Towards a conceptual framework demonstrating the effectiveness of audiovisual patient descriptions (patient video cases): a review of the current literature

BMC Medical Education

David Matheson¹  Tim Coats²  Damian Roland² 

[1] Room B94C Medical School, Queens Medical Centre, Nottingham, NG7 2UH, UK;Emergency Medicine Academic Group, Emergency Department secretaries c/o Elizabeth Cadman-Moore, Leicester Royal Infirmary, Leicester, LE1 5WW, UK

关键词: Educational intervention;    Evaluation;    Methodology;    Patient video clips;   

Others  :  1152990
DOI  :  10.1186/1472-6920-12-125

 received in 2012-03-30, accepted in 2012-12-12,  发布年份 2012

【 摘 要 】

Background

Technological advances have enabled the widespread use of video cases via web-streaming and online download as an educational medium. The use of real subjects to demonstrate acute pathology should aid the education of health care professionals. However, the methodology by which this effect may be tested is not clear.

Methods

We undertook a literature review of major databases, found relevant articles relevant to using patient video cases as educational interventions, extracted the methodologies used and assessed these methods for internal and construct validity.

Results

A review of 2532 abstracts revealed 23 studies meeting the inclusion criteria and a final review of 18 of relevance. Medical students were the most commonly studied group (10 articles) with a spread of learner satisfaction, knowledge and behaviour tested. Only two of the studies fulfilled defined criteria on achieving internal and construct validity. The heterogeneity of articles meant it was not possible to perform any meta-analysis.

Conclusions

Previous studies have not well classified which facet of training or educational outcome the study is aiming to explore and had poor internal and construct validity. Future research should aim to validate a particular outcome measure, preferably by reproducing previous work rather than adopting new methods. In particular cognitive processing enhancement, demonstrated in a number of the medical student studies, should be tested at a postgraduate level.

