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CCME Conference Toronto 2011:




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
                                  eHealth Strategy Office
Remote Hands-on “YouTube” Mediated Education
                 RHYME


   1. UBC learning context

   2. RHYME: purpose & results

   3. Next steps
                                 eHealth Strategy Office
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
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
Understanding the Problem



“Feedback
        does not capture the
 UBC nuances for the exams”
            - Medical Student

                         eHealth Strategy Office
Remote Hands-on “YouTube” Mediated
            Education (RHYME)




                             eHealth Strategy Office


•   YouTu
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
                                     eHealth Strategy Office
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
RHYME: Feedback
Students
• 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
RHYME: Feedback
Students                      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
Google Analytics




               eHealth Strategy Office
Google Analytics




               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)
                                      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
                                    eHealth Strategy Office
RHYME to RHIME

    •   Videos to enhance education
    •   More than just technologies
    •   Underpinning relationships
    •   Implementation contexts and
        issues


                        eHealth Strategy Office
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
eHealth Strategy Office

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Rhyme "Remote Hands-On YouTube Mediated Education" Presentation

  • 1. CCME Conference Toronto 2011: 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 eHealth Strategy Office
  • 2. Remote Hands-on “YouTube” Mediated Education RHYME 1. UBC learning context 2. RHYME: purpose & results 3. Next steps eHealth Strategy Office
  • 3. 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
  • 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. Understanding the Problem “Feedback does not capture the UBC nuances for the exams” - Medical Student eHealth Strategy Office
  • 6. Remote Hands-on “YouTube” Mediated Education (RHYME) eHealth Strategy Office • YouTu
  • 7. 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
  • 8. 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
  • 9. 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
  • 10. RHYME: Feedback Students • 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
  • 11. RHYME: Feedback Students 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
  • 12. Google Analytics eHealth Strategy Office
  • 13. Google Analytics eHealth Strategy Office
  • 14. 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
  • 15. 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
  • 16. RHYME to RHIME • Videos to enhance education • More than just technologies • Underpinning relationships • Implementation contexts and issues eHealth Strategy Office
  • 17. 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