Students’ perception on role of audio-visual aids used in didactic lectures

Students’ perception on role of audio-visual aids used in didactic lectures

Abstract: Background & objectives: Medical teachers have conventionally been using different teaching methods to educate medical students. Nowadays audiovisual aids such as power point slides, animation videos are being used. The optimum use of audiovisual aids is essential for deriving their benefits. This study was done to know the students’ preferences regarding the various audiovisual aids, with an aim to improve their use in didactic lectures for better understanding of concepts in medical science.

Methods: Cross sectional & observational study was undertaken in 113 undergraduate medical students . A set of questionnaire was distributed and students were directed to choose the most appropriate option as per the Likert scale. The responses were analyzed using SPSS 17.0.

Results: Out of 113 students,45.1% preferred use of combination of audiovisual aids during a didactic lecture.27.4% preferred animation videos,15.9% preferred PowerPoint slides & 11.5% preferred use of blackboard.

Conclusion: Our study demonstrates that use of combination of audio-visual aids is the most preferred mode of teaching by the students. For better understanding of a subject and improvement of student’s performance, a teacher should match the lectures with preferred audiovisual aids and use them prudently. The subjects wanted animations to be incorporated frequently into medical education.

Key Words: Animations, Audiovisual aids(AV),Blackboard, didactic lectures, Medical students, Powerpoint slides

Introduction: Today we are living in the era of Information and communication technology. The power of technology has captured the minds of new generation and this influence could be seen in the field of medical education too. The technology for teaching students in this competitive scenario is the use of Audio-Visual aids in the form of power point presentations, animation videos, movies etc or can be the combination of both¹.

Lectures are the most traditional, old fashioned and didactic method of teaching which are meant for one way delivery of information and are especially useful when a large number of learners must be taught at one time. Well organized lecture remains one of the most effective ways to integrate and organize information from multiple sources on complex topics².Lectures are often supported by audio-visual aids by emphasizing key points on the black board, the projection of written or printed matter on transparencies via an overhead projector(OHP) or increasingly nowadays via a computer based system, notably Microsoft power point(PP) & animation videos³.

The traditional chalk-talk methodology provides strong student-teacher interaction, but its effectiveness declines as the number of students in the class increases. Furthermore, maintenance of discipline and drawing attention gets hampered⁴.OHPs lack the ability to display moving images, have poor visibility and optical focus. Microsoft PP slides, accompanied with multimedia projectors, have remarkably revolutionized teaching. Texts as well as audiovisual clips can be easily played on PP slides. Animations refer to 3D video clips that can be played on a multimedia projector (MP). They provide a visual simulation that is particularly handy in sustaining interest and understanding complex medical concepts⁵.

Students favour teaching methods employing audiovisual aids over traditional lectures using blackboard ³.However, the optimum use of audiovisual aids is essential for deriving their benefits⁶ . There is no conclusive study stating the superiority of one method over the other. Garg A et al. have observed that students want the teachers to include audiovisual aids during the lectures, but it is not certain whether it improves their understanding or performance in the examinations⁷. Baxi SN et al. have observed that there was marked improvement in examination results when PPT replaced the use of OHP ⁸.

So there is a mixture of views based on the recent studies and it is not clear whether the use of a particular lecture delivery method is superior to others. Therefore, this study was undertaken to get the feedback from the medical students regarding their preferences in using newer modalities of teaching methods like animation videos, PowerPoint slides, and pre-recorded lectures along with blackboard teaching with available resources and progressively improve lecture delivery for their better understanding.

Material & methods: The cross-sectional, observational study was conducted with prior permission from the authorities and approval from ethical committee. A self administered questionnaire based on previous study^4,6,16 was distributed to 130 students of 2^nd & 3^rd year MBBS aged 18-22 years selected by random convenient sampling after obtaining their informed consent.The questionnaire was asked to complete anonymously.Participation was voluntary and dependent on subjects willingnes.The participants were asked not to reveal their names,registration number or any personal information so they can answer freely without any influence. Responses were taken from the students present in the class on the day of survey. Those who were absent or refused to participate were excluded from the study.113 students out of 130 who returned the filled questionnaire became the participants in the current study.

