities and challenges to learners [14]. Therefore, the present study investigated student experiences of the use of OSCE videos to identify benefits and challenges of e-learning in clinical skills training. In doing so, this study aims to inform the practice and theory to make more effective use of these resources.

OSCE비디오의 장점에 대해서 그 효과를 본 연구들이 있다. (1)OSCE비디오 활용과 자기효용성, 불안, 준비된 정도의 관계를 보고 (2)모바일기기 활용에 대한 인식 등을 보고자 한다.

In terms of the benefits of OSCE videos on student learning, the present study investigated the impact of using OSCE videos on factors that are known to be associated with student performance in OSCE. 

• The literature suggests that self-efficacy, anxiety, perceived level of preparedness for OSCE can predict the student’s performance in OSCE [15,16]. Thus, the present study investigated the association between the number of OSCE video clips students viewed and their self-efficacy, anxiety, and preparedness for OSCE. 
• Additionally, the present study investigated the use of mobile devices for using OSCE videos. With the development of information and communication technologies, the use of mobile devices in medical education is becoming increasingly popular [14,17]. Yet, research is still scant on how students perceive the mobile learning environment. Therefore, the present study examined student experiences of the mobile learning environment in using OSCE videos.

In the present study, students had access to OSCE videos offered by the Korean Consortium for e-Learning in Medical Education. This organization was formed to develop peer-reviewed online learning resources for medical students and launched an e-learning portal named e-MedEdu (http://www.mededu.or.kr webcite) (see Figure 1). This website offers various types of learning resources, including approximately 300 video clips demonstrating basic clinical skills, such as clinical procedures and physical examination skills. These video clips include narrations and captions for instructions and are usually 10–20 minutes in length. These video clips are streamed live. More detailed information about e-MedEdu is provided elsewhere [18]. This e-learning portal has also been available in mobile applications on both Android and iPhone platforms since Spring, 2011.

Methods

A mixed-methods study was conducted for this study. 

• A 30-items questionnaire was administered to investigate student use and perceptions of OSCE videos. Year 3 and 4 students from 34 Korean medical schools who had access to OSCE videos participated in the online survey. 
• Additionally, a semi-structured interview of a group of Year 3 medical students was conducted for an in-depth understanding of student experience with OSCE videos.

Results

411 students from 31 medical schools returned the questionnaires; a majority of them found OSCE videos effective for their learning of clinical skills and in preparing for OSCE. The number of OSCE videos that the students viewed was moderately associated with their self-efficacy and preparedness for OSCE (p < 0.05). One-thirds of those surveyed accessed the video clips using mobile devices; they agreed more with the statement that it was convenient to access the video clips than their peers who accessed the videos using computers (p < 0.05). Still, students reported lack of integration into the curriculum and lack of interaction as barriers to more effective use of OSCE videos.

Conclusions

The present study confirms the overall positive impact of OSCE videos on student learning of clinical skills. Having faculty integrate these learning resources into their teaching, integrating interactive tools into this e-learning environment to foster interactions, and using mobile devices for convenient access are recommended to help students make more effective use of these resources.

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BMC Med Educ. 2014 Mar 21;14:56. doi: 10.1186/1472-6920-14-56.

Use of online clinical videos for clinical skills training for medical students: benefits and challenges.

Jang HW, Kim KJ1.

Author information

Abstract

BACKGROUND:

Multimedia learning has been shown effective in clinical skills training. Yet, use of technology presents both opportunities and challenges to learners. The present study investigated student use and perceptions of online clinical videos for learning clinical skills and in preparing for OSCE (Objective Structured Clinical Examination). This study aims to inform us how to make more effective us of these resources.

METHODS:

A mixed-methods study was conducted for this study. A 30-items questionnaire was administered to investigate student use and perceptions of OSCE videos. Year 3 and 4 students from 34 Korean medical schools who had access to OSCE videos participated in the online survey. Additionally, a semi-structured interview of a group of Year 3 medical students was conducted for an in-depth understanding of student experience with OSCE videos.

RESULTS:

411 students from 31 medical schools returned the questionnaires; a majority of them found OSCE videos effective for their learning of clinical skills and in preparing for OSCE. The number of OSCE videos that the students viewed was moderately associated with their self-efficacy and preparedness for OSCE (p < 0.05). One-thirds of those surveyed accessed the video clips using mobile devices; they agreed more with the statement that it was convenient to access the video clips than their peers who accessed the videos using computers (p < 0.05). Still, students reported lack of integration into the curriculum and lack of interaction as barriers to more effective use of OSCE videos.

CONCLUSIONS:

The present study confirms the overall positive impact of OSCE videos on student learning of clinical skills. Having faculty integrate these learning resources into their teaching, integrating interactive tools into this e-learning environment to foster interactions, and using mobile devices for convenient access are recommended to help students make more effective use of these resources.

PMID:

 

24650290

 

[PubMed - in process] 

PMCID:

 

PMC3994418

 

Free PMC Article