“Simulation-based bronchoscopy training: randomised trial comparing
worked example to video introduction”
Abstract
Learning the complex skill of bronchoscopy involves the integration of
cognitive domains and motor skills. The development of simulators has
opened up new possibilities in bronchoscopy training. This study aimed
at evaluating how effective the modelling example methodology is in
training this skill and assessed its effect on cognitive load in
learning. Methods: Forty-seven medical students participating
in a simulator-based bronchoscopy training program were randomly
allocated to a control group, receiving a video lesson, and the
modelling example group. They were evaluated by the simulator’s metrics
at different time points: pre-test, post-test and 15 days and 12 months
after training. Cognitive load was assessed with the modified Paas
scale. Results: Simulation-based training was effective for
both groups, based on simulator metrics (p<0.05). The
modelling example group outperformed the control group in all measures
at post-test and after 15 days (p<0.001). After 12 months,
there was a decline in skill in both groups, but the modelling example
group performed better (p<0.001). Simulation-based training
reduced cognitive load, more strongly so in the modelling example group
(p<0.001). Conclusion: The modelling example group
showed substantial benefits over the control group, both in reducing the
cognitive load in learning and in retaining knowledge and skill after 15
days and 12 months.