Mobile Content and Scenario-Based Manikin for Improving Learning Outcomes in Obstetrics of Preclinical Medical Students
Pattama Tongdee MD*, Kulsiri Tiansri MD**, Sutthinee Srisawat MEd***, Autchara Ngamnoun BPH****, Kwanruan Pinwanna MEd****, Porntip Nimkuntod MD*****
Affiliation : * School of Obstetrics and Gynecology, Institute of Medicine, Suranaree University of Technology, Nakhon Ratchasima, Thailand ** School of Surgery, Institute of Medicine, Suranaree University of Technology, Nakhon Ratchasima, Thailand *** The Center for Educational Innovation and Technology, Suranaree University of Technology, Nakhon Ratchasima, Thailand **** Institute of Medicine, Suranaree University of Technology, Nakhon Ratchasima, Thailand ***** School of Internal Medicine, Institute of Medicine, Suranaree University of Technology, Nakhon Ratchasima, Thailand
Background : Multimedia programs have emerged in higher education institutions, including medical school. There is no
clear evidence that such a movement can improve medical student’s learning, application, and self-confidence especially high
clinical skill procedures that are required to prepare before clinical year.
Objective : To assess learning outcomes of knowledge, skill, application in medical students’ performance, and self-confidence
in Leopold maneuver after using instructional media, mobile content compared with scenario-base manikin.
Material and Method: All of third year medical students received standard objective structural clinical examination guide
prior to perform maneuver then self-study with Suranaree University of Technology (SUT) mobile content before traditional
lecture and scenario-based manikin in laboratory room. Student’s learning outcome, knowledge skill, application, and self-
confidence in obstetrics maneuver were assessed. Paired t-test was used to analyze data.
Results : All 60 medical students completed the basic obstetrics, Leopold maneuver in introduction to clinical medicine course.
Knowledge about indication, contraindication, and complication in scenario-based manikin, was higher than SUT mobile
content significantly (p = 0.03). Clinical skills are statistically significant different between SUT mobile content and scenario-
based manikin (p<0.01), except fourth step of Leopold maneuver, fetal heart sound assessment and interpretation. Preparation
before procedure in first, second, and third step of Leopold maneuver, scenario-based manikin was significantly higher than
SUT mobile content (p = 0.03, p<0.01, p = 0.04 and p = 0.04, respectively). Application in knowledge to publish and self-
confidence is better in scenario-base manikin (p = 0.01 and p<0.01, respectively). Teacher has better ability of knowledge
transfer to medical students in SUT mobile content than manikin (p = 0.01) but the use of learning time is no different.
Conclusion : SUT mobile content has reported increased learning outcomes to performed Leopold maneuver in knowledge
and clinical skills. The application in knowledge to interpretation and applied to real practice were not different in both
groups. The scenario-based manikin has higher self-confidence than mobile content.
Keywords : Preclinical medical students, Obstetrics skill, Leopold maneuver, Mobile content, Scenario-base manikin
