Abstract

ObjectivesThis study aims to explore GP residents' knowledge retention and residents' and clinical teachers' perception on the learning value of a dermatology E-learning programme. MethodsThe study used a mixed-method design with a convergent parallel collection of data. GP residents (n=21) were selected through purposive sampling and were randomized to an E-learning group (n=12) or a traditional teaching methods group (n=9). The pre-and post-intervention knowledge tests of the E-learning group were compared using paired-samples t-tests. Post-knowledge tests scores of both groups were compared using independent t-tests. Cronbach's coefficient α was used to calculate the internal consistency of the questions used in the knowledge tests. Individual semi-structured interviews and clinical teachers (n=16) were conducted and analyzed using King's template analysis. ResultsThe E-learning group showed a significant increase in mean knowledge test scores from 58.92% (SD=9.55%) to 64.92% (SD=13.65%) (t(11)=2.258, p=0.045, Cohen’s d=0.51). The pre-knowledge test consisted of 46 items (Alpha=0.78), and the post-knowledge tests consisted of 45 items (Alpha=0.90). Interview data showed that the E-learning programme aided GP trainees' learning process and favoured a mixed-method teaching design, in which E-learning is used in parallel to the traditional teaching methods. ConclusionsA dermatology E-learning programme appeared an effective strategy in resident's knowledge acquiring. The key users' perceptions, both residents and clinical teachers, indicated that E-learning was feasible and helpful for learning processes. Further research is required to evaluate the implementation of E-learning programmes in parallel to regular teaching programs.

Highlights

  • In medical schools and residency training programs, dermatology training is limited, leading to both knowledge gaps in dermatological pathology as well as low confidence in the performance of skin examinations and management of dermatological conditions.[1]

  • The intervention group showed a significant increase in knowledge test scores from the pre(M=58.92%, standard deviation (SD)=9.55%) to the post-knowledge test (M=64.92%, SD=13.65%, t(11)= 2.258, p = 0.045, Cohen’s d = 0.51), suggesting that the E-learning intervention moderately benefitted the knowledge acquisition of General Practitioners (GPs) residents

  • The qualitative data of this study explored GP residents' learning mechanisms, and we found that all GP residents valued to learn through authentically clinical cases by linking theory to practice: the E-learning programme by providing a wide selection of clinical cases followed by links to websites and the traditional teaching methods by providing clinical cases that were selected by the GP residents themselves from their own clinical experience

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Summary

Introduction

In medical schools and residency training programs, dermatology training is limited, leading to both knowledge gaps in dermatological pathology as well as low confidence in the performance of skin examinations and management of dermatological conditions.[1]. The ongoing changing context of medical education demands a more

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