Comparison between lecture-based approach and case/problem-based learning discussion for teaching pre-anaesthetic assessment.

Full Abstract

BACKGROUND

AND OBJECTIVE:
The case/problem-based learning discussion method was recently introduced into the theory-based training program for residents run by the Catalan Society of Anaesthesiology. This study was designed to assess and compare its effectiveness with that of the lecture-based approach for teaching pre-anaesthetic assessment, applying an objective tool for knowledge evaluation before and after teaching.

METHODS:
A prospective randomized study of two consecutive year groups of first year anaesthesiology residents was conducted. Twenty-nine residents attended a lecture, and 25, a case/problem-based learning discussion session. Their knowledge of pre-anaesthetic assessment was assessed before and after the teaching session with tests on four different clinical cases measuring six fields:
(1) 'recognizing clinical data with anaesthetic implications'; (2) 'reasoning clinical data with anaesthetic implications'; (3) 'ASA class'; (4) 'Mallampati class'; (5) 'choice of anaesthetic technique'; (6) 'reasoning choice of anaesthetic technique'.

RESULTS:
Before the teaching session, the lecture group scored significantly higher on field 1 (P = 0.006). Both teaching methods improved scores on fields 1, 2 and 4. The case/problem group also improved on fields 3 and 6. After the teaching session, the field 1 score was still significantly higher in the lecture group (P = 0.005), and the field 3 score was significantly higher in the case/problem group (P = 0.044).

CONCLUSIONS:
The effectiveness of lecture and case/problem-based learning discussion differed little in terms of improving participants' immediate knowledge of 'pre-anaesthetic assessment'.

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Author information

Author/s: Carrero, E (E); Gomar, C (C); Penzo, W (W); Rull, M (M);

Affiliation: University of Barcelona, Hospital Clínic, Department of Anaesthesiology, Barcelona, Spain. ecarrero(-atsign-)clinic.ub.es

Journal and publication information

Publication Type: Comparative Study; Journal Article; Randomized Controlled Trial

Journal: European journal of anaesthesiology (Eur J Anaesthesiol), published in England. (Language: eng)

Reference: 2007-Dec; vol 24 (issue 12) : pp 1008-15

Dates: Created 2007/11/06; Completed 2008/02/14; Revised 2008/08/14;

PMID: 17261212, status: MEDLINE (last retrieval date: 12/26/2008)

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

Comments and Corrections

CommentIn: Eur J Anaesthesiol. 2008 Aug;25(8):689. (PMID: 18339211)

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Anesthesiology - education
Education, Medical - methods
Health Knowledge, Attitudes, Practice
Humans
Internship and Residency
Preoperative Care - education

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