Radiation oncology as part of medical education-current status and possible digital future prospects.

Publisher: Urban & Vogel Country of Publication: Germany NLM ID: 8603469 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1439-099X (Electronic) Linking ISSN: 01797158 NLM ISO Abbreviation: Strahlenther Onkol Subsets: MEDLINE

Original Publication: [München] : Urban & Vogel, [c1986-

Education, Distance*/trends; Radiation Oncology/*education; Audiovisual Aids ; Consumer Behavior ; Curriculum ; Forecasting ; Germany ; Humans ; Program Evaluation ; Schools, Medical ; Students, Medical/psychology ; Surveys and Questionnaires ; Teaching/trends

Purpose: Education as part of medical education is currently changing rapidly. Not least because of the corona crisis, more and more digital teaching formats and innovative teaching concepts such as the flipped classroom model are finding their way into teaching. We analyzed the acceptance and effectiveness of traditional teaching methods as well as the interest in innovative e‑learning methods among medical students in the field of radiation oncology at the medical school of the Technical University of Munich.
Methods: We carried out an online-based survey as well as a knowledge test on all students from two terms who had completed the seminar series of radiation oncology. The survey comprised seven questions on the frequency of participation, acceptance, and judgment of the effectiveness in terms of learning and on a potential use of e‑learning methods using a six-point Likert scale. The test consisted of 10 multiple-choice questions.
Results: Traditional teaching methods are largely accepted by students and most students consider the current learning format to be effective in terms of the teaching effect in the field of radiation oncology. However, only about 50% of all knowledge questions were answered correctly. The possible use of e‑learning methods was judged critically or desired in roughly equal parts among the students.
Conclusion: Traditional seminars enjoy a high level of acceptance among students. Effectiveness with regard to the internalization of content taught, however, should be increased. After all, the future seems to lie in the integration of e‑learning in the form of educational videos and practical seminars.

