scholarly journals The Impact of COVID-19 Pandemic on the Learning Outcomes of Medical Students in Taiwan: A Two-Year Prospective Cohort Study of OSCE Performance

Author(s):  
Tzyy-Yurn Tzeng ◽  
Chia-An Hsu ◽  
Ying-Ying Yang ◽  
Eunice J. Yuan ◽  
Ya-Ting Chang ◽  
...  

Background/Aims: To avoid the negative impacts of the COVID-19 pandemic on clinical clerkship, supplemental teachings such as digital materials in the scenario-based distal simulations were implemented. This study utilized the OSCE (objective-structured clinical examination) to evaluate the impact of COVID-19 pandemic on the learning outcome of medical students from the regular group (class of 2020) and pandemic-impacted group (class of 2021). Methods: All medical students serially took, firstly, the mock-OSCE, secondly, the mock-OSCE, and the national OSCE. Then, the serial OSCE scores were compared between groups. Results: Although with similar scores in the first mock OSCE, the regular group (n = 78) had a higher average score in the national OSCE than the pandemic-impacted group (n = 80) (872.18 vs. 834.96, p = 0.003). In terms of improvement, the performances of the regular group were also better than the pandemic-impacted group between the second mock OSCE and the national OSCE (79.10 vs. 38.14, p = 0.014), and between the second mock OSCE and the national OSCE (125.11 vs. 77.52, p = 0.003). While separating distinct genres, the regular group had more of a score increment in standardized patient-based stations between the second mock OSCE and the national OSCE (regular vs. pandemic-impacted: 57.03 vs. 18.95, p = 0.003), as well as between the first mock OSCE and the national OSCE (75.97 vs. 26.36, p < 0.001), but there was no significant difference among the skill-based stations. In particular, the scores of the emergency medicine associated station in the national OSCE of the pandemic-impacted group was lower. Conclusions: Our study implies that the pandemic significantly hampered the learning outcomes of final year medical students in their clinical participation. Especially facing the COVID-19 pandemic, more supplemental teachings are needed to compensate the decreasing emergency medicine exposure.

2020 ◽  
Vol 24 (5) ◽  
pp. 453-456 ◽  
Author(s):  
Wai Kiu Larry Cheung ◽  
Kevin Pehr

Background The McGill Faculty of Medicine implemented a new undergraduate medical curriculum in 2013 with additional preclinical lectures in dermatology. At the time of writing, no Canadian prospective study has been published on undergraduate dermatology training in the context of a complete curricular renewal. Objectives Our study was designed to determine the impact of increasing preclinical teaching in dermatology on medical students’ diagnostic accuracy and learning retention of common dermatoses encountered in primary care. Methods A standardized questionnaire was administered to the Classes of 2015, 2016, 2017, and 2018 in 6 versions for a total of 6 times over their 4 years of training. Each version featured 10 photographs of common dermatoses encountered in primary care. Students were invited to participate anonymously and on a voluntary basis. Results A small absolute, but statistically significant difference, of 3% was detected in the fourth and final year of training between the old curriculum (average score = 70%, standard deviation = 15%) and the new curriculum (average score = 73%, standard deviation = 15%), P = .03. Furthermore, the Class of 2018’s performance improved year by year over the entire 4 years of the new curriculum. Conclusions Additional preclinical lectures in dermatology do improve medical students’ diagnostic accuracy of common dermatoses encountered in primary care. Furthermore, they do retain their learning throughout the preclinical and clerkship years.


2021 ◽  
Vol 8 ◽  
pp. 238212052110164
Author(s):  
Abbie West ◽  
Cara Cawley ◽  
Elizabeth Crow ◽  
Alexis M. Stoner ◽  
Natalie M. Fadel ◽  
...  

Objective: Approximately 1 in 6 adults 60 and older have experienced a form of abuse in the past year. Many cases remain under-reported due to lack of knowledge and awareness. This study created an educational program on elder abuse for medical students to determine if participation would increase knowledge and awareness of elder abuse. Methods: This study used a pre and post survey methodology to evaluate students’ knowledge and awareness of elder abuse before and after participating in this educational program. Sixty first and second year osteopathic medical students at the Edward Via College of Osteopathic Medicine, Carolinas Campus participated in this study. Students were emailed a pre-survey to evaluate their pre-existing knowledge and awareness. The survey was, previously created by the Student Training on Preventing Domestic Violence (STOP-DV) team using validated measures. Participants then attended educational events about various forms of elder abuse and recognizing its associated signs, and afterward completed the post-survey. The results were compared using t-tests to determine if there was a significant difference. Results: First and second year students differed significantly in pre-survey results of knowledge but not post-survey results. The results showed a significant difference in overall mean knowledge ( P-value < .001) and awareness scores ( P-value < .001) in all students. Conclusion: These results suggest education on elder abuse can enable future physicians to better recognize, understand, and support older adults regarding elder maltreatment.


