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      Repetitio est mater studiorum – Implementierung von HNO-Fällen in fallbasiertes E-Learning Translated title: Repetitio est mater studiorum—implementation of ENT cases in case-based e-learning

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          Abstract

          Hintergrund

          Die deutsche universitäre HNO-Heilkunde hat Bedarf an digitalen Lehrinhalten. Fallbasiertes E‑Learning stellt eine digitale Lehrmethodik dar. Die Datenlage zur studentischen Nutzung von fallbasiertem E‑Learning in der Hochschullehre der HNO-Heilkunde ist limitiert.

          Fragestellung

          Ziel dieser Arbeit war es festzustellen, in welchem Umfang freiwilliges fallbasiertes E‑Learning von Studierenden der HNO-Heilkunde genutzt wird und welchen Einfluss die Qualität des E‑Learnings auf die Motivation zur E‑Learning-Nutzung und auf das Interesse für die HNO-Heilkunde hat.

          Material und Methoden

          Es wurden 15 freiwillige E‑Learning-Fälle erstellt, welche auf den Inhalten der HNO-Vorlesung im Wintersemester 2022/2023 basierten. Im Anschluss erfolgte eine deskriptive Auswertung der Nutzungsstatistiken der Fälle von 157 Studierenden. Ebenso wurde eine Evaluation der Qualität des E‑Learnings sowie der Motivation zur Durchführung und des Interesses für die HNO-Heilkunde mittels eines freiwilligen Fragebogens durchgeführt.

          Ergebnisse

          Freiwilliges fallbasiertes E‑Learning wurde von 66 % der Studierenden in unterschiedlichem Ausmaß genutzt. Die Qualität des E‑Learnings korrelierte signifikant mit der Motivation zur Durchführung und dem Interesse für die HNO-Heilkunde.

          Schlussfolgerung

          Lehrinhalte der HNO-Heilkunde lassen sich suffizient in fallbasiertes E‑Learning implementieren und zeichnen sich durch eine zufriedenstellende studentische Akzeptanz aus. Die Eingliederung sollte auf eine qualitativ hochwertige Art und Weise erfolgen, um die Motivation zur Durchführung und das Interesse an der HNO-Heilkunde zur erhöhen.

          Zusatzmaterial online

          Die Online-Version dieses Beitrags (10.1007/s00106-023-01409-4) enthält den Fragebogen zur Evaluation der HNO-CaseTrains.

          Translated abstract

          Background

          German university otorhinolaryngology has a need for digital teaching content. Case-based e‑learning represents a digital teaching methodology. The data on student use of case-based e‑learning in university teaching of ENT medicine are limited.

          Objective

          The aim of this work was to determine the extent to which voluntary case-based e‑learning is used by otolaryngology students and what influence the quality of the e‑learning has on motivation to use e‑learning and on the interest in otolaryngology.

          Materials and methods

          Fifteen voluntary e‑learning cases were created based on the content of the ENT lecture in the winter semester 2022/2023. Subsequently, a descriptive evaluation of the usage statistics of the cases of 157 students was conducted. Likewise, an evaluation of the quality of the e‑learning as well as the motivation to complete it and the interest in otorhinolaryngology was carried out using a voluntary questionnaire.

          Results

          Voluntary case-based e‑learning was used to varying degrees by 66% of the students. The quality of e‑learning correlated significantly with the motivation and the interest in otolaryngology.

          Conclusion

          The teaching content of otorhinolaryngology can be implemented sufficiently in case-based e‑learning and is characterized by satisfactory student acceptance. Integration should be accomplished in a high-quality manner to increase motivation and interest in otorhinolaryngology.

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          Most cited references29

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          Assessment of clinical competence.

