remote, hands-on, "you-tube" mediated education (rhyme). ccme 2011 presentation

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eHealth Strategy Office RHYME Remote Hands-on “Youtube” Mediated Education Kendall Ho, MD FRCPC Associate Professor & Director, eHealth Strategy Office eHealth Strategy Office Northern Medical Program Centre for Health Education Scholarship Technology Enabled Learning / MedIT CCME Conference Toronto 2011:

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Students practicing in UBC's Distributed Medical Program can feel disadvantaged in their clinical exam preparation as rural supervisors find it difficult to prepare students for the exam nuances having practiced outside the urban teaching community for many years. RHYME is an innovative medical education project designed to bring video-based feedback from urban academic centres to students practicing in rural and remote settings. For the full conference abstract, see: http://www.proreg.ca/events/ccme/review/schedule_abs.php?id=79387

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Page 1: Remote, Hands-On, "You-Tube" Mediated Education (RHYME). CCME 2011 Presentation

eHealth Strategy Office

RHYMERemote Hands-on “Youtube”

Mediated Education

Kendall Ho, MD FRCPC

Associate Professor &

Director, eHealth Strategy Office

eHealth Strategy Office

Northern Medical Program

Centre for Health Education Scholarship

Technology Enabled Learning / MedIT

CCME Conference Toronto 2011:

Page 2: Remote, Hands-On, "You-Tube" Mediated Education (RHYME). CCME 2011 Presentation

eHealth Strategy Office

1. UBC learning context

2. RHYME: purpose & results

3. Next steps

Remote Hands-on “YouTube” Mediated Education

RHYME

Page 3: Remote, Hands-On, "You-Tube" Mediated Education (RHYME). CCME 2011 Presentation

eHealth Strategy Office

UBC Faculty of Medicine

• 4 Campuses

• Integrated Clerkship

Case mix & exposure

Specialists supervision

Examination tips

• Connecting to peers

Between sites

NMP

SMP

FMP

IMP

Page 4: Remote, Hands-On, "You-Tube" Mediated Education (RHYME). CCME 2011 Presentation

eHealth Strategy Office

UBC Faculty of Medicine

• 4 Campuses

• Integrated Clerkship

Case mix & exposure

Specialists supervision

Examination tips

• Connecting to peers

Between sites

NMP

SMP

FMP

IMP

Page 5: Remote, Hands-On, "You-Tube" Mediated Education (RHYME). CCME 2011 Presentation

eHealth Strategy Office

Understanding the Problem

“Feedback does not capture the

UBC nuances for the exams”

- Medical Student

Page 6: Remote, Hands-On, "You-Tube" Mediated Education (RHYME). CCME 2011 Presentation

eHealth Strategy Office

Remote Hands-on “YouTube” Mediated

Education (RHYME)

• YouTu

be-like

Page 7: Remote, Hands-On, "You-Tube" Mediated Education (RHYME). CCME 2011 Presentation

eHealth Strategy Office

RHYME: Study Design

• Design based Evaluation

• Students filming each other in tasks: Hx, exams

• Videos sent securely to specialists

• Specialists filmed critiquing videos

• Pair specialist and student videos

• Paired videos sent back to student for review

• Paired videos shared between students

• Secure site for viewing and discussion

Page 8: Remote, Hands-On, "You-Tube" Mediated Education (RHYME). CCME 2011 Presentation

eHealth Strategy Office

RHYME: Study Design

• Design based Evaluation

• Students filming each other in tasks: Hx, exams

• Videos sent securely to specialists

• Specialists filmed critiquing videos

• Pair specialist and student videos

• Paired videos sent back to student for review

• Paired videos shared between students

• Secure site for viewing and discussion

Page 9: Remote, Hands-On, "You-Tube" Mediated Education (RHYME). CCME 2011 Presentation

eHealth Strategy Office

• Students from FSJ & Terrace

2009-2010: 4 FSJ and 3 Terrace

2010-2011: 4 FSJ and 3 Terrace

• Videos

2009-2010: 12 videos

2010-2011: 48 videos completed so far

RHYME: Feedback

Page 10: Remote, Hands-On, "You-Tube" Mediated Education (RHYME). CCME 2011 Presentation

eHealth Strategy Office

Students

• Enjoy learning experience

• Feedback is worth the

investment of time

• Easy technologically

– Filming

– Secure video

transfer/upload

• Concerned re: access

• Share with other students

“…always a pleasure

to watch myself

awkwardly fumble

through an abdo exam

on film.”

RHYME: Feedback

Page 11: Remote, Hands-On, "You-Tube" Mediated Education (RHYME). CCME 2011 Presentation

eHealth Strategy Office

RHYME: Feedback

Students

• Enjoy learning experience

• Feedback is worth the

investment of time

• Easy technologically

– Filming

– Secure video

transfer/upload

• Concerned re: access

• Share with other students

Internists

• Conceptually “no brainer”

• Uncomfortable not

knowing students

• Own credibility to

students?

• Limited views of

procedures

• Guess at students’

thoughts

Page 12: Remote, Hands-On, "You-Tube" Mediated Education (RHYME). CCME 2011 Presentation

eHealth Strategy Office

Google Analytics

Page 13: Remote, Hands-On, "You-Tube" Mediated Education (RHYME). CCME 2011 Presentation

eHealth Strategy Office

Google Analytics

Page 14: Remote, Hands-On, "You-Tube" Mediated Education (RHYME). CCME 2011 Presentation

eHealth Strategy Office

RHYME: Discussion

• Inexpensive and accessible

• Feedback : mentorship and/or assessment?

• Active student engagement

• Technical: firewalls, equipment, training

• Scaling up

• Integrate with curriculum

• Ethical problems (students, patients)

Page 15: Remote, Hands-On, "You-Tube" Mediated Education (RHYME). CCME 2011 Presentation

eHealth Strategy Office

Next Steps

• Publication: Medical Education (RHIME)

• UBC FoM: Mini-CEX trial

• Expansion: Cowichan ICC program

• UBC Teaching & Learning Education Fund grant

• Formal trial: 2011-2012

• Correlation with performance?

• Technological scale up considerations

Page 16: Remote, Hands-On, "You-Tube" Mediated Education (RHYME). CCME 2011 Presentation

eHealth Strategy Office

RHYME to RHIME

• Videos to enhance education

• More than just technologies

• Underpinning relationships

• Implementation contexts and

issues

Page 17: Remote, Hands-On, "You-Tube" Mediated Education (RHYME). CCME 2011 Presentation

eHealth Strategy Office

RHYME TEAM

• Ranvir Bahl

• Joanna Bates

• Jennifer Cordeiro

• Michael Easton

• Andrea Gingerich

• Kendall Ho

• Daniel Hooker

• Sophia Khan

• Helen Novak Lauscher

• Mohammed Rahman

• Nelson Shen

• David Snadden

• Janice Tian

• Stephane Voyer

• Peter Weerasinghe

• Nancy Zhao

Page 18: Remote, Hands-On, "You-Tube" Mediated Education (RHYME). CCME 2011 Presentation

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