2021 ◽  
Author(s):  
Chelsea Stunden ◽  
Sima Zakani ◽  
Avery Martin ◽  
Shreya Moodley ◽  
John Jacob

BACKGROUND The coronavirus disease 2019 (COVID-19) pandemic has had significant effects on anatomy education. During the pandemic, students have had no access to cadavers, which has been the principal way of learning anatomy. We created and tested a customized congenital heart disease e-learning course for medical students that contained interactive 3D models of anonymized pediatric congenital heart defects. OBJECTIVE To assess if a multimodal e-learning course contributed to learning outcomes in a cohort of first year undergraduate medical students study congenital heart diseases. Secondarily, we assess student attitudes and experiences associated with multimodal e-learning. METHODS The pre/post study design involved 290 first year undergraduate medical students. Recruitment was conducted through the course instructors. Data were collected before using the course and after using the course. The primary outcome was knowledge acquisition (test scores). The secondary outcome included attitudes and experiences, as well as time to complete the modules, and browser metadata. RESULTS A total of 141 students were included in the final analysis (N=141). Students’ knowledge significantly improved by an average of 44.6% when using the course (SD 1.73, Z = -10.287, p < 0.001). 88.26% of students were highly motivated to learn with the course and 93.5% of students reported positive experiences with the course. There was a strong correlation between attitudes and experiences, which was statistically significant (rs = 0.687, p<0.001, N = 122). There were no relationships found between change test scores and attitudes or experiences (p>0.05). Students most frequently completed the e-learning course with Chrome (77.3%), and on Apple MacOS (61.0%) or Windows 10 (36.9%). Most students had devices with high-definition screens (83.0%). Most students (58.9%) completed the course in under 3 hours. CONCLUSIONS Multi-modal e-learning could be a viable solution to improving learning outcomes and experiences for undergraduate medical students, who do not have access to cadavers. Future research should focus on validating long-term learning outcomes. CLINICALTRIAL n/a


2020 ◽  
Vol 5 (2) ◽  
pp. 255-278
Author(s):  
Bambang Soenarko ◽  
Abdul Aziz Hunaifi ◽  
Kukuh Andri Aka

This research is a classroom action research study of the Gal'Perin model implementation process, the results of performance improvement and critical thinking skills (CBC) of students. Based on classroom action research for 2 cycles, it was found that the implementation of learning by the model lecturers using the Gal'Perin model had been 100% successful. Active students show scores above ≥ 75% and can be given active students. The average score of students' learning activeness from cycle I always shows improvement compared to previous meetings. Cycle I scores reach 72 and Cycle II reaches 79. The average CBC as a form of student learning outcomes classically in cycle 1 consists of 79 and in cycle 2 amounts to 82, thereby increasing the increase that does not show a significant difference what is evident from paired tests t-test with Sig. (2-tailed) of 0.149, which means greater than 0.05, then conclusions can be drawn that are not significantly different between the results of KBK cycle 1 and cycle 2.


2017 ◽  
Vol 5 (3) ◽  
pp. 133
Author(s):  
Nizar Nizar ◽  
Irwan Said ◽  
Suherman Suherman

The aim of this study is to compare the learning outcomes of student in SMA Negeri 8 Palu using the cooperative learning model between jigsaw and NHT (numbered head together) on the stoichiometry. This research using a quasi-experimental design with factorial 2 x 2. The population of this study is all student of class X SMA 8 Palu with academic year 2015/2016 which consists of four classes. The sample of this study consists of two classes, namely class XB with amount of 16 students (experimental class) and class XC with amount of 17 students (control class) which was determined by purposive sampling. Data was collected by using test instruments, namely an achievement test that contains the stoichiometry material. The examination of data was conducted by using statistical analysis t-test two sides and one side (right side) non-parametric or Mann-Whitney U test. The average score of the learning outcomes of student by using the jigsaw type was (78.00; SD = 13.63), and by using NHT type was (70.47; SD = 16.51). Based on statistical analysis of the hypothesis test for two sides, it was obtained a value of 0.195 Asymp sig (2-tailed) and was obtained a value 0.204 Exact Sig (1-tailed) of 0.204, both of datas were at the rejection area of H0 which was a significance value greater than 0.05 (P> 0.05). Therefore, it can be concluded that there was a difference in learning outcomes using the cooperative model jigsaw type with NHT type, furthermore the type of jigsaw better than the NHT on the learning outcomes of students of stoichiometry in class X SMA Negeri 8 Palu.


