Predominant aspects of knowledge and practical skills among medical students with online learning during the COVID-19 pandemic era

ABSTRACT

Background

Social restrictions due to the COVID-19 pandemic have shifted most learning methods into online courses, especially for medical skills education. However, the effects of online courses on medical skill education amongst medical students are still arguable. The study aims to analyse medical students’ knowledge, attitude, practice and satisfaction towards medical skills between online and offline courses.

Method

We performed a case–control study conducted among 533 medical students with online (as a case group, n = 288) and offline courses (as a control group, n = 245). We evaluated three fundamental medical skills, including history taking [HT], lung physical examination [LPE], and heart physical examination [HPE]. We tested the knowledge and skills among students through theory and practical examinations. Students’ attitudes and satisfaction were assessed using a validated questionnaire.

Results

The scores for knowledge and practical skills among the online group were significantly higher (p = 0.016, p = 0.004, respectively). In comparison, the scores for the students’ attitudes and satisfaction were substantially lower (p = 0.000, p = 0.003, respectively) compared to the control group. Most of the students in both groups passed the exam (case vs. control = 81.94%; 83.27%, respectively). Males were the only factor associated with a higher rate of passing the examination (OR 0.42, 95% CI [0.27–0.67], p = 0.000).

Conclusions

Online learning could be an alternative approach on improving student’s knowledge and practice towards medical skill especially amidst COVID-19 pandemic, however further consideration on student’s attitude and satisfaction are mandatory to achieve appropriate competence as future general practitioner.

KEYWORDS:

• Medical skills
• online learning
• COVID-19
• cognitive
• education

Acknowledgments

The authors would like to thank the Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia, for the support in the study conduction, and the students who willingly became participants in this study.

Disclosure statement

No potential conflict of interest was reported by the authors.

Supplemental material

Supplemental data for this article can be accessed online at https://doi.org/10.1080/10872981.2023.2182665.

Additional information

Funding

This project was supported by a research grant from the Research Institute and Community Service Universitas Airlangga. Research Institute and Community Service Universitas Airlangga was to provide financial assistance, as well as technical assistance through periodic review to ensure the research achieves the desired output. The funder had no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; preparation, review, or approval of the manuscript; and decision to submit the manuscript for publication.