Virtual Teaching as a Mode of Undergraduate Medical Education during Covid 19 Pandemic: Its Effectiveness, Facilitators and Barriers for Medical Education- A Survey-Based Observational Study.
Abstract
Objective: To evaluate the effectiveness, facilitators and barriers of online teaching of undergraduate medical students during the covid 19 pandemic.
Methods: This google survey was conducted at a tertiary health care institute (Dr Yashwant Singh Parmar Government Medical College Nahan, Himachal Pradesh) of North India in August 2020. MBBS students of 4th and 5th year participated in the study. The questionnaire prepared on Google Forms (Google LLC, Mountain View, CA, USA) was organized in five sections, namely: E-learning, Web Quality, Technology, Teaching Sessions and Management Support. This was shared with the students with a link. Students' participation was voluntary, anonymous and without any fear or reward.
Results: About 41.6% (77) students were already familiar with it. Time flexibility was reported as a significant advantage by 48.1% (89), and network connectivity an important limitation by 44.9% (83). 60.5% (112) wanted post-pandemic in-person teaching.18.9% faced technical difficulty due to devices and gadgets. 44.9% (83) suggested chatbox use for interaction to enhance clinical skills, 60.5% (112) opined videos demonstration, 31.9% (59) suggested sharing of the study material in advance, and 97.3% (180) opted for post-pandemic clinical catch-up classes to supplement its effectiveness. For Management support, 28.1% (52) opined for institutional policy, 27.6% (51) reported infrastructure inadequacy for providing online medical education and technical support was a concern for 18.4% (34). 88.6% (164) favoured establishing a medical digital library to access medical literature.
Conclusion: This study picks up a few gaps in online teaching. Addressing these gaps will make it more meaningful and a step forward to meet the objectives of medical education.
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References
Lu H, Stratton CW, Tang YW. Outbreak of pneumonia of unknown etiology in Wuhan, China: The mystery and the miracle. J Med Virol. 2020 Apr;92(4):401-402. doi: 10.1002/jmv.25678.
Cucinotta D, Vanelli M. WHO Declares COVID-19 a Pandemic. Acta Biomed. 2020 Mar 19;91(1):157-160. doi: 10.23750/abm.v91i1.9397.
Almarzooq ZI, Lopes M, Kochar A. Virtual Learning During the COVID-19 Pandemic: A Disruptive Technology in Graduate Medical Education. J Am Coll Cardiol. 2020 May 26;75(20):2635-2638. doi: 10.1016/j.jacc.2020.04.015.
Pather N, Blyth P, Chapman JA, Dayal MR, Flack NAMS, Fogg QA, et a. Forced Disruption of Anatomy Education in Australia and New Zealand: An Acute Response to the Covid-19 Pandemic. Anat Sci Educ. 2020 May;13(3):284-300. doi: 10.1002/ase.1968.
Rose S. Medical Student Education in the Time of COVID-19. JAMA. 2020 Jun 2;323(21):2131-2132. doi: 10.1001/jama.2020.5227.
Almaiah MA, Al-Khasawneh A, Althunibat A. Exploring the critical challenges and factors influencing the E-learning system usage during COVID-19 pandemic. Educ Inf Technol (Dordr). 2020 May 22:1-20. doi: 10.1007/s10639-020-10219-y.
Narang A, Velagapudi P, Rajagopalan B, LeBude B, Kithcart AP, Snipelisky D, Sinha SS. A New Educational Framework to Improve Lifelong Learning for Cardiologists. J Am Coll Cardiol. 2018 Jan 30;71(4):454-462. doi: 10.1016/j.jacc.2017.11.045.
Idris, Fadlelmoula Abd Alla, and Yasin Babeker Osman. "Challanges facing the implementation of e-learning at University of Gezira According to view of staff members." 2015 Fifth International Conference on e-Learning (econf). IEEE, 2015.
Rose S. Medical Student Education in the Time of COVID-19. JAMA. 2020 Jun 2;323(21):2131-2132. doi: 10.1001/jama.2020.5227.
Aucejo EM, French J, Ugalde Araya MP, Zafar B. The Impact of COVID-19 on student experiences and expectations: Evidence from a survey. J Public Econ. 2020 Nov;191:104271. doi: 10.1016/j.jpubeco.2020.104271.
Al-Husban N, Alkhayat A, Aljweesri M, Alharbi R, Aljazzaf Z, Al-Husban N, et al. Effects of COVID-19 pandemic on medical students in Jordanian universities: A multi-center cross-sectional study. Ann Med Surg (Lond). 2021 Jun 10;67:102466. doi: 10.1016/j.amsu.2021.102466.
Mittal R, Su L, Jain R. COVID-19 mental health consequences on medical students worldwide. J Community Hosp Intern Med Perspect. 2021 May 10;11(3):296-298. doi: 10.1080/20009666.2021.1918475.
Papapanou M, Routsi E, Tsamakis K, Fotis L, Marinos G, Lidoriki I, et al. Medical education challenges and innovations during COVID-19 pandemic. Postgrad Med J. 2021 Mar 29:postgradmedj-2021-140032. doi: 10.1136/postgradmedj-2021-140032.
Dhawan S. Online Learning: A Panacea in the Time of COVID-19 Crisis. Journal of Educational Technology Systems. 2020;49(1):5-22. doi:10.1177/0047239520934018
Goudeau S, Sanrey C, Stanczak A, Manstead A, Darnon C. Why lockdown and distance learning during the COVID-19 pandemic are likely to increase the social class achievement gap. Nat Hum Behav. 2021 Oct;5(10):1273-1281. doi: 10.1038/s41562-021-01212-7.
