Medical students' assessment of pediatric patients - teaching and evaluation using video cases
Research output: Contribution to journal › Journal article › Research › peer-review
Standard
Medical students' assessment of pediatric patients - teaching and evaluation using video cases. / Malon, Michelle; Cortes, Dina; Greisen, Gorm Ole.
In: BMC Medical Education, Vol. 14, 13.11.2014, p. 241.Research output: Contribution to journal › Journal article › Research › peer-review
Harvard
APA
Vancouver
Author
Bibtex
}
RIS
TY - JOUR
T1 - Medical students' assessment of pediatric patients - teaching and evaluation using video cases
AU - Malon, Michelle
AU - Cortes, Dina
AU - Greisen, Gorm Ole
PY - 2014/11/13
Y1 - 2014/11/13
N2 - BACKGROUND: We 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.METHODS: Medical 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.RESULTS: The 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).CONCLUSIONS: Students 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.
AB - BACKGROUND: We 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.METHODS: Medical 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.RESULTS: The 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).CONCLUSIONS: Students 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.
KW - Adult
KW - Clinical Competence
KW - Curriculum
KW - Denmark
KW - Education, Medical, Undergraduate/organization & administration
KW - Educational Measurement
KW - Female
KW - Humans
KW - Male
KW - Observer Variation
KW - Pediatrics/education
KW - Pilot Projects
KW - Program Evaluation
KW - Schools, Medical/organization & administration
KW - Students, Medical/statistics & numerical data
KW - Teaching/methods
KW - Video Recording
U2 - 10.1186/s12909-014-0241-x
DO - 10.1186/s12909-014-0241-x
M3 - Journal article
C2 - 25391289
VL - 14
SP - 241
JO - BMC Medical Education
JF - BMC Medical Education
SN - 1472-6920
ER -
ID: 209703046