The questionnaire consists of twenty questions designed in two parts, first part composed of information regarding schooling, HSC board & HSC percentage of the participants. Second part contained questions related to the preferences and opinions for use of AV aids in lecture delivery, in which twelve attributes were measured, based on Likert’s scale of grading as strongly agree/Agree/ No opinion/ Disagree/ strongly disagree. The scores allotted in the aforementioned sequence are 5/4/3/2/1.The participants were encouraged to furnish their independent and unbiased opinion without revealing their identity in the questionnaire.

The sum of the all students grading on each attribute was taken for calculating the final weighted score. The response was analyzed using SPSS 17.0 for data entry and statistical significance was found by using Friedman ANOVA test.

Results: Association between attributes and preference of AV-aids is depicted in (TABLE- 1).To analyze the best method of audio visual aid in use for independent attributes, ranking scale was adopted allotting the sequence in ascending order. It is evident that mean ranking for blackboard ,PPT & prerecorded lectures were lower than that of animation videos for most of the attributes. On application of “Friedman test” a significant association was found (p <0.001),which conclude that there is significant difference in preference of students in different teaching modalities. The animation videos was the most preferred A-V aids by participants for majority of attributes while blackboard was preferred for taking notes & diagrams. As depicted in Table-2,majority of the student has preferred use of combination of audio-visual aids(45.1%).Majority of Female students preferred use of combination of aids while majority of male students preferred animation videos, but this difference was not statistically significant.

Table 1: Association between attributes and preference of AV-aids

Discussion: The current study was conducted to get feedback from the medical students regarding their opinion on audiovisual aids used during didactic lectures using a Questionnaire. It is an obvious observation that gradually the use of electronic media has become more common in medical colleges over conservative teaching methods that utilized blackboards⁹. For centuries, a blackboard remained the mediator for displaying information in a persistent manner, and can give the audience a consistent view of far more information than can be held in short- term memory. Anderson R noted that blackboards encourage note-taking and student-teacher interaction¹⁰ which was also found in our study. Seth V et al. noted that by using blackboard taking down the simply-drawn diagrams is easy, the teacher makes natural pauses and power breaks do not interfere with the lecture⁴.Its limitation is that information-rich contents like complex tables, graphs and vivid images cannot be displayed and the organization of the presentation is poorer as compared to electronic slides⁵.He also noted that the majority of medical students preferred PPT presentations, while dental students preferred chalkboard. Baxi SN et al.⁸ observed that an equal number of students preferred blackboard-based or multimedia-based lectures and insisted to consider the need of using multimedia modalities to present lectures to students¹¹.

In our study it was revealed that the students preferred animation videos over Powerpoint presentations or blackboard. Majority of the students opined for the use of combination of audiovisual aids in didactic lectures for better understanding of concepts in medical science which correlates with the study done by Kaushik Bhowmick et al¹².The training program in UG teaching uses a judicious mixture of didactic lectures with audiovisual aids and problem based learning methods, clinical teaching and practical experiments ⁶.Optimum use of audiovisual aid is essential for deriving their benefits⁶.Audio visual aids can be effectively used to show the photographs and the animated pictures related to the topics¹³.Animations, with their unique three-dimensional presentation, have been accredited with simultaneously being able to increase interest and motivation, to draw attention, to illustrate procedures and to explain how things work¹⁴ .

Conclusion: Our study demonstrated that lecture delivered by using a combination of audio visual aids was most appreciated by the students. To understand complex concepts and to retain facts, the participants desired animations to be incorporated frequently into medical education as they are interesting & it breaks the monotony of lecture.It motivates students to attend lectures as they are very curious to see or hear what the teacher is going to show them in the upcoming class, by seeing animated effects, colorful presentation and hearing recording they are able to concentrate more¹.

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