Oertel M, Linde P, Mäurer M et al (2020) Quality of teaching radiation oncology in Germany-where do we stand? : Results from a 2019 survey performed by the working group “young DEGRO” of the German Society of Radiation Oncology. Strahlenther Onkol 196(8):699–704. (PMID: 10.1007/s00066-020-01623-x)
Tagesspiegel (ed) (2020) Medizinstudium: Pauken macht den Arzt – Wissen. https://www.tagesspiegel.de/wissen/medizinstudium-pauken-macht-den-arzt/1642764.html . Accessed 13 May 2020.
Nikendei C, Weyrich P, Jünger J et al (2009) Medical education in Germany. Med Teach 31(7):591–600. https://doi.org/10.1080/01421590902833010. (PMID: 10.1080/0142159090283301019811144)
Williams DE (2016) The Future of Medical Education: Flipping the Classroom and Education Technology. Ochsner J 16(1):14–15. (PMID: 270267864795492)
Bi M, Zhao Z, Yang J et al (2019) Comparison of case-based learning and traditional method in teaching postgraduate students of medical oncology. Med Teach 41(10):1124–1128. https://doi.org/10.1080/0142159X.2019.1617414. (PMID: 10.1080/0142159X.2019.161741431215320)
Pershing S, Fuchs VR (2013) Restructuring medical education to meet current and future health care needs. Acad Med 88(12):1798–1801. https://doi.org/10.1097/ACM.0000000000000020. (PMID: 10.1097/ACM.000000000000002024128642)
Wynter L, Burgess A, Kalman E et al (2019) Medical students: what educational resources are they using? BMC Med Educ 19(1):36. https://doi.org/10.1186/s12909-019-1462-9. (PMID: 10.1186/s12909-019-1462-9306830846347772)
Gehlen-Baum V, Weinberger A (2012) Notebook or Facebook? How students actually use mobile devices in large lectures. In: Hutchison D, Kanade T, Kittler J et al (eds) 21 century learning for 21 century skills 7th European Conference on Technology Enhanced Learning, EC-TEL 2012, Saarbrücken, 18–21.09. Springer, Berlin, pp 103–112 (Proceedings). (PMID: 10.1007/978-3-642-33263-0_9)
Williams DE (2016) The future of medical education: flipping the classroom and education technology. Ochsner J 16(1):14–15. (PMID: 270267864795492)
Moffett J (2015) Twelve tips for “flipping” the classroom. Med Teach 37(4):331–336. https://doi.org/10.3109/0142159X.2014.943710. (PMID: 10.3109/0142159X.2014.94371025154646)
Prober CG, Khan S (2013) Medical education reimagined: a call to action. Acad Med 88(10):1407–1410. https://doi.org/10.1097/ACM.0b013e3182a368bd. (PMID: 10.1097/ACM.0b013e3182a368bd23969367)
Srinivasan DK (2020) Medical students’ perceptions and an anatomy teacher’s personal experience using an e‑learning platform for tutorials during the Covid-19 crisis. Anat Sci Educ. https://doi.org/10.1002/ase.1970. (PMID: 10.1002/ase.197032374937)
Iyer P, Aziz K, Ojcius DM (2020) Impact of COVID-19 on dental education in the United States. J Dent Educ. https://doi.org/10.1002/jdd.12163. (PMID: 10.1002/jdd.12163331257297461512)
Wannenmacher M, Wenz F, Debus J (eds) (2013) Strahlentherapie, 2nd edn. Springer-Medizin, Berlin (Mit 298 Tabellen).
Duma M-N (2020) Die Herzmortalität nach Strahlentherapie, Chemotherapie und endokriner Therapie des Mammakarzinoms (Cardiac mortality after radiotherapy, chemotherapy and endocrine therapy for breast cancer). Strahlenther Onkol. https://doi.org/10.1007/s00066-020-01649-1. (PMID: 10.1007/s00066-020-01649-1330250977801351)
Oertel M, Schmitz M, Becker JC et al (2019) Erfolgreiche Integration der Radioonkologie in die präklinische medizinische Ausbildung : Erfahrungen mit einem interdisziplinären Lehrprojekt (Successful integration of radiation oncology in preclinical medical education : Experiences with an interdisciplinary training project). Strahlenther Onkol 195(12):1104–1109. https://doi.org/10.1007/s00066-019-01492-z. (PMID: 10.1007/s00066-019-01492-z31309265)
Costa ML, van Rensburg L, Rushton N (2007) Does teaching style matter? A randomised trial of group discussion versus lectures in orthopaedic undergraduate teaching. Med Educ 41(2):214–217. https://doi.org/10.1111/j.1365-2929.2006.02677.x. (PMID: 10.1111/j.1365-2929.2006.02677.x17269956)
Electric Paper Evaluationssysteme (2020) Umfrage Software und Prüfungsplattform. https://www.evasys.de/startseite.html . Accessed 13 May 2020.
Walsh K (2005) Advice on writing multiple choice questions (MCQs). BMJ 330(7483):s25.2–s27. https://doi.org/10.1136/bmj.330.7483.s25-a. (PMID: 10.1136/bmj.330.7483.s25-a)
