千禧一代本科医学生急诊耳鼻咽喉头颈外科疾病的认知方式和移动e -学习:卡塔尔世界杯8强波胆分析随机对照试验李丽安，赵丽安，黄怡萍，方忠贵，王继曾，庄淑玲，康成庚，张忠珍，林丽珍，林婉妮，方团珍，李忠贵，薛玉+台湾桃园桂山区富兴街5号林口长庚纪念医院耳鼻咽喉头颈外科，电话:886 33281200，转3972，5738@cgmh.org.tw %K认知风格%K电子学习%K移动技术%K随机对照试验%D 2018 %7 13.02.2018 %9原始论文%J J医学互联网Res %G英语%X背景:通过移动技术的电子学习(e-learning)代表了一种新颖的方式来教授紧急耳鼻咽喉头颈外科(ORL-HNS)疾病本科生。认知教育方式与学习模块相结合是否会影响千禧一代医学生的学习结果和满意度尚不清楚。目的:本研究的目的是评估认知风格和使用移动电子学习的学习模块对紧急ORL-HNS障碍的知识获得、能力获得和满意度的影响。方法:本随机对照试验纳入60名本科医学生，他们是某学术教学医院ORL-HNS的新手。采用群体嵌入图形测试对被试的认知风格进行评估。学生们被随机(1:1)分配到一个新的交互式多媒体(IM)组和传统的微软PowerPoint演示(PPS)组，按年龄、性别和认知风格匹配。游戏化IM模块的内容源自并对应于PPS模块的基于教科书的学习材料(视频讲座)。参与者被打开眼睛，在7英寸的平板电脑上使用包含IM或PPS模块的全自动课件100分钟。知识和能力分别通过多项选择题和多媒体情境测试进行评估。 Each participant also rated their global satisfaction. Results: All of the participants (median age 23 years, range 22-26 years; 36 males and 24 females) received the intended intervention after randomization. Overall, the participants had significant gains in knowledge (median 50%, interquartile range [IQR]=17%-80%, P<.001) and competence (median 13%, IQR=0%-33%, P=.006). There were no significant differences in knowledge gain (40%, IQR=13%-76% vs 60%, IQR=20%-100%, P=.42) and competence gain (0%, IQR= −21% to 38% vs 25%, IQR=0%-33%, P=.16) between the IM and PPS groups. However, the IM group had a higher satisfaction score (8, IQR=6-9 vs 6, IQR=4-7, P=.01) compared with the PPS group. Using Friedman’s two-way nonparametric analysis of variance, cognitive styles (field-independent, field-intermediate, or field-dependent classification) and learning modules (IM or PPS) had significant effects on both knowledge gain (both adjusted P<.001) and satisfaction (both adjusted P<.001). Conclusions: Mobile e-learning is an effective modality to improve knowledge of emergent ORL-HNS in millennial undergraduate medical students. Our findings suggest the necessity of developing various modules for undergraduate medical students with different cognitive styles. Trial Registration: Clinicaltrials.gov NCT02971735; https://clinicaltrials.gov/ct2/show/NCT02971735 (Archived by WebCite at http://www.webcitation.org/6waoOpCEV) %M 29439943 %R 10.2196/jmir.8987 %U //www.mybigtv.com/2018/2/e56/ %U https://doi.org/10.2196/jmir.8987 %U http://www.ncbi.nlm.nih.gov/pubmed/29439943