Rajab MH, Gazal AM, Alkattan K. Challenges to Online Medical Education During the COVID-19 Pandemic. Cureus. 2020 Jul 2;12(7):e8966. doi: 10.7759/cureus.8966.
Stoehr F, Müller L, Brady A, Trilla A, Mähringer-Kunz A, Hahn F, et al. How COVID-19 kick-started online learning in medical education-The DigiMed study. PLoS One. 2021 Sep 21;16(9):e0257394. doi: 10.1371/journal.pone.0257394.
Otaki F, Zaher S, Du Plessis S, Lakhtakia R, Zary N, Inuwa IM. Introducing the 4Ps Model of Transitioning to Distance Learning: A convergent mixed methods study conducted during the COVID-19 pandemic. PLoS One. 2021 Jul 15;16(7):e0253662. doi: 10.1371/journal.pone.0253662.
Li W, Gillies R, He M, Wu C, Liu S, Gong Z, Sun H. Barriers and facilitators to online medical and nursing education during the COVID-19 pandemic: perspectives from international students from low- and middle-income countries and their teaching staff. Hum Resour Health. 2021 May 12;19(1):64. doi: 10.1186/s12960-021-00609-9.
Mukhtar K, Javed K, Arooj M, Sethi A. Advantages, Limitations and Recommendations for online learning during COVID-19 pandemic era. Pak J Med Sci. 2020 May;36(COVID19-S4):S27-S31. doi: 10.12669/pjms.36.COVID19-S4.2785.
Stoehr F, Müller L, Brady A, Trilla A, Mähringer-Kunz A, Hahn F, et al. How COVID-19 kick-started online learning in medical education-The DigiMed study. PLoS One. 2021 Sep 21;16(9):e0257394. doi: 10.1371/journal.pone.0257394.
Dost S, Hossain A, Shehab M, Abdelwahed A, Al-Nusair L. Perceptions of medical students towards online teaching during the COVID-19 pandemic: a national cross-sectional survey of 2721 UK medical students. BMJ Open. 2020 Nov 5;10(11):e042378. doi: 10.1136/bmjopen-2020-042378.
Alsoufi A, Alsuyihili A, Msherghi A, Elhadi A, Atiyah H, Ashini A, et al. Impact of the COVID-19 pandemic on medical education: Medical students' knowledge, attitudes, and practices regarding electronic learning. PLoS One. 2020 Nov 25;15(11):e0242905. doi: 10.1371/journal.pone.0242905.
Gismalla MD, Mohamed MS, Ibrahim OSO, Elhassan MMA, Mohamed MN. Medical students' perception towards E-learning during COVID 19 pandemic in a high burden developing country. BMC Med Educ. 2021 Jul 10;21(1):377. doi: 10.1186/s12909-021-02811-8.
Singh K, Srivastav S, Bhardwaj A, Dixit A, Misra S. Medical Education During the COVID-19 Pandemic: A Single Institution Experience. Indian Pediatr. 2020 Jul 15;57(7):678-679. doi: 10.1007/s13312-020-1899-2.
Nimavat N, Singh S, Fichadiya N, Sharma P, Patel N, Kumar M, Chauhan G, Pandit N. Online Medical Education in India - Different Challenges and Probable Solutions in the Age of COVID-19. Adv Med Educ Pract. 2021 Mar 4;12:237-243. doi: 10.2147/AMEP.S295728.
Zalat MM, Hamed MS, Bolbol SA. The experiences, challenges, and acceptance of e-learning as a tool for teaching during the COVID-19 pandemic among university medical staff. PLoS One. 2021 Mar 26;16(3):e0248758. doi: 10.1371/journal.pone.0248758.
Belfi LM, Dean KE, Bartolotta RJ, Shih G, Min RJ. Medical student education in the time of COVID-19: A virtual solution to the introductory radiology elective. Clin Imaging. 2021 Jul;75:67-74. doi: 10.1016/j.clinimag.2021.01.013.
Joshi P, Murry LL, Sharma R, Mary C, Sharma KK, Jena TK, Lodha R. Evaluation of an Online Interactive IMNCI Training Program in Nursing Students. Indian J Pediatr. 2021 Apr;88(4):372-373. doi: 10.1007/s12098-020-03542-2.
Mahdy MAA. The Impact of COVID-19 Pandemic on the Academic Performance of Veterinary Medical Students. Front Vet Sci. 2020 Oct 6;7:594261. doi: 10.3389/fvets.2020.594261.
Harries AJ, Lee C, Jones L, Rodriguez RM, Davis JA, Boysen-Osborn M, et al. Effects of the COVID-19 pandemic on medical students: a multicenter quantitative study. BMC Med Educ. 2021 Jan 6;21(1):14. doi: 10.1186/s12909-020-02462-1.
Shankar PR, Wilson IG. The COVID-19 pandemic and undergraduate medical student teaching-learning and assessment. Can Med Educ J. 2021 Feb 26;12(1):e190-e191. doi: 10.36834/cmej.70800.
Lee IR, Kim HW, Lee Y, Koyanagi A, Jacob L, An S, Shin JI, Smith L. Changes in undergraduate medical education due to COVID-19: a systematic review. Eur Rev Med Pharmacol Sci. 2021 Jun;25(12):4426-4434. doi: 10.26355/eurrev_202106_26155.
Sharma D, Bhaskar S. Addressing the Covid-19 Burden on Medical Education and Training: The Role of Telemedicine and Tele-Education During and Beyond the Pandemic. Front Public Health. 2020 Nov 27;8:589669. doi: 10.3389/fpubh.2020.589669.
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