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

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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

Published in: Education, Health & Medicine
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Remote, Hands-On, "You-Tube" Mediated Education (RHYME). CCME 2011 Presentation

  1. 1. CCME Conference Toronto 2011:RHYMERemote Hands-on “Youtube”Mediated EducationKendall Ho, MD FRCPCAssociate Professor &Director, eHealth Strategy OfficeeHealth Strategy OfficeNorthern Medical ProgramCentre for Health Education ScholarshipTechnology Enabled Learning / MedIT eHealth Strategy Office
  2. 2. What do they have in common? eHealth Strategy Office
  3. 3. Remote Hands-on “YouTube” Mediated Education (RHYME) 1. UBC learning context 2. RHYME: purpose & results 3. Next steps eHealth Strategy Office
  4. 4. UBC Faculty of Medicine• 4 Campuses FMP NMP IMP SMP• Integrated Clerkship Case mix & exposure Specialists supervision Examination tips• Connecting to peers Between sites eHealth Strategy Office
  5. 5. UBC Faculty of Medicine• 4 Campuses FMP NMP IMP SMP• Integrated Clerkship Case mix & exposure Specialists supervision Examination tips• Connecting to peers Between sites eHealth Strategy Office
  6. 6. Understanding the Problem“Feedback does not capture the UBC nuances for the exams” - Medical Student eHealth Strategy Office
  7. 7. Much Music: Video on Trial! eHealth Strategy Office
  8. 8. Remote Hands-on “YouTube” Mediated Education (RHYME) eHealth Strategy Office• YouTu
  9. 9. 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
  10. 10. 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
  11. 11. RHYME: Feedback• 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 eHealth Strategy Office
  12. 12. RHYME: FeedbackStudents• Enjoy learning experience• Feedback is worth the “…always a pleasure investment of time to watch myself• Easy technologically awkwardly fumble – Filming through an abdo exam on film.” – Secure video transfer/upload• Concerned re: access• Share with other students eHealth Strategy Office
  13. 13. RHYME: FeedbackStudents Internists• Enjoy learning experience • Conceptually “no brainer”• Feedback is worth the • Uncomfortable not investment of time knowing students• Easy technologically • Own credibility to – Filming students? – Secure video • Limited views of transfer/upload procedures• Concerned re: access • Guess at students’• Share with other students thoughts eHealth Strategy Office
  14. 14. Google Analytics eHealth Strategy Office
  15. 15. Google Analytics eHealth Strategy Office
  16. 16. 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) eHealth Strategy Office
  17. 17. 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 eHealth Strategy Office
  18. 18. “This is not the end. It is not even the beginning of the end.But it is, perhaps, the end of the beginning.” -Winston S. Churchill eHealth Strategy Office
  19. 19. RHYME to RHIME • Videos to enhance education • More than just technologies • Underpinning relationships • Implementation contexts and issues eHealth Strategy Office
  20. 20. RHYME TEAM• Ranvir Bahl • Mohammed Rahman• Joanna Bates • Nelson Shen• Jennifer Cordeiro • David Snadden• Michael Easton • Janice Tian• Andrea Gingerich • Stephane Voyer• Kendall Ho • Peter Weerasinghe• Daniel Hooker • Nancy Zhao• Sophia Khan eHealth Strategy Office• Helen Novak Lauscher
  21. 21. eMentorship vs Formative Assessment? Mentorship: “a deliberate pairing of a more skilled or experienced person with a lesser skilled or experienced one, with the agreed-on goal of having the lesser skilled person grow and develop specific competencies.” *Formative Assessment: ‘‘encompassing all those activities undertaken by teachers, and/or by their students, which provide information to be used as feedback to modify the teaching and learning activities in which they are engaged’’ ^*Hyder et al. Acad Med 2009 ^Rushton. Med Teach 2005 eHealth Strategy Office
  22. 22. Additional Issues & Next Steps• Patient consent• Building relationships: mentors/students• Social networking to support videos• Protocol driven: site comparisons• Correlation to examination & performance• Part of ePortfolio? eHealth Strategy Office
  23. 23. eMentorship Sweet Spot eKnowledege eTrust ePresence eHealth Strategy Office
  24. 24. eHealth Strategy Office

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