Telehealth in the teaching of surgery: creation of an open access surgical multimedia repository
Abstract
Telehealth was the mandatory option in medical education worldwide due to the suspension of face-to-face education, the risk of COVID-19 infection, and the lockdowns imposed by governments to control the pandemic. The purpose of this interventional research study was to understand the experiences of surgery students and faculty with Telehealth (e-Health) as a teaching strategy during the COVID-19 pandemic, as well as the creation of digital learning objects (DLOs) consisting of surgical vídeos designed according to the precepts of the Multimedia Cognitive Learning Theory (MCTL) and a freely accessible surgical multimedia digital repository to host them: vídeoTec Quirúrgica UNAH 101 (VTQ UNAH 101). A pilot study was conducted, and semi-structured interviews (qualitative) were conducted with the participants after the design and creation of the DLOs based on the learning objectives of the pedagogical space. The inductive analysis of the participants' discourse with axial coding showed wide acceptance among students (96%) and teachers in the use of digital tools and contents of telehealth for blended learning (hybrid, b-learning), as well as the surgical multimedia digital repository VTQ UNAH 101. An increase in the course approval rate (16%), academic performance (3.8%) and student satisfaction and motivation was evident with VTQ UNAH 101 as a teaching resource (Cohen h = 0.38 and a Bayesian analysis of 92% probability of improvement), so it is concluded that VTQ UNAH 101 is a viable and effective alternative to complement academic training in surgery; however, the generalization of its impact requires replication in larger populations and in other faculties of Health Sciences.
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