Knowledge Attainment and Engagement Among Medical Students: A Comparison of Three Forms of Online Learning

Ashlyn A Stackhouse,1,* Damir Rafi,1,* Risheka Walls,1,2 Rebecca V Dodd,1 Kerry Badger,1 Daniel J Davies,1 Celia A Brown,3 Adrian Cowell,1 Karim Meeran,1 Omid Halse,1 James Kinross,4 Martin Lupton,1 Elizabeth A Hughes,5 Amir H Sam1 1Imperial College School of Medicine, Imperial Colle...

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Main Authors: Stackhouse AA, Rafi D, Walls R, Dodd RV, Badger K, Davies DJ, Brown CA, Cowell A, Meeran K, Halse O, Kinross J, Lupton M, Hughes EA, Sam AH
Format: Article
Language:English
Published: Dove Medical Press 2023-04-01
Series:Advances in Medical Education and Practice
Subjects:
Online Access:https://www.dovepress.com/knowledge-attainment-and-engagement-among-medical-students-a-compariso-peer-reviewed-fulltext-article-AMEP
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author Stackhouse AA
Rafi D
Walls R
Dodd RV
Badger K
Davies DJ
Brown CA
Cowell A
Meeran K
Halse O
Kinross J
Lupton M
Hughes EA
Sam AH
author_facet Stackhouse AA
Rafi D
Walls R
Dodd RV
Badger K
Davies DJ
Brown CA
Cowell A
Meeran K
Halse O
Kinross J
Lupton M
Hughes EA
Sam AH
author_sort Stackhouse AA
collection DOAJ
description Ashlyn A Stackhouse,1,&ast; Damir Rafi,1,&ast; Risheka Walls,1,2 Rebecca V Dodd,1 Kerry Badger,1 Daniel J Davies,1 Celia A Brown,3 Adrian Cowell,1 Karim Meeran,1 Omid Halse,1 James Kinross,4 Martin Lupton,1 Elizabeth A Hughes,5 Amir H Sam1 1Imperial College School of Medicine, Imperial College London, London, UK; 2Imperial College Healthcare NHS Trust, London, UK; 3Warwick Medical School, Department of Medicine, Warwick, UK; 4Department of Surgery and Cancer, Imperial College London, London, UK; 5Health Education England, London, UK&ast;These authors contributed equally to this workCorrespondence: Amir H Sam, Imperial College London, Charing Cross Campus, Reynolds Building, St Dunstan’s Road, London, W6 8RP, UK, Tel +442075895111, Email a.sam@imperial.ac.ukObjective: This study compared knowledge attainment and student enjoyment and engagement between clinical case vignette, patient-testimony videos and mixed reality (MR) teaching via the Microsoft HoloLens 2, all delivered remotely to third year medical students. The feasibility of conducting MR teaching on a large scale was also assessed.Setting & Participants: Medical students in Year 3 at Imperial College London participated in three online teaching sessions, one in each format. All students were expected to attend these scheduled teaching sessions and to complete the formative assessment. Inclusion of their data used as part of the research trial was optional.Primary and Secondary Outcome Measures: The primary outcome measure was performance on a formative assessment, which served to compare knowledge attainment between three forms of online learning. Moreover, we aimed to explore student engagement with each form of learning via a questionnaire, and also feasibility of applying MR as a teaching tool on a large scale. Comparisons between performances on the formative assessment between the three groups were investigated using a repeated measures two-way ANOVA. Engagement and enjoyment were also analysed in the same manner.Results: A total of 252 students participated in the study. Knowledge attainment of students using MR was comparable with the other two methods. Participants reported higher enjoyment and engagement (p< 0.001) for the case vignette method, compared with MR and video-based teaching. There was no difference in enjoyment or engagement ratings between MR and the video-based methods.Conclusion: This study demonstrated that the implementation of MR is an effective, acceptable, and feasible way of teaching clinical medicine to undergraduate students on a large scale. However, case-based tutorials were found to be favoured most by students. Future work could further explore the best uses for MR teaching within the medical curriculum.Keywords: medical education, augmented reality, online learning
