Abstract
Medical students’ motivations for choosing a medical career are likely based on and remain tethered to the affectively-laden caring component of doctor–patient interactions. However, this component is rarely presented in educational surgical videos. It is unknown whether affectively engaging students by including patient-related emotionally salient information potentiates or draws focus away from learning a surgical procedure and whether such information affects motivation and attitudes toward the video. Therefore, we investigate whether presenting a patient’s emotional state before video surgery enhances or weakens the educational value of that video. In a within-subjects crossover design, second-year medical students (n = 130) viewed video clips of surgeries. These videos, from online medical education platforms, were preceded by the patient’s information from the original video or by information about the patient’s preoperative emotional preparation. After each video, participants completed a multiple-choice test about the video’s content to measure learning, answered a question about their motivation to re-watch the video, and completed an attitude scale regarding the video. Incorporating patient’s information into surgical videos significantly enhanced students’ acquisition of the technical aspects of surgery procedures (p < 0.0001), motivation to re-watch the video (p < 0.001), and favorable attitudes toward the video (p = 0.02). These findings show that incorporating information about patients’ emotional states may enhance students’ positive attitudes and motivations toward educational videos and may improve their learning of surgical techniques. They also suggest that the role of this factor should be considered when developing guidelines for medical educational video release.
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Artino, A. R., Jr., Holmboe, E. S., & Durning, S. J. (2012). Can achievement emotions be used to better understand motivation, learning, and performance in medical education? Medical Teacher, 34, 240–244.
Batt-Rawden, S. A., Chisolm, M. S., Anton, B., & Flickinger, T. E. (2013). Teaching empathy to medical students: an updated, systematic review. Academic Medicine, 88, 1171–1177.
Celentano, V., Browning, M., Hitchins, C., Giglio, M. C., & Coleman, M. G. (2017). Training value of laparoscopic colorectal videos on the World Wide Web: A pilot study on the educational quality of laparoscopic right hemicolectomy videos. Surgical Endoscopy, 31, 4496–4504.
Celentano, V., Smart, N., McGrath, J., Cahill, R. A., Spinelli, A., Obermair, A., et al. (2018). LAP-VEGaS practice guidelines for reporting of educational videos in laparoscopic surgery: A joint trainers and trainees consensus statement. Annals of Surgery, 268, 920–926.
Colonnello, V., Mattarozzi, K., & Russo, P. M. (2019). Emotion recognition in medical students: Effects of facial appearance and care schema activation. Medical Education, 53, 195–205.
Fishbein, M., & Ajzen, I. (1975). Belief, attitude, intention, and behavior: An introduction to theory and research. Reading, MA: Addison-Wesley.
Fredrickson, B. L. (2004). The broaden-and-build theory of positive emotions. Philosophical Transactions of the Royal Society B: Biological Sciences, 359, 1367–1378.
Guerlain, S., Green, K. B., LaFollette, M., Mersch, T. C., Mitchell, B. A., Poole, G. R., et al. (2004). Improving surgical pattern recognition through repetitive viewing of video clips. IEEE Transactions on Systems, Man, and Cybernetics-Part A: Systems and Humans, 34, 699–707.
Immordino-Yang, M. H., & Damasio, A. (2007). We feel, therefore we learn: The relevance of affective and social neuroscience to education. Mind, Brain, and Education, 1, 3–10.
Immordino-Yang, M. H., & Faeth, M. (2010). The role of emotion and skilled intuition in learning. Mind, Brain, and Education: Neuroscience Implications for the Classroom, 1, 69–83.
Kassler, W. J., Wartman, S. A., & Silliman, R. A. (1991). Why medical students choose primary care careers. Academic Medicine, 66, 41–43.
Kremer, T., Mamede, S., van den Broek, W. W., Schmidt, H. G., Nunes, M. P. T., & Martins, M. A. (2019). Influence of negative emotions on residents’ learning of scientific information: An experimental study. Perspectives on Medical Education, 8, 209–215.
Laine, C., & Davidoff, F. (1996). Patient-centered medicine: A professional evolution. JAMA, 275, 152–156.
Levinson, W., Lesser, C. S., & Epstein, R. M. (2010). Developing physician communication skills for patient-centered care. Health Affairs, 29, 1310–1318.
Mattarozzi, K., Colonnello, V., Russo, P. M., & Todorov, A. (2018). Person information facilitates memory for face identity. Psychological Research, 2018, 1–8.
Myers, C. G., Kudsi, O. Y., & Ghaferi, A. A. (2018). Social media as a platform for surgical learning: Use and engagement patterns among robotic surgeons. Annals of Surgery, 267, 233–235.
Panksepp, J. (1998). Affective neuroscience: The foundations of human and animal emotions. Oxford: Oxford University Press.
Pekrun, R. (2006). The control-value theory of achievement emotions: Assumptions, corollaries, and implications for educational research and practice. Educational Psychol Review, 18, 315–341.
