Academic Journal

Students' Learning Outcomes in a Virtual Microscopic Online and Face-to-Face Anatomy Course: Cross-Over Comparative Study.

Λεπτομέρειες βιβλιογραφικής εγγραφής
Τίτλος: Students' Learning Outcomes in a Virtual Microscopic Online and Face-to-Face Anatomy Course: Cross-Over Comparative Study.
Συγγραφείς: Sternecker K; Department of Anatomy II, LMU Medizin, Ludwig-Maximilians-Universität München, Pettenkoferstr. 11, Munich, 80336, Germany, 49 89-2180-72704, 49 89-2180-72683., Schmitz C; Department of Anatomy II, LMU Medizin, Ludwig-Maximilians-Universität München, Pettenkoferstr. 11, Munich, 80336, Germany, 49 89-2180-72704, 49 89-2180-72683., Berndt M; Institute of Medical Education - LMU University Hospital, LMU Medizin, Ludwig-Maximilians-Universität München, Munich, Germany.
Πηγή: JMIR medical education [JMIR Med Educ] 2026 Sep 16; Vol. 12, pp. e82012. Date of Electronic Publication: 2026 Sep 16.
Τύπος έκδοσης: Journal Article; Comparative Study; Research Support, Non-U.S. Gov't
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: JMIR Publications Country of Publication: Canada NLM ID: 101684518 Publication Model: Electronic Cited Medium: Internet ISSN: 2369-3762 (Electronic) Linking ISSN: 23693762 NLM ISO Abbreviation: JMIR Med Educ Subsets: MEDLINE
Imprint Name(s): Original Publication: Toronto, ON : JMIR Publications, [2015]-
Ιατρικοί όροι (MeSH): Students, Medical*/statistics & numerical data , Students, Medical*/psychology , Anatomy*/education , Computer-Assisted Instruction*/methods , Education, Distance*/methods, Educational Measurement/methods ; Educational Measurement/statistics & numerical data ; Education, Medical, Undergraduate/methods ; Microscopy/methods ; Humans ; Female ; Cross-Over Studies ; Male ; Learning ; Curriculum ; Adult ; Germany
Περίληψη: Background: Since 2021, the histology of organs in the microscopic anatomy course at the Department of Anatomy II of the Ludwig-Maximilians-Universität Munich has been held as a hybrid course using a 3D virtual microscopy system. Evidence comparing synchronous online versus face-to-face instruction using an advanced 3D virtual slide system remains limited. In particular, it is unclear whether learning outcomes are equivalent across instructional modes, and whether individual student characteristics influence learning outcomes under these conditions.
Objective: This study systematically (1) compares the learning outcomes of preclinic students attending a microscopic anatomy course either face-to-face or synchronously online using a 3D virtual microscopy slide box generated from fully scanned histological glass slides previously used in a traditional course, and (2) investigates whether selected demographic characteristics and personal skills predict learning outcomes in either instructional mode. We hypothesized that learning outcomes would not differ between online and face-to-face participation when instructional conditions are identical.
Methods: The students attended 2 consecutive course days on 2 topics (kidney and liver) in a crossover design. Half of the students attended the first day face-to-face, and the second day online, while the other half attended in the reverse order. Demographic characteristics (eg, self-organization and affinity for technology interaction) and learning outcomes were collected via survey and simulated examination on the day after the second course day. To minimize potential confounding factors (eg, learning by means of external resources) and to ensure that the results reflected the learning outcomes within the scope of this study, 2 particularly challenging course days were intentionally selected, and the time interval before the simulated examination was kept short. Learning outcomes were analyzed using a linear mixed-effects model, and potential predictors were explored using stepwise linear regression.
Results: Overall, 740 student questionnaires and examinations (740/864, 86% of the total student cohort) were used to assess the items' quality of the simulated examination. Inferential analyses included data from 415 students who completed the crossover design as intended. No significant main effect of participation mode on learning outcomes was found (F1, 413=0.16; P=.69). Although a significant effect of examination topic was observed (F1, 413=25.56; P<.001), there was no significant interaction between participation mode and examination topic (F1, 413=0.13; P=.72). Regression analyses showed low predictive power overall (R2≥0.12), with self-organization emerging as a weak but consistent predictor across both instructional modes.
Conclusions: The results of this study suggest that the microscopic anatomy learning outcomes of students under controlled short-term conditions are comparable in synchronous online and face-to-face teaching. However, it should be noted that the study was limited to 2 topics and 2 consecutive course days. Further research should address additional topics, long-term learning outcomes, and broader student populations.
(© Katharina Sternecker, Christoph Schmitz, Markus Berndt. Originally published in JMIR Medical Education (https://mededu.jmir.org).)
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Contributed Indexing: Keywords: learning outcomes; blended learning; demographics; hybrid course; virtual slides
Entry Date(s): Date Created: 20260916 Date Completed: 20260916 Latest Revision: 20260921
Update Code: 20260921
PubMed Central ID: PMC13580892
DOI: 10.2196/82012
PMID: 42748278
Βάση Δεδομένων: MEDLINE
Περιγραφή
ISSN:2369-3762
DOI:10.2196/82012