          Tests of clinical competence, which allow decisions to be made about medical qualification and fitness to practise, must be designed with respect to key issues including blueprinting, validity, reliability, and standard setting, as well as clarity about their formative or summative function. Multiple choice questions, essays, and oral examinations could be used to test factual recall and applied knowledge, but more sophisticated methods are needed to assess clincial performance, including directly observed long and short cases, objective structured clinical examinations, and the use of standardised patients. The goal of assessment in medical education remains the development of reliable measurements of student performance which, as well as having predictive value for subsequent clinical competence, also have a formative, educational role.
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            How COVID-19 kick-started online learning in medical education—The DigiMed study

            Background The coronavirus disease 2019 (COVID-19) pandemic led to far-reaching restrictions of social and professional life, affecting societies all over the world. To contain the virus, medical schools had to restructure their curriculum by switching to online learning. However, only few medical schools had implemented such novel learning concepts. We aimed to evaluate students’ attitudes to online learning to provide a broad scientific basis to guide future development of medical education. Methods Overall, 3286 medical students from 12 different countries participated in this cross-sectional, web-based study investigating various aspects of online learning in medical education. On a 7-point Likert scale, participants rated the online learning situation during the pandemic at their medical schools, technical and social aspects, and the current and future role of online learning in medical education. Results The majority of medical schools managed the rapid switch to online learning (78%) and most students were satisfied with the quantity (67%) and quality (62%) of the courses. Online learning provided greater flexibility (84%) and led to unchanged or even higher attendance of courses (70%). Possible downsides included motivational problems (42%), insufficient possibilities for interaction with fellow students (67%) and thus the risk of social isolation (64%). The vast majority felt comfortable using the software solutions (80%). Most were convinced that medical education lags behind current capabilities regarding online learning (78%) and estimated the proportion of online learning before the pandemic at only 14%. In order to improve the current curriculum, they wish for a more balanced ratio with at least 40% of online teaching compared to on-site teaching. Conclusion This study demonstrates the positive attitude of medical students towards online learning. Furthermore, it reveals a considerable discrepancy between what students demand and what the curriculum offers. Thus, the COVID-19 pandemic might be the long-awaited catalyst for a new “online era” in medical education.
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              Experiences with different integration strategies of case-based e-learning.

              E-Learning applications are part and parcel of modern medical curricula. Despite this increasing use, the empirical basis for an optimal integration strategy of computerized teaching methods is small for medical education. In addition to general aspects of integrating e-learning into a curriculum, like feasibility, software and content requirements or curriculum structure, the integration strategy is crucial. In this article different integration strategies of e-learning are presented and compared with respect to motivational aspects and acceptance of both, students and instructors. As best practice we recommend a voluntary integration strategy combined with exam-relevance of the content. The assets and drawbacks of all described strategies are discussed in the conclusions of this article.
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                Author and article information

                Contributors
                Engert_J1@ukw.de
                Journal
                HNO
                HNO
                Hno
                Springer Medizin (Heidelberg )
                0017-6192
                1433-0458
                5 January 2024
                5 January 2024
                2024
                : 72
                : 3
                : 166-172
                Affiliations
                [1 ]GRID grid.411760.5, ISNI 0000 0001 1378 7891, Klinik und Poliklinik für Hals‑, Nasen- und Ohrenkrankheiten, plastische und ästhetische Operationen, , Universitätsklinikum Würzburg, ; Josef-Schneider-Straße 11, 97080 Würzburg, Deutschland
                [2 ]Institut für Medizinische Lehre und Ausbildungsforschung, Universitätsklinikum Würzburg, ( https://ror.org/03pvr2g57) Würzburg, Deutschland
                Article
                1409
                10.1007/s00106-023-01409-4
                10879404
                38180480
                9f9b5d4c-fa5f-45ed-8db6-a4d560962235
                © The Author(s) 2024

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                History
                : 29 November 2023
                Funding
                Funded by: Universitätsklinikum Würzburg (8913)
                Categories
                Originalien
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                © Springer Medizin Verlag GmbH, ein Teil von Springer Nature 2024

                lehre,medizinstudierende,problembasiertes lernen,simulationstraining,hno-heilkunde,teaching,medical students,problem-based learning,simulation training,otorhinolaryngology

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