A comparative analysis of the impact of online, blended, and face-to-face learning on medical students’ clinical competency in the affective, cognitive, and psychomotor domains

BMC Medical Education, Journal Year: 2022, Volume and Issue: 22(1)

Published: Nov. 1, 2022

Abstract Background: The Coronavirus Disease-2019 (COVID-19) pandemic in South Africa compelled medical schools to switch a purely online curriculum. innovative changes transformed the standard clinical skills curriculum increase learning transfer bridge theory-practice gap. efficacy of this intervention remains unknown. This study aims measure students’ competency affective, cognitive, and psychomotor domains by assessing knowledge retention from platform compared face-to-face blended learning. Methods: A non-random cross-sectional quasi-experimental assessed third-year three competence. Data were obtained using score sheet during directly observed formative trial summative assessment. One hundred one students volunteered for onsite assessment that tested domain. Two thirty-nine evaluated on affective cognitive mini-objective structured examination (tm-OSCE). OSCE scores analysed descriptive statistics. significance findings was comparing with pre-pandemic 2019 students. Results: Statistically significant differences found between two cohorts both years (p < 0.05). 2021 group’s (n = 101) medians 90%, 95%CI [86, 92], 82%, [80, 85], 87%, 95% CI [84, 90] psychomotor, skills, respectively. e-learning 78%, [73, 79] 76%, [71, 78], cohort 249) achieved 70%, [69, 72] 84%, [82, 86] Conclusion: Medical demonstrated near far bridging gap domains. group performed significantly better than groups. educators play vital role overcoming challenges achieving higher levels adopting multiple student-centered teaching delivery approaches arranging immediate application opportunities. offers suggestions encourage practice, decentralising education revised strategy.

Language: Английский

---

An international study on the implementation of programmatic assessment: Understanding challenges and exploring solutions

Medical Teacher, Journal Year: 2022, Volume and Issue: 44(8), P. 928 - 937

Published: June 14, 2022

Programmatic assessment is an approach to aimed at optimizing the learning and decision function of assessment. It involves a set key principles ground rules that are important for its design implementation. However, despite intuitive appeal, implementation remains challenge. The purpose this paper gain better understanding factors affect process programmatic how specific challenges managed across different programs.An explanatory multiple case (collective) was used study. We identified 6 medical programs had implemented with variation regarding health profession disciplines, level education geographic location. conducted interviews faculty member from each analyzed data using inductive thematic analysis.We two major in managing complexity process: knowledge brokers strategic opportunistic approach. Knowledge were people who drove designed acting by translating evidence into practice allowing real-time management complex processes These 'strategic opportunistic' or agile recognize new opportunities, secure leadership support, adapt context take advantage unexpected. Engaging overall curriculum reform critical factor successful assessment.The study contributes intricacies institutions. Managing adaptive planning, awareness context, all aspects thinking strategically opportunistically Future research needed provide more in-depth values beliefs underpin culture organization, such may

Language: Английский

---

Going beyond creativity: Primary headteachers as social intrapreneurs?

Educational Management Administration & Leadership, Journal Year: 2024, Volume and Issue: unknown

Published: Jan. 5, 2024

This article presents the details and findings of a mixed-methods study that explored Scottish primary sector headteachers’ enactment creativity through Complexity Leadership Theory lens. Although policymakers emphasise importance headteachers their impact on school improvement, there is growing need for to enact effectively nurture school-wide if they are overcome complex challenges brought about by today's political, social economic environments. In response research question ‘To what extent do perceive role as being creative?’, this reports 23 surveys 11 semi-structured interviews undertaken part larger study. Whilst our suggest enacted some headteachers, evidence goes beyond identifies intrapreneurship emerging. The concept within education appears be unique We identify intrapreneurs individuals who demonstrate creativity, resourcefulness, collaboration determination growth-oriented bureaucratic constraints. conclude discussing how valuable alike.

Language: Английский

---

Complexity Leadership Theory and its application in higher education: using duoethnography to explore enabling leadership during a time of uncertainty

International Journal of Leadership in Education, Journal Year: 2024, Volume and Issue: unknown, P. 1 - 26

Published: June 7, 2024

This study explores how Complexity Leadership Theory (CLT) can advance the understanding of academic leadership in HE during a time crisis and uncertainty. A qualitative methodology was applied to address research question, 'How do leaders higher education understand crisis?' We used duoethnography garner data through recorded conversations other artifacts about our experiences as associate deans for learning teaching. Drawing from three CLT strands (operational, entrepreneurial, enabling) analysis, we show enabling critical doing operational entrepreneurial leadership. Additionally, demonstrate that leadership, beyond its functional role, is suffused with emotion work care. Uniquely, findings suggest need extend CLT's integrate compassionate personal wellbeing support others challenging times. Moreover, contributes existing knowledge by providing useful insights concept incorporating ways thinking approaching practices relevant current context.

