Exploring the impact of online and offline teaching methods on the cognitive abilities of medical students: a comparative study

Abstract Background Online education has become increasingly popular, but research on the effectiveness of different teaching models in developing cognitive skills is limited. This study investigated the relationship between different teaching models (online and offline) and the development of cogni...

Full description

Bibliographic Details
Main Authors: Yangting Xu, Lu Wang, Peidi Li, Hong Xu, Ziqi Liu, Ming Ji, Ziqiang Luo
Format: Article
Language:English
Published: BMC 2023-08-01
Series:BMC Medical Education
Subjects:
Online Access:https://doi.org/10.1186/s12909-023-04549-x
_version_ 1827710448775987200
author Yangting Xu
Lu Wang
Peidi Li
Hong Xu
Ziqi Liu
Ming Ji
Ziqiang Luo
author_facet Yangting Xu
Lu Wang
Peidi Li
Hong Xu
Ziqi Liu
Ming Ji
Ziqiang Luo
author_sort Yangting Xu
collection DOAJ
description Abstract Background Online education has become increasingly popular, but research on the effectiveness of different teaching models in developing cognitive skills is limited. This study investigated the relationship between different teaching models (online and offline) and the development of cognitive skills in clinical medicine students. Methods Survey data were collected from 2018 entry students who participated in online teaching and 2019 entry students in offline teaching at Xiangya School of Medicine, Central South University. National Quality Open Courses (NQROC) were provided to both groups of students. The study examined the total score of physiology final exam, score of each type of question, and NQROC learning engagement in different score segments under the two teaching models. Non-parametric statistical methods were utilized to analyze the total score of physiology final exam, score of each type of question, and the NQROC learning engagement. Spearman’s rank correlation was utilized to analyze the relationship between the score of physiology final exam and the students’ NQROC learning engagement. Results The study found no statistically significant difference in the total score, short-answer questions (SAQs) score, and case study questions (CSQs) score between online and offline teaching models. However, the multiple-choice questions (MCQs) score was higher in the online teaching model (Z=-4.249, P < 0.001), suggesting that online teaching may be an effective way to improve lower-order cognitive skills among students. In contrast, low-achieving students had higher total scores (Z=-3.223, P = 0.001) and scores in both MCQs (Z=-6.263, P < 0.001) and CSQs (Z=-6.877, P < 0.001) in the online teaching model. High-achieving students in the online teaching model had higher total scores (Z=-3.001, P = 0.003) and MCQs scores (Z=-5.706, P < 0.001) but lower scores in CSQs (Z=-2.775, P = 0.006). Furthermore, students’ NQROC learning engagement was greater in the online teaching model. Conclusions The results of this study suggested that online teaching was not statistically significantly different from offline in cognitive domains and was more desirable than offline in strengthening lower-order cognitive skills. However, it was important to note that offline teaching may be more effective in reinforcing higher-order cognitive skills among high-achieving students. In conclusion, this study provided important insights into the effectiveness of different teaching models in developing cognitive skills among medical students and highlighted the potential benefits of online teaching in enhancing students’ lower-order cognitive skills.
first_indexed 2024-03-10T17:39:15Z
format Article
id doaj.art-fd8a0c543631425886b366e54c2ed159
institution Directory Open Access Journal
issn 1472-6920
language English
last_indexed 2024-03-10T17:39:15Z
publishDate 2023-08-01
publisher BMC
record_format Article
series BMC Medical Education
spelling doaj.art-fd8a0c543631425886b366e54c2ed1592023-11-20T09:46:43ZengBMCBMC Medical Education1472-69202023-08-012311810.1186/s12909-023-04549-xExploring the impact of online and offline teaching methods on the cognitive abilities of medical students: a comparative studyYangting Xu0Lu Wang1Peidi Li2Hong Xu3Ziqi Liu4Ming Ji5Ziqiang Luo6Xiangya School of Medicine, Central South UniversityXiangya School of Pharmacy, Central South UniversityXiangya School of Medicine, Central South UniversityXiangya School of Medicine, Central South UniversityXiangya School of Medicine, Central South UniversityDepartment of Physiology, School of Basic Medicine, Central South UniversityDepartment of Physiology, School of Basic Medicine, Central South UniversityAbstract Background Online education has become increasingly popular, but research on the effectiveness of different teaching models in