Widulle W (2009) Handlungsorientiert Lernen im Studium. Arbeitsbuch für soziale und pädagogische Berufe, 1st edn. VS, Wiesbaden. (PMID: 10.1007/978-3-531-91855-6)
Kolb DA (1984) Experimental learning. Experience as the source of learning and development vol 1. Prentice-Hall, Englewood Cliffs, London.
Lee YH, Kim K‑J (2018) Enhancement of student perceptions of learner-centeredness and community of inquiry in flipped classrooms. BMC Med Educ 18(1):242. https://doi.org/10.1186/s12909-018-1347-3. (PMID: 10.1186/s12909-018-1347-3303525916199751)
(2018) Studie: Diese Lernmittel nutzen Studis am liebsten. https://www.unicum.de/de/aktuelles/news/studie-diese-lernmittel-nutzen-studis-am-liebsten . Accessed 15 May 2020.
Müller C, Füngerlings S, Tolks D et al (2018) Teaching load—a barrier to digitalisation in higher education? A position paper on the framework surrounding higher education medical teaching in the digital age using Bavaria, Germany as an example. GMS J Med Educ 35(3):Doc34. https://doi.org/10.3205/zma001180. (PMID: 10.3205/zma001180301869446120158)
Precht RD (2020) Wir brauchen eine Bildungsrevolution! https://www.cicero.de/kultur/wir-brauchen-eine-bildungsrevolution/51963 . Accessed 11 June 2020.
Friedlander MJ, Andrews L, Armstrong EG et al (2011) What can medical education learn from the neurobiology of learning? Acad Med 86(4):415–420. https://doi.org/10.1097/ACM.0b013e31820dc197. (PMID: 10.1097/ACM.0b013e31820dc19721346504)
Mann KV (2002) Thinking about learning: implications for principle-based professional education. J Contin Educ Health Prof 22(2):69–76. https://doi.org/10.1002/chp.1340220202. (PMID: 10.1002/chp.134022020212099122)
Dombrowski T, Wrobel C, Dazert S et al (2018) Flipped classroom frameworks improve efficacy in undergraduate practical courses—a quasi-randomized pilot study in otorhinolaryngology. BMC Med Educ 18(1):294. https://doi.org/10.1186/s12909-018-1398-5. (PMID: 10.1186/s12909-018-1398-5305142786280380)
Versteeg M, Hendriks RA, Thomas A et al (2020) Conceptualising spaced learning in health professions education: a scoping review. Med Educ 54(3):205–216. https://doi.org/10.1111/medu.14025. (PMID: 10.1111/medu.1402531860936)
Zottmann JM, Dieckmann P, Taraszow T et al (2018) Just watching is not enough: fostering simulation-based learning with collaboration scripts. GMS J Med Educ 35(3):Doc35. https://doi.org/10.3205/zma001181. (PMID: 10.3205/zma001181301869456120154)
Taylor DCM, Hamdy H (2013) Adult learning theories: implications for learning and teaching in medical education: AMEE Guide No. 83. Med Teach 35(11):e1561–72. https://doi.org/10.3109/0142159X.2013.828153. (PMID: 10.3109/0142159X.2013.82815324004029)
Hew KF, Lo CK (2018) Flipped classroom improves student learning in health professions education: a meta-analysis. BMC Med Educ 18(1):38. https://doi.org/10.1186/s12909-018-1144-z. (PMID: 10.1186/s12909-018-1144-z295444955855972)
Bouwmeester RAM, de Kleijn RAM, van den Berg IET et al (2019) Flipping the medical classroom: effect on workload, interactivity, motivation and retention of knowledge. Comput Educ 139(1):118–128. (PMID: 10.1016/j.compedu.2019.05.002)
Dennick R (2012) Twelve tips for incorporating educational theory into teaching practices. Med Teach 34(8):618–624. https://doi.org/10.3109/0142159X.2012.668244. (PMID: 10.3109/0142159X.2012.66824422471913)
Prince M (2004) Does active learning work? A review of the research. J Eng Educ 93(3):223–231. https://doi.org/10.1002/j.2168-9830.2004.tb00809.x. (PMID: 10.1002/j.2168-9830.2004.tb00809.x)
Cantillon P, Wood DF, Yardley S (2017) ABC of learning and teaching in medicine, 3rd edn. ABC series. Wiley, Hoboken.
Drummer J Einfluss verschiedener Typen online basierter Lernplattformen auf die Kompetenz – und Leistungsentwicklung von Schülern. Technische Universität Dresden. https://nbn-resolving.org/urn:nbn:de:bsz:14-ds-1232884068861-14322.
Moeltner A, Schellberg D, Juenger J (2006) Grundlegende quantitative Analysen medizinischer Prüfungen [Basic quantitative analyses of medical examinations]. GMS Z Med Ausbild 23(3). https://nbn-resolving.org/urn:nbn:de:bsz:14-ds-1232884068861-14322.

Keywords: Education; E‑learning; Flipped classroom; Radiation oncology; Seminars

Date Created: 20201124 Date Completed: 20210920 Latest Revision: 20210920

20240105

PMC7682521

10.1007/s00066-020-01712-x

33230568