AUTHOR=Ettl Florian , Schriefl Christoph , Grafeneder Jürgen , Thallner Dominik Gabriel , Mueller Matthias , Fischer Eva , Schlegel Raphael , Sigmund Thorsten , Holzer Michael , Schnaubelt Sebastian 

TITLE=A moodle course to substitute resuscitation teaching in a medical curriculum during the COVID-19 pandemic: A prospective pilot study

JOURNAL=Frontiers in Public Health

VOLUME=10

YEAR=2022

URL=https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2022.991408

DOI=10.3389/fpubh.2022.991408

ISSN=2296-2565

ABSTRACT=<sec><title>Background</title><p>Face-to-face medical education was restricted during the COVID-19 pandemic, leading to alternative teaching methods. Moodle<sup>®</sup> (Modular Object-Oriented Dynamic Learning Environment) – an online course format – has not yet been sufficiently evaluated for its feasibility and effectiveness in teaching cardiopulmonary resuscitation.</p></sec><sec><title>Methods</title><p>Medical students in the eighth semester took part in a Moodle<sup>®</sup> course teaching basic life support, the ABCDE-approach, airway management, and advanced life support. The content was presented using digital background information and interactive videos. A multiple-choice test was conducted at the beginning and at the end of the course. Subjective ratings were included as well.</p></sec><sec><title>Results</title><p>Out of 594 students, who were enrolled in the online course, 531 could be included in this study. The median percentage of correctly answered multiple-choice test questions increased after completing the course [78.9%, interquartile range (<italic>IQR</italic>) 69.3–86.8 vs. 97.4%, <italic>IQR</italic> 92.1–100, <italic>p</italic> &lt; 0.001]. There was no gender difference in the median percentage of correctly answered questions before (female: 79.8%, <italic>IQR</italic> 70.2–86.8, male: 78.1%, <italic>IQR</italic> 68.4–86.8, <italic>p</italic> = 0.412) or after (female: 97.4%, <italic>IQR</italic> 92.1–100, male: 96.5%, <italic>IQR</italic> 92.6–100, <italic>p</italic> = 0.233) the course. On a 5-point Likert scale, 78.7% of students self-reported ≥4 when asked for a subjective increase in knowledge. Noteworthy, on a 10-point Likert scale, male students self-reported their higher confidence in performing CPR [female 6 (5–7), male 7 (6–8), <italic>p</italic> &lt; 0.001].</p></sec><sec><title>Conclusion</title><p>The Moodle<sup>®</sup> course led to a significant increase in theoretical knowledge. It proved to be a feasible substitute for face-to-face courses – both objectively and subjectively.</p></sec>