developing cognitive skills is limited. This study investigated the relationship between different teaching models (online and offline) and the development of cognitive skills in clinical medicine students. Methods Survey data were collected from 2018 entry students who participated in online teaching and 2019 entry students in offline teaching at Xiangya School of Medicine, Central South University. National Quality Open Courses (NQROC) were provided to both groups of students. The study examined the total score of physiology final exam, score of each type of question, and NQROC learning engagement in different score segments under the two teaching models. Non-parametric statistical methods were utilized to analyze the total score of physiology final exam, score of each type of question, and the NQROC learning engagement. Spearman’s rank correlation was utilized to analyze the relationship between the score of physiology final exam and the students’ NQROC learning engagement. Results The study found no statistically significant difference in the total score, short-answer questions (SAQs) score, and case study questions (CSQs) score between online and offline teaching models. However, the multiple-choice questions (MCQs) score was higher in the online teaching model (Z=-4.249, P < 0.001), suggesting that online teaching may be an effective way to improve lower-order cognitive skills among students. In contrast, low-achieving students had higher total scores (Z=-3.223, P = 0.001) and scores in both MCQs (Z=-6.263, P < 0.001) and CSQs (Z=-6.877, P < 0.001) in the online teaching model. High-achieving students in the online teaching model had higher total scores (Z=-3.001, P = 0.003) and MCQs scores (Z=-5.706, P < 0.001) but lower scores in CSQs (Z=-2.775, P = 0.006). Furthermore, students’ NQROC learning engagement was greater in the online teaching model. Conclusions The results of this study suggested that online teaching was not statistically significantly different from offline in cognitive domains and was more desirable than offline in strengthening lower-order cognitive skills. However, it was important to note that offline teaching may be more effective in reinforcing higher-order cognitive skills among high-achieving students. In conclusion, this study provided important insights into the effectiveness of different teaching models in developing cognitive skills among medical students and highlighted the potential benefits of online teaching in enhancing students’ lower-order cognitive skills.https://doi.org/10.1186/s12909-023-04549-xOnline teachingOffline teachingLearning EffectMedical EducationCognitive skills
spellingShingle Yangting Xu
Lu Wang
Peidi Li
Hong Xu
Ziqi Liu
Ming Ji
Ziqiang Luo
Exploring the impact of online and offline teaching methods on the cognitive abilities of medical students: a comparative study
BMC Medical Education
Online teaching
Offline teaching
Learning Effect
Medical Education
Cognitive skills
title Exploring the impact of online and offline teaching methods on the cognitive abilities of medical students: a comparative study
title_full Exploring the impact of online and offline teaching methods on the cognitive abilities of medical students: a comparative study
title_fullStr Exploring the impact of online and offline teaching methods on the cognitive abilities of medical students: a comparative study
title_full_unstemmed Exploring the impact of online and offline teaching methods on the cognitive abilities of medical students: a comparative study
title_short Exploring the impact of online and offline teaching methods on the cognitive abilities of medical students: a comparative study
title_sort exploring the impact of online and offline teaching methods on the cognitive abilities of medical students a comparative study
topic Online teaching
Offline teaching
Learning Effect
Medical Education
Cognitive skills
url https://doi.org/10.1186/s12909-023-04549-x
work_keys_str_mv AT yangtingxu exploringtheimpactofonlineandofflineteachingmethodsonthecognitiveabilitiesofmedicalstudentsacomparativestudy
AT luwang exploringtheimpactofonlineandofflineteachingmethodsonthecognitiveabilitiesofmedicalstudentsacomparativestudy
AT peidili exploringtheimpactofonlineandofflineteachingmethodsonthecognitiveabilitiesofmedicalstudentsacomparativestudy
AT hongxu exploringtheimpactofonlineandofflineteachingmethodsonthecognitiveabilitiesofmedicalstudentsacomparativestudy
AT ziqiliu exploringtheimpactofonlineandofflineteachingmethodsonthecognitiveabilitiesofmedicalstudentsacomparativestudy
AT mingji exploringtheimpactofonlineandofflineteachingmethodsonthecognitiveabilitiesofmedicalstudentsacomparativestudy
AT ziqiangluo exploringtheimpactofonlineandofflineteachingmethodsonthecognitiveabilitiesofmedicalstudentsacomparativestudy