title: [Learning success of students in surgery with a multimedia-based manual. A prospective randomized trial].
abstract: BACKGROUND
  Teaching surgery to students means covering two main learning fields: theoretical knowledge and practical skills. The objective of this study was to compare a multimedia-based surgical procedure manual to a text-based one in a student population.
  
  
  METHODS
  This randomized controlled trial in a pre-post-retention test design was conducted online with the participation of 101 medical students. Subjects studied the performance of a laparoscopic cholecystectomy either in a multimedia-based (MMG) or text-based (TG) presentation. The post-test surveyed the knowledge gain and 3 months later a retention test assessed the sustainability of that knowledge.
  
  
  RESULTS
  The study showed a significant knowledge gain in the intragroup comparison. Regarding the procedural knowledge, the MMG scored significantly higher in Δpost-test with 3.84 (MMG) vs 2.98 (TG) correct answers (p = 0.040). This finding was confirmed in the retention test. The MMG (7.17) scored overall significantly higher than the TG (6.41) with correct answers (p = 0.028).
  
  
  CONCLUSIONS
  Multimedia-based learning can be regarded as an alternative to text-based learning. Students learn factual knowledge equally well with both devices but the MMG scored higher in procedural and more complex knowledge.
authors.affiliation: Klinik für Viszeral-, Gefäß- und Transplantationschirurgie, Kliniken der Stadt Köln, Krankenhaus Merheim, Ostmerheimer Str. 200, 51109, Köln, Deutschland, carolinapape@gmx.de.
authors.forename: C
authors.initials: C
authors.lastname: Pape-Köhler
authors.forename: C
authors.initials: C
authors.lastname: Chmelik
authors.forename: M M
authors.initials: MM
authors.lastname: Heiss
authors.forename: R
authors.initials: R
authors.lastname: Lefering
mesh_terms: D017081:Cholecystectomy, Laparoscopic / Q000193:education*; D002983:Clinical Competence; D003194:Computer-Assisted Instruction; D003479:Curriculum; D004521:Educational Measurement; D013502:General Surgery / Q000193:education*; D005858:Germany; D006801:Humans; D008370:Manuals as Topic; D019212:Multimedia; D012984:Software
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