Pekrun, R., Frenzel, A. C., Goetz, T., & Perry, R. P. (2007). The control-value theory of achievement emotions: An integrative approach to emotions in education. In P. A. Schutz & R. Pekrun (Eds.), Emotion in education (pp. 13–36). Burlington, MA: Academic Press.
Pilieci, S. N., Salim, S. Y., Heffernan, D. S., Itani, K. M., & Khadaroo, R. G. (2018). A randomized controlled trial of video education versus skill demonstration: Which is more effective in teaching sterile surgical technique? Surgical Infections, 19, 303–312.
Prigoff, J. G., Sherwin, M., & Divino, C. M. (2016). Ethical recommendations for video recording in the operating room. Annals of Surgery, 264, 34–35.
Rapp, A. K., Healy, M. G., Charlton, M. E., Keith, J. N., Rosenbaum, M. E., & Kapadia, M. R. (2016). YouTube is the most frequently used educational video source for surgical preparation. Journal of Surgical Education, 73, 1072–1076.
Rickles, N. M., Tieu, P., Myers, L., Galal, S., & Chung, V. (2009). The impact of a standardized patient program on student learning of communication skills. American Journal of Pharmaceutical Education, 73, 1–10.
Ritter, E. M. (2018). Invited Editorial LAP-VEGaS practice guidelines for video-based education in surgery: Content is just the beginning. Annals of Surgery, 268, 927–929.
Robinson, T. N., & Berian, J. R. (2017). Incorporating patient-centered outcomes into surgical care. Annals of Surgery, 265, 654–655.
Ryan, R. M., & Deci, E. L. (2000). Self-determination theory and the facilitations of intrinsic motivation social development and well-being. American Psychologist, 55, 68–78.
Sade, R. M. (2008). Broadcast of surgical procedures as a teaching instrument in cardiothoracic surgery. Annals of Thoracic Surgery, 86, 357–361.
Schmidt, H. G., Van Gog, T., Schuit, S. C., Van den Berge, K., Van Daele, P. L., Bueving, H., et al. (2017). Do patients’ disruptive behaviours influence the accuracy of a doctor’s diagnosis? A randomised experiment. BMJ Quality & Safety, 26, 19–23.
Spencer, J., Blackmore, D., Heard, S., McCrorie, P., McHaffie, D., Scherpbier, A., et al. (2000). Patient-oriented learning: a review of the role of the patient in the education of medical students. Medical education, 34(10), 851–857.
Stefanidis, D., Korndorffer, J. R., Jr., Heniford, B. T., & Scott, D. J. (2007). Limited feedback and video tutorials optimize learning and resource utilization during laparoscopic simulator training. Surgery, 142, 202–206.
Sweller, J., van Merrienboer, J. J. G., & Paas, F. (1998). Cognitive architecture and instructional design. Educational Psychology Review, 10, 251–296.
Tackett, S., Slinn, K., Marshall, T., Gaglani, S., Waldman, V., & Desai, R. (2018). Medical education videos for the world: An analysis of viewing patterns for a YouTube channel. Academic Medicine, 93, 1150–1156.
Ten Cate, O. T., Kusurkar, R. A., & Williams, G. C. (2011). How self-determination theory can assist our understanding of the teaching and learning processes in medical education. AMEE guide No. 59. Medical Teacher, 33, 961–973.
Tsimtsiou, Z., Kerasidou, O., Efstathiou, N., Papaharitou, S., Hatzimouratidis, K., & Hatzichristou, D. (2007). Medical students’ attitudes toward patient-centred care: A longitudinal survey. Medical Education, 41, 146–153.
Tyng, C. M., Amin, H. U., Saad, M. N., & Malik, A. S. (2017). The influences of emotion on learning and memory. Frontiers in Psychology, 8, 1454.
Van Merriënboer, J. J., & Sweller, J. (2010). Cognitive load theory in health professional education: Design principles and strategies. Medical Education, 44, 85–93.
Versteeg, M., van Blankenstein, F. M., Putter, H., & Steendijk, P. (2019). Peer instruction improves comprehension and transfer of physiological concepts: A randomized comparison with self-explanation. Advances in Health Sciences Education, 24, 151–165.
Acknowledgements
We are grateful to the medical students who kindly participated in the study and to Matteo Serenari for external review of video material and questions and to Giovanni Tuozzi and Michele Marzocchi for their valuable help for the preparation of the stimuli.
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This work was supported by University of Bologna RFO funds.
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VC and PMR designed the study and AA evaluated the video and question contents.VC, KM, AA, PMR wrote the manuscript. All authors approved the final manuscript for submission and have agreed to be accountable for the accuracy and integrity of the work.
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Colonnello, V., Mattarozzi, K., Agostini, A. et al. Emotionally salient patient information enhances the educational value of surgical videos. Adv in Health Sci Educ 25, 799–808 (2020). https://doi.org/10.1007/s10459-020-09957-y
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DOI: https://doi.org/10.1007/s10459-020-09957-y