Abstract
BackgroundWe introduced video-based teaching in pediatrics. We evaluated the impact of a pediatric video program on student performance in assessing pediatric patients presented as video cases. The program consisted of a library of pediatric videos, and inclusion of these in the teaching and examination for pediatric medicine.MethodsMedical students on a pediatric clerkship at the University of Copenhagen assessed eight short pediatric video cases during autumn 2011 and spring 2012. Two independent observers evaluated a subset of records in a pilot study. A blind evaluation was made of the written records of 37 students before, and 58 students after, the introduction of the program using a Rubric score with four domains.ResultsThe intraobserver interclass correlation coefficient was 0.94 and the interobserver interclass correlation was 0.71(n=25). The students’ mean total Rubric score in spring 2012 (7.0) was significantly higher (p<0.001, 95% CI 1.34–3.20) than autumn 2011 (4.7). Cohen's d was 1.1 (95% CI 0.6–1.7). Single domains scores increased significantly for general assessment (1.30 versus 0.57) (p<0.002, 95% CI 0.45–1.18), recognition of principal symptoms (1.38 versus 0.81) (p<0.008, 95% CI 0.22–0.91), appropriate diagnosis (2.28 versus 1.78) (p<0.002, 95% CI 0.16–0.82) and consistency between observed symptoms and diagnosis (1.94 versus 1.57) (p=0.0482, 95% CI 0.00–0.79).ConclusionsStudents improved in evaluating pediatric patients presented as video cases after the introduction of the program. The impact on real-life situations remains to be established.
Highlights
The aim of this study was to evaluate the effect of a video case teaching program in Pediatrics on students’ performances in assessing pediatric patients presented as video cases
In January 2012, a video case teaching program in Pediatrics was introduced. This consisted of access to a new library of 180–200 short pediatric patient video cases on the university e-learning platform, which was available online 24/7 to medical students during their pediatric clerkship
To obtain as objective a measure as possible of student performances in assessing pediatric patients presented as video cases, we developed a Rubric score (Table 2), a tool that can be used to assess student competencies [1,7]
Summary
We evaluated the impact of a pediatric video program on student performance in assessing pediatric patients presented as video cases. The clinical assessment of pediatric patients is difficult, and students' access to pediatric patients may be limited because of seasonal variation and short clerkships. This is likely to limit the acquisition of competence [1]. The theory suggests that this is partly because images and words are processed in different parts of the Educators have explored the efficacy of using patient video cases, which, at least in theory, expose students to the complexity of actual clinical problems [4]. Assessing the impact of video-based teaching is difficult and it is even harder to assess whether the skills learnt in this way can be transferred to patients in real life
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