2020 ◽  
Vol 3 (1) ◽  
pp. 8
Author(s):  
Usmadi Usmadi ◽  
Hayatul Hasanah ◽  
Ergusni Ergusni

This study is motivated by the issues found in observations at school, where the daily teaching activities carried out by teachers show that; teaching and learning activities are classical, the teacher only stands or sits in front of the class, the direct relationship between the teacher and students is rare, and students tend to behave passively, such as coming, listening, reading and writing. To overcome this issues, the researchers conducted a research by applying a three-step type of cooperative learning model interview in learning mathematics in the class. The purpose of this study is to reveal the activities and learning outcomes of students after applying the three-step interview type cooperative learning model. From the results of the study it was found that the learning activities of students during the application of the three step interview cooperative learning model increased at each meeting. Thus it can be concluded that the mathematics learning outcomes of students with learning by applying a three-step interview type cooperative learning model is better than those who do not apply the techniques.


2021 ◽  
Vol 6 (2) ◽  
pp. 32
Author(s):  
Natasha Nurhaida

Abstract: Smart circuits are learning media to be applied in Mathematics learning. This study aims to find out the development process, feasibility, and influence of smart circuit media in mathematics learning for third grade in Elementary School. This study used the Research and Development research method, with the Borg, and Gall model. The development begins with determining the core competencies, basic competencies, indicators and subjects for making questions. The researcher put stickers of interesting cartoon images on each plot on the wooden planks of this medium. The necessary media prerequisites include: dice, pawns, game hints, and a memory. After the media is made, a feasibility test analysis was done, before the t-test. The data collection instruments used questionnaires, observations, and interviews. The results of this study showed that: (1) The smart circuit media is feasible to implemented in improving mathematics learning outcomes. This can be seen from the results of feasibility test by media experts and material experts before it is implemented in the class which showed that the presentation aspect gets a percentage of 82.5% from the first media experts, and 90% from the second media experts; efficiency aspects was 81.25%, and 100%; and media quality aspects was 82.5% and 92.5%. (2) Based on the t-test result, it can be concluded that the smart circuit media can improve student learning outcomes. This is showed by the significant difference in learning outcomes between the experimental class, and the control class with a significance value of 0.014 < 0.05. The impact of this research is the students can understand the material in learning mathematics easily.PENGEMBANGAN MEDIA SIRKUIT PINTAR UNTUK MENINGKATKAN  HASIL BELAJAR SISWA PADA PEMBELAJARAN MATEMATIKAAbstrak: Sirkuit pintar adalah media pembelajaran yang menarik untuk diterapkan dalam pembelajaran Matematika. Penelitian ini bertujuan untuk mengetahui proses pengembangan, kelayakan, serta pengaruh media sirkuit pintar dalam pembelajaran matematika kelas III MI. Penelitian ini menggunakan metode penelitian Research and Development, dengan model Borg, and Gall. Pengembangannya dimulai dengan menentukan kompetensi inti, kompetensi dasar, indikator serta mata pelajaran untuk membuat pertanyaan. Peneliti menempelkan stiker gambar kartun yang menarik di setiap petak pada papan kayu media ini. Prasyarat media yang diperlukan antara lain: dadu, bidak, petunjuk permainan, dan bengkel ingatan. Setelah media dibuat, selanjutnya dilakukan analisis uji kelayakan, sebelum dilakukan uji-t. Instrumen pengumpulan data yang digunakan antara lain kuesioner, observasi, dan wawancara. Hasil penelitian ini menunjukkan bahwa: (1) Media sirkuit pintar ini layak digunakan dalam meningkatkan hasil belajar matematika. Hal ini dapat dilihat dari hasil uji kelayakan oleh ahli media, dan ahli materi sebelum diterapkan di lapangan yang menunjukkan bahwa aspek penyajian mendapatkan persentase sebesar 82.5% ahli media pertama, dan 90%  dari ahli media kedua; aspek efisiensi sebesar 81.25%, dan 100%; serta aspek kualitas media sebesar 82.5%, dan 92.5%. (2) Setelah dilakukan uji-t, dapat disimpulkan bahwa media sirkuit pintar dapat meningkatkan hasil belajar peserta didik. Hal ini dibuktikan dengan adanya perbedaan hasil belajar yang signifikan antara kelas eksperimen, dan kelas kontrol dengan nilai signifikansi 0,014 < 0,05. Dampak penelitian ini adalah peserta didik dapat memahami materi pada pembelajaran matematika dengan mudah.


