1. A HYBRID TRAINING COURSE
IS EFFECTIVE FOR TEACHING
PROCEDURAL SKILLS TO
RESIDENTS
Yoshikazu Asada, Yoshihiko Suzuki,
Tsuyoshi Hasegawa, Alan Lefor and
Ryutaro Kawano

2. Background
• There are numerous e-learning tools for
medical education.
• These tools are good for gaining knowledge
• However, it is difficult to teach manual skills
with e-learning.
• The advantages of e-learning and simulation
training should be combined to use the various
modalities in an optimal fashion.

3. The Training Course
• Hybrid training program
• Including both e-learning and simulation
• Learners : Residents
• Theme : Thoracostomy tube placement and
thoracentesis
• Designed as a pilot study

4. Timetable
Guidance
5 min
Pre-test
5 min
e-Learning
20 min
Dry simulation
45 min
Wet simulation
45 min
Short debriefing
10 min
Post-test and questionnaire
10 min

5. Results
• Participants : 17 Residents
Questions (about understanding)
mean ± SD
Do you understand the procedures?
5.8 ± 1.3
Can you do it properly?
4.8 ± 1.0
Can you teach it to another resident?
4.0 ± 0.6

6. Results
Questions (about satisfaction)
mean ± SD
Was the training with simulator useful?
6.8 ± 0.4
Was the training with meat useful?
6.3 ± 1.0
Was there enough time with the 6.5 ± 0.8
simulator?
Was there enough time with the meat?
6.5 ± 0.8
Did you understand the instructions?
6.5 ± 0.8
Was the movie comprehensible?
6.6 ± 0.5
Was the difficulty of the test adequate?
5.0 ± 1.4

7. Plans for improvement
• Make the pre-test and videos
prerequisites for the training
• Make a rubric for skills evaluation
• Conduct simulation training while
watching the videos, not after watching

8. Conclusions
• A hybrid training program for residents was
held, including e-learning, dry simulation
and wet simulation.
• Participants were satisfied with the training.
• Future improvement of this program
• Make the pre-test and videos as prerequisites
for the training.
• Make a rubric for skills evaluation