【 授权许可】

   
2012 Roland et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

【 参考文献 】

• [1]McNulty JA, Hoyt A, Gruener G, Chandrasekhar A, Espiritu B, Price R Jr, Naheedy R: An analysis of lecture video utilization in undergraduate medical education: associations with performance in the courses. BMC Med Educ 2009, 9:6. BioMed Central Full Text
• [2]Leone TA, Rich W, Finer NN: Educational Perspectives. NeoReviews 2006, 7(12):e597-e601.
• [3]Romanov K, Nevgi A: Do medical students watch video clips in eLearning and do these facilitate learning? Med Teach 2007, 29(5):484-488.
• [4]Roland D, Wahl H, Lakhanpaul M, Blackwell N, Davies F: Education by video. BMJ (Careers); 2011. available at http://careers.bmj.com/careers/advice/view-article.html?id=20001865 webcite (website last accessed 14th December 2012)
• [5](National Patient Safety Agency) NPSA: Review of patient safety for children and young people. 2009. available via http://www.nrls.npsa.nhs.uk/EasySiteWeb/getresource.axd?AssetID=60227&type=full&servicetype=Attachment webcite (website last accessed 14th December 2012)
• [6]Bates R: A critical analysis of evaluation practice: the Kirkpatrick model and the principle of beneficence. Eval Program Plann 2004, 27(3):341-347.
• [7]Kirkpatrick D, Kirkpatrick J: Evaluating Training Programs: The Four Levels: 3rd ed. San Francisco: Berrett-Koehler Publishers, Inc.; 2006.
• [8]Arthur W Jr, Bennett W Jr, Edens PS, Bell ST: Effectiveness of training in organizations: a meta-analysis of design and evaluation features. J Appl Psychol 2003, 88(2):234-245.
• [9]Barr H, Freeth D, Hammick M, Koppel I, Reeves S: Evaluations of interprofessional education: a United Kingdom review for health and social care. 1st edition. London: London: Centre for the Advancement of Interprofessional Education; 2000.
• [10]Cook T, Campbell D: Quasi-experimentation: Design and analysis issues for field settings: First ed. Boston, MA: Houghton Mifflin Company; 1979.
• [11]Shadish W, Cook T, Campbell D: Experimental and quasi-experimental designs for generalized causal inference: First ed. Boston, MA: Houghton Mifflan Company; 2002.
• [12]Farrington DP: Methodological Quality Standards for Evaluation Research. Ann Am Acad Pol Soc Sci 2003, 587(1):49-68.
• [13]Hawkins EC, Hansen B, Bunch BL: Use of animation-enhanced video clips for teaching abnormal breathing patterns. J Vet Med Educ 2003, 30(1):73-77.
• [14]Orientale E Jr, Kosowicz L, Alerte A, Pfeiffer C, Harrington K, Palley J, Brown S, Sapieha-Yanchak T: Using web-based video to enhance physical examination skills in medical students. Fam Med 2008, 40(7):471-476.
• [15]Raijmakers PG, Cabezas MC, Smal JA, van Gijn J: Teaching the plantar reflex. Clin Neurol Neurosurg 1991, 93(3):201-204.
• [16]Bellamy N, Anjema C, Chhina T, Dudek N, Hurley B, Landesman B, Probyn L, Hill J, Campbell J: An evaluation of the effectiveness of a videotape programme on interobserver reliability in outcome assessment for fibromyalgia. Inflammopharmacology 1999, 7(2):119-130.
• [17]Bellamy N, Anjema C, Frankovic TS, Horowitz N, Mills GCR, Shulman S, Smith C, Hill J, Campbell J: An evaluation of the effectiveness of a videotape programme on interobserver reliability in outcome assessment for rheumatoid arthritis. Inflammopharmacology 1999, 7(2):131-141.
• [18]Bellamy N, Anjema C, Dhanoa D, Joglekar A, Mills GC, Nesrallah G, Smith C, Ucar C, Hill J, Campbell J: An evaluation of the effectiveness of a videotape programme on interobserver reliability in outcome assessment for ankylosing spondylitis. Inflammopharmacology 1999, 7(2):107-117.
• [19]Bellamy N, Buchbinder R, Hall S, Lowthian P, Patrick M, Ryan P, Stockman A, Grant G, Green S, Campbell J: Fibromyalgia antirheumatic drug trials: Effects of a standardized instructional videotape on the reliability of observer-dependent outcome measures. Inflammopharmacology 1997, 5(3):261-272.
• [20]Bellamy N, Muirden K, Bendrups A, Boyden K, McColl G, Moran H, Stockman A, Tellus M, Travers R, Campbell J: Rheumatoid arthritis antirheumatic drug trials: Effects of a standardized instructional videotape on the reliability of observer-dependent outcome measures. Inflammopharmacology 1997, 5(3):273-284.
