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. 2015 Apr 14;1(1):e1.
doi: 10.2196/mededu.3866.

Learning Clinical Procedures Through Internet Digital Objects: Experience of Undergraduate Students Across Clinical Faculties

Tse Yan Li  1 , Xiaoli Gao, Kin Wong, Christine Shuk Kwan Tse, Ying Yee Chan
Affiliations

Learning Clinical Procedures Through Internet Digital Objects: Experience of Undergraduate Students Across Clinical Faculties

Tse Yan Li et al. JMIR Med Educ. .

Abstract

Background: Various digital learning objects (DLOs) are available via the World Wide Web, showing the flow of clinical procedures. It is unclear to what extent these freely accessible Internet DLOs facilitate or hamper students' acquisition of clinical competence.

Objective: This study aimed to understand the experience of undergraduate students across clinical disciplines-medicine, dentistry, and nursing-in using openly accessible Internet DLOs, and to investigate the role of Internet DLOs in facilitating their clinical learning.

Methods: Mid-year and final-year groups were selected from each undergraduate clinical degree program of the University of Hong Kong-Bachelor of Medicine and Bachelor of Surgery (MBBS), Bachelor of Dental Surgery (BDS), and Bachelor of Nursing (BNurs). All students were invited to complete a questionnaire on their personal and educational backgrounds, and their experiences and views on using Internet DLOs in learning clinical procedures. The questionnaire design was informed by the findings of six focus groups.

Results: Among 439 respondents, 97.5% (428/439) learned a variety of clinical procedures through Internet DLOs. Most nursing students (107/122, 87.7%) learned preventive measures through Internet DLOs, with a lower percentage of medical students (99/215, 46.0%) and dental students (43/96, 45%) having learned them this way (both P<.001). Three-quarters (341/439, 77.7%) of students accessed DLOs through public search engines, whereas 93.2% (409/439) accessed them by watching YouTube videos. Students often shared DLOs with classmates (277/435, 63.7%), but rarely discussed them with teachers (54/436, 12.4%). The accuracy, usefulness, and importance of Internet DLOs were rated as 6.85 (SD 1.48), 7.27 (SD 1.53), and 7.13 (SD 1.72), respectively, out of a high score of 10.

Conclusions: Self-exploration of DLOs in the unrestricted Internet environment is extremely common among current e-generation learners and was regarded by students across clinical faculties as an important supplement to their formal learning in the planned curriculum. This trend calls for a transformation of the educator's role from dispensing knowledge to guidance and support.

Keywords: clinical skills; dentistry; distance learning; medicine; nursing.

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Conflict of interest statement

Conflicts of Interest: None declared.

References

    1. Chumley-Jones HS, Dobbie A, Alford CL. Web-based learning: sound educational method or hype? A review of the evaluation literature. Acad Med. 2002 Oct;77(10 Suppl):S86–S93. - PubMed
    1. Cook DA. Where are we with Web-based learning in medical education? Med Teach. 2006 Nov;28(7):594–598. doi: 10.1080/01421590601028854.770733304 - DOI - PubMed
    1. Ellaway R, Masters K. AMEE Guide 32: e-learning in medical education part 1: Learning, teaching and assessment. Med Teach. 2008 Jun;30(5):455–473. doi: 10.1080/01421590802108331.793697811 - DOI - PubMed
    1. Ruiz JG, Mintzer MJ, Leipzig RM. The impact of e-learning in medical education. Acad Med. 2006 Mar;81(3):207–212.81/3/207 - PubMed
    1. Gibbons A, Fairweather P. Computer-based instruction. In: Tobias S, Fletcher J, editors. Training & Retraining: A Handbook for Business, Industry, Government, and the Military. New York, NY: Macmillan Library Reference; 2000. pp. 410–442.

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