Skills outcomes for digital education on guidelines are mixed: simulation modules outperform printed guidelines and no intervention, but video demonstration underperforms peer teaching¶

Claim · All claims
Evidence · 1 study (2 entries) · quant-synthesis r3 · q3 · i3 large
Currency · newest study 2019 · checked against its sources 2026-11-01 (automated, 2 of 2 entries) · not reviewed by a person

Subclaims¶

q3 i3 In the review's included trials, a simulation-based module showed large beneficial effects on skills versus no intervention (one RCT, n = 31, SMD 0.93) and versus printed guidelines (one RCT, n = 45, SMD 1.13). → Tudor Car Lorainne 2019 q3 i3 In one included RCT (n = 88), computer-based video demonstration scored lower than peer teaching on post-intervention skills (SMD −3.72). → Tudor Car Lorainne 2019 (2)

Evidence¶

Tudor Car Lorainne 2019¶

Tudor Car Lorainne, Soong Aijia, Kyaw Bhone Myint, Chua Kee Leng, Low-Beer Naomi, Majeed Azeem. (2019). Health professions digital education on clinical practice guidelines: a systematic review by Digital Health Education collaboration. BMC Medicine. https://doi.org/10.1186/s12916-019-1370-1

q3 · i3 · large effect · quant-synthesis · r3

Systematic review; this entry reports its account of two included single RCTs on resuscitation skills. Schwid et al. (1999; 45 anaesthesiology residents) compared an online simulation module with printed guidelines, scored on a Megacode performance checklist: SMD 1.13 (95% CI 0.50 to 1.76), moderate quality of evidence. Attin et al. (2014; 31 nursing students) compared an online scenario-based simulation module with no intervention: SMD 0.93 (95% CI 0.18 to 1.68), low quality of evidence. Each comparison rests on one trial.

"One study (n = 45) evaluating the use of simulation-based learning module reported large beneficial effect of digital education (SMD = 1.13, 95% CI 0.50, 1.76, moderate quality of evidence) in comparison to printed guidelines [39]."

"Only one study (n = 31), evaluating the use of a simulation-based module, measured participants’ skills post-intervention and reported a large beneficial effect of digital education (SMD = 0.93, 95% CI 0.18–1.68, low quality of evidence) [30]."

Tudor Car Lorainne 2019 (2)¶

Tudor Car Lorainne, Soong Aijia, Kyaw Bhone Myint, Chua Kee Leng, Low-Beer Naomi, Majeed Azeem. (2019). Health professions digital education on clinical practice guidelines: a systematic review by Digital Health Education collaboration. BMC Medicine. https://doi.org/10.1186/s12916-019-1370-1

q3 · i3 · large effect · quant-synthesis · r3

Systematic review; this entry reports its account of one included RCT, Stephan et al. (2018; 88 medical students), which compared computer-based video demonstration with peer teaching for paediatric basic life support, scored by OSCE. The review reports higher post-intervention skills in the peer-teaching control group, low quality of evidence; its table gives SMD −3.72 (95% CI −4.42 to −3.02), and the minus sign on the upper bound is missing in the quoted text. The comparison rests on one trial.

"The other study assessed the effectiveness of computer-based video demonstration compared to peer teaching and reported higher post-intervention skills score in the control group (SMD = − 3.72, 95% CI − 4.42, 3.02, low quality of evidence) [41]."

Discussion¶

Related Claims¶

• Email-delivered spaced education is the only intervention type shown to improve both clinician behaviour and patient outcomes for guideline adoption
• Both video-based tools and interactive modules show beneficial effects on assessment outcomes, with interactive modules showing the larger pooled mean difference — related
• Virtual standardized patient training improved alcohol screening and brief intervention skills and diagnostic accuracy for depression and PTSD in two RCTs, while a suicide risk assessment RCT found no significant effect — related
• Digital teaching of clinical skills improves medical trainees' assessment outcomes compared with other formats, with a pooled mean difference of 1.93 — a broader claim this one bears on