Abstract

Clinical competencies consisting of skills, knowledge, and communication techniques should be acquired by all medical graduates to optimize healthcare quality. However, transitioning from observation to hands-on learning in clinical competencies poses a challenge to medical students. The aim of this study is to evaluate the impact of a novel interactive multimedia eBook curriculum in clinical competency training. Ninety-six medical students were recruited. Students in the control group (n = 46) were taught clinical competencies via conventional teaching, while students in the experimental group (n = 50) were taught with conventional teaching plus interactive multimedia eBooks. The outcomes of clinical competencies were evaluated using Objective Structured Clinical Examination (OSCE) scores, and feedback on their interactive eBook experiences was obtained. In the experimental group, the average National OSCE scores were not only higher than the control group (214.8 vs. 206.5, p < 0.001), but also showed a quicker improvement when comparing between three consecutive mock OSCEs (p < 0.001). In response to open-ended questions, participants emphasized the importance of eBooks in improving their abilities and self-confidence when dealing with ‘difficult’ patients. Implementing interactive multimedia eBooks could prompt a more rapid improvement in clinical skill performance to provide safer healthcare, indicating the potential of our innovative module in enhancing clinical competencies.

Highlights

  • The two essential bonds in health care and medical education—doctor–patient and teacher–learner relationships—have been at the core of medicine for decades

  • E-learning has become increasingly utilized in medical education globally, and educators must embrace the need for strategic improvement if knowledge for healthcare safety is to find its way to their students [1]

  • Our findings indicate that interactive multimedia eBook training offers a promising approach to enhance students’

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Summary

Introduction

The two essential bonds in health care and medical education—doctor–patient and teacher–learner relationships—have been at the core of medicine for decades. As patients rightfully trust the systems to adequately train doctors that are caring for them, the focus on establishing patient safety in medical education can provide confirmation of that trust, and is of interest among medical educators. E-learning has become increasingly utilized in medical education globally, and educators must embrace the need for strategic improvement if knowledge for healthcare safety is to find its way to their students [1]. As many rapid advances in online medical educational systems have been made, there are several e-learning resources to provide different strategies for medical students to enhance their knowledge and performance [2,3,4]. The question of its effectiveness and its integration into the medical education curriculum is a matter of importance [5,6,7].

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