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spelling doaj.art-88cb94232b344d44ba347f80999caf972023-04-20T18:42:14ZengDove Medical PressAdvances in Medical Education and Practice1179-72582023-04-01Volume 1437338083164Knowledge Attainment and Engagement Among Medical Students: A Comparison of Three Forms of Online LearningStackhouse AARafi DWalls RDodd RVBadger KDavies DJBrown CACowell AMeeran KHalse OKinross JLupton MHughes EASam AHAshlyn A Stackhouse,1,&ast; Damir Rafi,1,&ast; Risheka Walls,1,2 Rebecca V Dodd,1 Kerry Badger,1 Daniel J Davies,1 Celia A Brown,3 Adrian Cowell,1 Karim Meeran,1 Omid Halse,1 James Kinross,4 Martin Lupton,1 Elizabeth A Hughes,5 Amir H Sam1 1Imperial College School of Medicine, Imperial College London, London, UK; 2Imperial College Healthcare NHS Trust, London, UK; 3Warwick Medical School, Department of Medicine, Warwick, UK; 4Department of Surgery and Cancer, Imperial College London, London, UK; 5Health Education England, London, UK&ast;These authors contributed equally to this workCorrespondence: Amir H Sam, Imperial College London, Charing Cross Campus, Reynolds Building, St Dunstan’s Road, London, W6 8RP, UK, Tel +442075895111, Email a.sam@imperial.ac.ukObjective: This study compared knowledge attainment and student enjoyment and engagement between clinical case vignette, patient-testimony videos and mixed reality (MR) teaching via the Microsoft HoloLens 2, all delivered remotely to third year medical students. The feasibility of conducting MR teaching on a large scale was also assessed.Setting & Participants: Medical students in Year 3 at Imperial College London participated in three online teaching sessions, one in each format. All students were expected to attend these scheduled teaching sessions and to complete the formative assessment. Inclusion of their data used as part of the research trial was optional.Primary and Secondary Outcome Measures: The primary outcome measure was performance on a formative assessment, which served to compare knowledge attainment between three forms of online learning. Moreover, we aimed to explore student engagement with each form of learning via a questionnaire, and also feasibility of applying MR as a teaching tool on a large scale. Comparisons between performances on the formative assessment between the three groups were investigated using a repeated measures two-way ANOVA. Engagement and enjoyment were also analysed in the same manner.Results: A total of 252 students participated in the study. Knowledge attainment of students using MR was comparable with the other two methods. Participants reported higher enjoyment and engagement (p< 0.001) for the case vignette method, compared with MR and video-based teaching. There was no difference in enjoyment or engagement ratings between MR and the video-based methods.Conclusion: This study demonstrated that the implementation of MR is an effective, acceptable, and feasible way of teaching clinical medicine to undergraduate students on a large scale. However, case-based tutorials were found to be favoured most by students. Future work could further explore the best uses for MR teaching within the medical curriculum.Keywords: medical education, augmented reality, online learninghttps://www.dovepress.com/knowledge-attainment-and-engagement-among-medical-students-a-compariso-peer-reviewed-fulltext-article-AMEP‘medical education’ ‘augmented reality’ ‘online learning’.
spellingShingle Stackhouse AA
Rafi D
Walls R
Dodd RV
Badger K
Davies DJ
Brown CA
Cowell A
Meeran K
Halse O
Kinross J
Lupton M
Hughes EA
Sam AH
Knowledge Attainment and Engagement Among Medical Students: A Comparison of Three Forms of Online Learning
Advances in Medical Education and Practice
‘medical education
’ ‘augmented reality
’ ‘online learning’.
title Knowledge Attainment and Engagement Among Medical Students: A Comparison of Three Forms of Online Learning
title_full Knowledge Attainment and Engagement Among Medical Students: A Comparison of Three Forms of Online Learning
title_fullStr Knowledge Attainment and Engagement Among Medical Students: A Comparison of Three Forms of Online Learning
title_full_unstemmed Knowledge Attainment and Engagement Among Medical Students: A Comparison of Three Forms of Online Learning
title_short Knowledge Attainment and Engagement Among Medical Students: A Comparison of Three Forms of Online Learning
title_sort knowledge attainment and engagement among medical students a comparison of three forms of online learning
topic ‘medical education
’ ‘augmented reality
’ ‘online learning’.
url https://www.dovepress.com/knowledge-attainment-and-engagement-among-medical-students-a-compariso-peer-reviewed-fulltext-article-AMEP
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