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tutorials using patient-simulated videos showing daily life .... in the patient's daily life, and so on. .... and paper groups taking into account the relationship.

International Journal of Medical Education. 2017;8:70-76 ISSN: 2042-6372 DOI: 10.5116/ijme.589f.6ef0

Problem-based learning using patient-simulated videos showing daily life for a comprehensive clinical approach Akiko Ikegami, Yoshiyuki Ohira, Takanori Uehara, Kazutaka Noda, Shingo Suzuki, Kiyoshi Shikino, Hideki Kajiwara, Takeshi Kondo, Yusuke Hirota, Masatomi Ikusaka Department of General Medicine, Chiba University Hospital, Chiba, Japan Correspondence: Akiko Ikegami, Department of General Medicine, Chiba University Hospital, 1-8-1, Inohana, Chuo-ku, Chiba City, Chiba 260-8677, Japan. Email: [email protected] Accepted: February 11, 2017

Abstract Objectives: We examined whether problem-based learning tutorials using patient-simulated videos showing daily life are more practical for clinical learning, compared with traditional paper-based problem-based learning, for the consideration rate of psychosocial issues and the recall rate for experienced learning. Methods: Twenty-two groups with 120 fifth-year students were each assigned paper-based problem-based learning and video-based problem-based learning using patient-simulated videos. We compared target achievement rates in questionnaires using the Wilcoxon signed-rank test and discussion contents diversity using the Mann-Whitney U test. A follow-up survey used a chi-square test to measure students’ recall of cases in three categories: video, paper, and non-experienced. Results: Video-based problem-based learning displayed significantly higher achievement rates for imagining authentic patients (p=0.001), incorporating a comprehensive approach including psychosocial aspects (p