• [21]Bellamy N, Muirden K, Boyden K, McColl G, Moran H, Stockman A, Tellus M, Wicks I, Campbell J: Ankylosing spondylitis antirheumatic drug trials: Effects of a standardized instructional viddeotape on the reliability of observer-dependent outcome measures. Inflammopharmacology 1997, 5(3):297-308.
• [22]White JE: Using interactive video to add physical assessment data to computer-based patient simulations in nursing. Comput Nurs 1995, 13(5):233-235.
• [23]Balslev T, de Grave W, Muijtjens AMM, Eika B, Scherpbier AJJA: The development of shared cognition in paediatric residents analysing a patient video versus a paper patient case. Adv Health Sci Educ 2009, 14(4):557-565.
• [24]Balslev T, De Grave WS, Muijtjens AMM, Scherpbier AJJA: Enhancing diagnostic accuracy among nonexperts through use of video cases. Pediatrics 2010., 125(3)
• [25]Lieberman SA, Frye AW, Litwins SD, Rasmusson KA, Boulet JR: Introduction of patient video clips into computer-based testing: Effects on item statistics and reliability estimates. Acad Med 2003., 78(10 SUPPL)
• [26]Hertenstein MJ, Wayand JF: Video-based test questions: A novel means of evaluation. J Instr Psychol 2008, 35(2):188-191.
• [27]Kamin C, O'Sullivan P, Deterding R, Younger M: A comparison of critical thinking in groups of third-year medical students in text, video, and virtual PBL case modalities. Acad Med 2003, 78(2):204-211.
• [28]Balslev T, de Grave WS, Muijtjens AM, Scherpbier AJ: Comparison of text and video cases in a postgraduate problem-based learning format. Med Educ 2005, 39(11):1086-1092.
• [29]Wood S, Cummings JL, Schnelle B, Stephens M: A videotape-based training method for improving the detection of depression in residents of long-term care facilities. Gerontologist 2002, 42(1):114-121.
• [30]Chan LK, Patil NG, Chen JY, Lam JC, Lau CS, Ip MS: Advantages of video trigger in problem-based learning. Med Teach 2010, 32(9):760-765.
• [31]Bye AM, Connolly AM, Netherton C, Looker P, Burgess A, Lonergan A: A triangulated approach to the assessment of teaching in childhood epilepsy. Med Teach 2007, 29(2–3):255-257.
• [32]de Leng B, Dolmans D, van de Wiel M, Muijtjens A, van der Vleuten C: How video cases should be used as authentic stimuli in problem-based medical education. Med Educ 2007, 41(2):181-188.
• [33]Balslev T, Jarodzka H, Holmqvist K, de Grave W, Muijtjens AM, Eika B, van Merrienboer J, Scherpbier AJ: Visual expertise in paediatric neurology. Eur J Paediatr Neurol 2012, 16(2):161-166.
• [34]Bellamy N, Anjema C, Alikhan N, Chhina T, Dhanoa D, Edelist D, Esufali Z, Ismail F, Hill J, Campbell J: An evaluation of the effectiveness of a videotape programme on interobserver reliability in outcome assessment for osteoarthritis. Inflammopharmacology 1999, 7(2):143-154.
• [35]Bellamy N, Bachmeier C, Brooks P, Browne C, Cohen M, March L, Conaghan P, Day R, Campbell J: Osteoarthritis antirheumatic drug trials: Effects of a standardized instructional videotape on the reliability of observer-dependent dependent outcome measures. Inflammopharmacology 1997, 5(3):285-295.
• [36]Norman G: RCT = results confounded and trivial: the perils of grand educational experiments. Med Educ 2003, 37(7):582-584.
• [37]Kirkpatrick D: Evaluation of training. In Training and development handbook: A guide to human resource development. 1st edition. Edited by Craig RL. McGraw-Hill, New York; 1976:317.
• [38]Hakkennes S, Green S: Measures for assessing practice change in medical practitioners. Implement Sci 2006, 1:29. BioMed Central Full Text
• [39]Tian J, Atkinson N, Portnoy B, Gold R: A systematic review of evaluation in formal continuing medical education. J Contin Educ Health Prof 2007, 27(1):16-27.
• [40]Paas F, Renkl A, Sweller J: Cognitive Load Theory and Instructional Design: Recent Developments. Educ Psychol 2003, 38(1):1-4.
• [41]Chandler P, Sweller J: Cognitive Load Theory and the Format of Instruction. Cognit Instruct 1991, 8(4):293-332.
• [42]Hadley J, Kulier R, Zamora J, Coppus SF, Weinbrenner S, Meyerrose B, Decsi T, Horvath AR, Nagy E, Emparanza JI, Arvanitis TN, Burls A, Cabello JB, Kaczor M, Zanrei G, Pierer K, Kunz R, Wilkie V, Wall D, Mol BW, Khan KS: Effectiveness of an e-learning course in evidence-based medicine for foundation (internship) training. J R Soc Med 2010, 103(7):288-294.
• [43]Bakker RJ, van de Putte EM, Kuis W, Sinnema G: Effects of an educational video film in fatigued children and adolescents: a randomised controlled trial. Arch Dis Child 2011, 96(5):457-460.