A HYBRID TRAINING COURSE IS EFFECTIVE FOR TEACHING PROCEDURAL SKILLS TO RESIDENTS

Yoshikazu Asada, Yoshihiko Suzuki, Tsuyoshi Hasegawa, Alan Lefor and Ryutaro Kawano

Background

• There are numerous e-learning tools for medical education.

• These tools are good for gaining knowledge • However, it is difficult to teach manual skills with e-learning.

• The advantages of e-learning and simulation training should be combined to use the various modalities in an optimal fashion.

The Training Course

• Hybrid training program •  Including both e-learning and simulation

• Learners : Residents • Theme : Thoracostomy tube placement and thoracentesis

• Designed as a pilot study

Timetable

Guidance 5 min

Pre-test 5 min

e-Learning 20 min Dry simulation 45 min

Wet simulation 45 min Short debriefing 10 min Post-test and questionnaire 10 min

Results

• Participants : 17 Residents

Questions (about understanding) mean ± SD

Do you understand the procedures? 5.8 ± 1.3

Can you do it properly? 4.8 ± 1.0

Can you teach it to another resident? 4.0 ± 0.6

Results

Questions (about satisfaction) mean ± SD

Was the training with simulator useful? 6.8 ± 0.4

Was the training with meat useful? 6.3 ± 1.0

Was there enough time with the simulator?

6.5 ± 0.8

Was there enough time with the meat? 6.5 ± 0.8

Did you understand the instructions? 6.5 ± 0.8

Was the movie comprehensible? 6.6 ± 0.5

Was the difficulty of the test adequate? 5.0 ± 1.4

Plans for improvement • Make the pre-test and videos prerequisites for the training

• Make a rubric for skills evaluation

• Conduct simulation training while watching the videos, not after watching

Conclusions

• A hybrid training program for residents was held, including e-learning, dry simulation and wet simulation.

• Participants were satisfied with the training. • Future improvement of this program

• Make the pre-test and videos as prerequisites for the training.

• Make a rubric for skills evaluation