Comparison of Video Based Learning and Lecture Based Learning in Last Year Medical Faculty Students

Background: Medical education is becoming more challenging for educators with increasing information, increasing number of students and less time allocated to education. Online education before graduation its usability in education has been brought up. For this purpose, this study is planned in order to compare the education with the trainer over the vidoe in General Surgery education. Matherial and Method: The students of Kocaeli University Faculty of Medicine, Period VI were included in the study. The trainings to be given to the students during the internship have already been specified in the program. Educational visual videos have been prepared. Study was carried out on the subjects of suturing techniques and thyroid examination. Half of the students were trained by the instructor and the other half via video. Practical exam related to these courses was applied to both groups. The students were asked in terms of self-confidence, competence and anxiety in applications. Results: A total of 42 students were included in the study. 84% of the students participating in the study succeeded in suturing techniques and 100% in thyroid examination. In the thyroid examination, the average score was 88 in the video group, and the average score in the training group was 90 with the instructor. When we compare the thyroid physical examination; there was a significant difference between the prelecture and postlecture results of the both groups (P=0.001). There was no significant difference in knot tying and examination results between the two groups. Student felt similar confindent and excitment in both groups. Conclusion: The absence of a significant difference between video or instructor training in terms of achieving learning objectives has shown that video-based training can be successfully applied on certain topics. Practical practice and patient training should still be part of student training.

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  • 1. Fabius DB, Grissom EL, Fuentes A. Recertification in cardiopulmonary resuscitation: a comparison of two teaching methods. J Nurs Staff Dev. 1994;10:262–268.
  • 2. Edwards MJ, Hannah KJ. An examination of the use of interactive videodisc cardiopulmonary resuscitation instruction for the lay community. Comput Nurs. 1985;3:250 –252.
  • 3. Summers AN, Rinehart GC, Simpson D, Redlich PN. Acquisition of surgical skills: a randomized trial of didactic, videotape, and computer-based training. Surgery 1999;126: 330-6.
  • 4. Seymour N, Gallagher A, Roman S, O’Brien M, Bansal V, Andersen D, et al. Virtual reality training improves operating room performance. Ann Surg 2002;236:458-64.
  • 5. Fried G, Feldman L, Vassiliou M, Fraser S, Stanbridge D, Ghitulescu G, et al. Proving the value of simulation in laparoscopic surgery. Ann Surg 2004;240:518-28.
  • 6. Pusic MV. Pediatric residents: are they ready to use computeraided instruction? Arch Pediatr Adolesc Med 1998;152:494.
  • 7. Prystowsky JB, Hassan MB, Nahrwold DL. Use of notebook computers for third-year surgery students. Surgery 1996;120: 304; discussion 307.
  • 8. Lynch TG, Steele DJ, Johnson Palensky JE, et al. Learning preferences, computer attitudes, and test performance with computer-aided instruction. Am J Surg 2001;181:368.
  • 9. Greenhalgh T. Computer assisted learning undergraduate education. BMJ 2001;322:40-4.
  • 10. Armstrong AW, Alikhan A, Cheng LS, Schupp C, Kurlinkus C, Eisen DB. Portable video media for presenting informed consent and wound care instructions for skin biopsies: a randomized controlled trial. Br J Dermatol. 2010;163(5): 1014-1019.
  • 11. Shukla AN, Daly MK, Legutko P. Informed consent for cataract surgery: patient understanding of verbal, written, and videotaped information. J Cataract Refract Surg. 2012;38(1):80-84.
  • 12.Orringer JS, Fendrick AM, Trask PC, et al. The effects of a professionally produced videotape on education and anxiety/distress levels for patients with newly diagnosed melanoma: a randomized, prospective clinical trial. J Am Acad Dermatol. 2005;53(2):224-229.
  • 13. Armstrong AW, Kim RH, Idriss NZ, Larsen LN, Lio PA. Online video improves clinical outcomes in adults with atopic dermatitis: a randomized controlled trial. J Am Acad Dermatol. 2011;64(3):502-507.
  • 14. Keane DR, Norman GR, Vickers J. The inadequacy of recent research on computer-assisted instruction. Acad Med. 1991;66: 444–448.
  • 15. Schmidt RA, Bjork RA. New conceptualizations of practice: common principles in three paradigms suggest new concepts for training. Psychol Sci 1992;3:207-17.
  • 16. Schmidt RA, Young DE, Swinnen S, Shapiro DC. Summary knowledge of results for skill acquisition: support for the guidance hypothesis. J Exp Psychol Learn Mem Cogn 1989;15:352-9.
  • 17. Satava RM. Virtual reality surgical simulator: the first steps. Surg Endosc. 1993;7:203–205.
  • 18. Nousiainen M, Brydges R, Backstein D, Dubrowski A. Comparison of expert instruction and computer-based video training in teaching fundamental surgical skills to medical students. Surgery 2008;143:539-44.