2020 ◽  
Vol 2020 ◽  
pp. 1-5 ◽  
Author(s):  
Felix Bongomin ◽  
Bernard Erima ◽  
Richard Kwizera ◽  
Emmanuel I. Odongo-Aginya

Background. The burden of serious fungal diseases has significantly increased in the past few decades; however, the number of health-care workers with expertise in the management of fungal diseases remains low, especially in low- and middle-income countries (LMICs). This study aimed to evaluate the use of freely available online teaching material to enhance teaching and learning of medical mycology among medical students in Gulu University Medical School, Uganda. Methods. We conducted a cross-sectional study among second year medical students undertaking Medical Mycology course on antifungal agents in the department of Medical Microbiology and Immunology in the academic year 2017-2018. The materials were synthesized and peer-reviewed by experts in fungal diseases and were made freely available on the Leading International Fungal Education website (http://www.LIFE-Worldwide.org). A local faculty in the department delivered the lectures, and pre- and posttest scores were evaluated statistically. Results. Sixty medical students participated in the study of which 78% were male. The average score was 41% for the pretest and 52% for the posttest (p<0.0001). There was no significant difference in the scores of males and females. Majority of the students gave an above-average rating for the course material; however, 54% preferred prerecorded videos. Conclusion. Using freely available online materials on medical mycology can enhance teaching and learning of medical mycology. Because of this, there is need to incorporate up-to-date information about the subject into the curriculums of medical schools especially in LMICs.


2018 ◽  
Vol 55 (7) ◽  
pp. 1006-1012 ◽  
Author(s):  
F.J. Mulder ◽  
D.G.M. Mosmuller ◽  
H.C.W. de Vet ◽  
C.M. Mouës ◽  
C.C. Breugem ◽  
...  

Objective: To develop a reliable and easy-to-use method to assess the nasolabial appearance of 18-year-old patients with unilateral cleft lip and palate (CLP). Design: Retrospective analysis of nasolabial aesthetics using a 5-point ordinal scale and newly developed photographic reference scale: the Cleft Aesthetic Rating Scale (CARS). Three cleft surgeons and 20 medical students scored the nasolabial appearance on standardized frontal photographs. Setting: VU University Medical Center, Amsterdam. Patients: Inclusion criteria: 18-year-old patients, unilateral cleft lip and palate, available photograph of the frontal view. Exclusion criteria: history of facial trauma, congenital syndromes affecting facial appearance. Eighty photographs were available for scoring. Main Outcome Measures: The interobserver and intraobserver reliability of the CARS for 18-year-old patients when used by cleft surgeons and medical students. Results: The interobserver reliability for the nose and lip together was 0.64 for the cleft surgeons and 0.61 for the medical students. There was an intraobserver reliability of 0.75 and 0.78 from the surgeons and students, respectively, on the nose and lip together. No significant difference was found between the cleft surgeons and medical students in the way they scored the nose ( P = 0.22) and lip ( P = 0.72). Conclusions: The Cleft Aesthetic Rating Scale for 18-year-old patients has a substantial overall estimated reliability when the average score is taken from three or more cleft surgeons or medical students assessing the nasolabial aesthetics of CLP patients.


CJEM ◽  
2011 ◽  
Vol 13 (01) ◽  
pp. 34-39 ◽  
Author(s):  
Rahim Valani ◽  
Abi Sriharan ◽  
Dennis Scolnik

ABSTRACT Globalization has opened the doors for medical students to undertake international health electives, providing an opportunity for them to gain valuable competencies and skills outside their formal curriculum. As the number of medical students embarking on these electives increases, there is a need to structure the electives with specific learning objectives and to ensure adequate educational outcomes. We describe the International Pediatric Emergency Medicine Elective (IPEME), which is a novel global health elective that brings together students from Canada and the Middle East who are selected on the basis of a competitive application process and brought to Toronto for a 4-week living and studying experience. The program was introduced in 2004 and uses four specific areas to provide its structure: pediatric emergency medicine, global health, leadership, and peace building. The elective uses core CanMEDS competencies to foster cross-cultural dialogue, networking, and cooperation and fulfills the program's aim of using health as a bridge to peace. The lessons learned from the curriculum planning and implementation process are highlighted and the impact of the program explored to help provide a framework for developing similar international electives.


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