Learning through a virtual patient vs. recorded lecture: a comparison of knowledge retention in a trauma case

Int J Med Educ. 2018 Mar 28:9:86-92. doi: 10.5116/ijme.5aa3.ccf2.

Abstract

Objectives: To compare medical students' and residents' knowledge retention of assessment, diagnosis and treatment procedures, as well as a learning experience, of patients with spinal trauma after training with either a Virtual Patient case or a video-recorded traditional lecture.

Methods: A total of 170 volunteers (85 medical students and 85 residents in orthopedic surgery) were randomly allocated (stratified for student/resident and gender) to either a video-recorded standard lecture or a Virtual Patient-based training session where they interactively assessed a clinical case portraying a motorcycle accident. The knowledge retention was assessed by a test immediately following the educational intervention and repeated after a minimum of 2 months. Participants' learning experiences were evaluated with exit questionnaires. A repeated-measures analysis of variance was applied on knowledge scores. A total of 81% (n = 138) of the participants completed both tests.

Results: There was a small but significant decline in first and second test results for both groups (F(1, 135) = 18.154, p = 0.00). However, no significant differences in short-term and long-term knowledge retention were observed between the two teaching methods. The Virtual Patient group reported higher learning experience levels in engagement, stimulation, general perception, and expectations.

Conclusions: Participants' levels engagement were reported in favor of the VP format. Similar knowledge retention was achieved through either a Virtual Patient or a recorded lecture.

Keywords: biomechanics; knowledge retention; simulation-based trauma education; sweden; virtual patient.

Publication types

  • Comparative Study
  • Randomized Controlled Trial

MeSH terms

  • Accidents, Traffic
  • Adult
  • Computer-Assisted Instruction / methods*
  • Educational Measurement
  • Female
  • Humans
  • Knowledge
  • Learning
  • Male
  • Motorcycles
  • Patient-Specific Modeling*
  • Problem-Based Learning / methods*
  • Retention, Psychology*
  • Students, Medical / psychology
  • Video Recording*
  • Virtual Reality*
  • Wounds and Injuries / therapy*
  • Young Adult