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:

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1. UBC learning context

2. RHYME: purpose & results

3. Next steps

Remote Hands-on “YouTube” Mediated Education

RHYME

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

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

eHealth Strategy Office

Understanding the Problem

“Feedback does not capture the

UBC nuances for the exams”

- Medical Student

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Remote Hands-on “YouTube” Mediated

Education (RHYME)

• YouTu

be-like

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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

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

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• 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

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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

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

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Google Analytics

eHealth Strategy Office

Google Analytics

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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)

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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

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RHYME to RHIME

• Videos to enhance education

• More than just technologies

• Underpinning relationships

• Implementation contexts and

issues

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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

e H e a l t h S t r a t e g y O f f i c e