Language: Английский

---

Main challenges to international student mobility in the European arena

Scientometrics, Journal Year: 2021, Volume and Issue: 126(11), P. 8957 - 8980

Published: Sept. 26, 2021

Abstract This study analyses international student mobility (ISM) in Europe since the 1999 Bologna Declaration. International of higher education students is both a driver and consequence Process emerges as relevant issue wide range research areas. literature review develops qualitative content analysis set high-performance articles published between 2000 2018 identified through bibliometric tools: direct (first generation) citation counts; indirect or accumulated impact; early influence; adjusted impact with respect to year publication, type document, discipline; alternative metrics that measure interactions internet social media. The focuses on pending achievements main challenges ISM, among them: attracting non-European whole degree programs, need for actual further convergence programs systems ensure real compatibility, HE ISM promotion European citizenship consciousness, sharp imbalance credit mobility, strengthen link employability, existing selectivity frequent segregation problems faced by students.

Language: Английский

---

Chameleon Leadership and Innovative Behavior in the Health Sector: The Mediation Role of Job Security

Employee Responsibilities and Rights Journal, Journal Year: 2022, Volume and Issue: 35(2), P. 247 - 265

Published: June 16, 2022

Language: Английский

---

Faculty development participants' experiences of working with change in clinical settings

Medical Education, Journal Year: 2022, Volume and Issue: 57(7), P. 679 - 688

Published: Nov. 25, 2022

Abstract Objectives Many universities offer faculty development to support teachers in developing and improving clinical education the health professions. Although research shows outcomes on individual levels after development, little is known about its contribution change within organisation. To advance current ensure that it can wider educational healthcare organisations, a better understanding of practices these settings needed. This study therefore explores experiences working with workplaces from perspective educators have undergone training. The adopts perspectives as influenced by context include impact individuals' work. Methods A collective case design multi‐institutional approach was applied interviews 14 two universities, one Sweden South Africa, were conducted. Data analysed separately before cross‐case analysis performed, synthesising findings both sites. Findings Participants shared having limited opportunities work beyond their own teaching workplaces. Also, participants appeared refrain leading rather pursued or relied indirect approaches change. They described several workplace aspects influencing work, including organisation management teaching, resources incentives for attitudes beliefs community. Conclusions are part communities contexts shape influence which changes feasible ones not. It thus adds contextual dynamic contributes implications how practice.

Language: Английский

---

Factors That Enhance and Hinder the Retention and Transfer of Online Pre-Clinical Skills Training to Facilitate Blended Learning

Advances in Medical Education and Practice, Journal Year: 2023, Volume and Issue: Volume 14, P. 919 - 936

Published: Aug. 1, 2023

During the SARS-CoV-2 pandemic, various online instructional strategies in clinical skills training were piloted. The sudden transition to remote platform circumvented rigorous planning associated with curriculum reform. This study aimed explore students' and tutors' perceptions of factors that promoted or hindered successful learning transfer propose a blended conceptual model guide affective, cognitive, psychomotor pre-clinical phase medical education.A mixed-method quasi-experimental assessed third-year knowledge following 2021. Students their tutors completed surveys included open closed-ended questions regarding influencing experience adapted teaching methods. Descriptive statistical analysis was used for quantitative data. Qualitative responses thematically analyzed.One hundred fourteen students (48%) seven (100%) responded surveys. questionnaires' internal consistency construct validity determined using Cronbach's α-Coefficient. There an overall positive response (86%) acceptability training. Using simulations targeted onsite practice reported as effective Tutors perceived well-prepared laboratory. Five emergent themes, qualified by linear asynchronous synchronous evaluation design institutional support, informed proposed phase.Blended flipped classroom concept well-accepted. Virtual patients proved convenient cognitive preparation tool potentially optimized delivery. found frameworks incorporating component into modified augmented learners' ability An integrated five-step is future interventions.

Language: Английский

---

The problem with solutions

Medical Education, Journal Year: 2020, Volume and Issue: 55(1), P. 2 - 3

Published: Dec. 16, 2020

Ever wondered why academics make things so difficult? Ajjawi and Eva explain with their introduction of the 2021 State Science issue this year's theme Solution‐ism.

Language: Английский

---

Examining the nexus between medical education and complexity: a systematic review to inform practice and research

BMC Medical Education, Journal Year: 2023, Volume and Issue: 23(1)

Published: July 5, 2023

Abstract Background Medical education is a multifarious endeavour integrating range of pedagogies and philosophies. Complexity as science or theory (‘complexity’) signals move away from reductionist paradigm to one which appreciates that interactions in multi-component systems, such healthcare can result adaptive emergent outcomes. This examination the nexus between medical complexity aims discover ways inform research. Methods A structured literature review was conducted examine complexity; 5 databases were searched using relevant terms. Papers included if they engaged fully with significantly focused on education. All types papers included, including conceptual (e.g. opinion theoretical discussions), case studies, program evaluations empirical narrative thematic synthesis undertaken create deep understanding use Results Eighty-three included; majority papers. The context underpinnings for identified. Bibliographic temporal observations noted regarding entry into relied upon framework studies covering variety elements within including: knowledge learning theories; curricular, faculty development; evaluation research; assessment admissions; professionalism leadership; about systems systems. Discussion There call greater by educators. established, although not widespread. Individualistic cultures medicine comfort epistemologies challenges its introduction. However, found be useful across areas limited number authors increasingly used educators researchers. has further conceptualized how being support Conclusion assist educationalists' practice.

Language: Английский

---