scholarly journals Remote Mock OSCE (ReMO): The “new normal”?

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S128-S128
Author(s):  
Rachel Brown ◽  
Elsa Brew-Girard ◽  
Stephen De Souza

AimsIn March 2020, COVID-19 and its associated restrictions forced a halt to in-person teaching and assessment. To try and mitigate this disruption, the psychiatry undergraduate teaching faculty developed a knowledge based remote curriculum. However, it became clear that our students sorely missed clinical and consultation experience. Prior to the pandemic we had delivered a mock Objective Structured Clinical Examination (OSCE) to those undertaking their psychiatry block. In Somerset Academy, we wanted to deliver a distanced alternative: the remote mock OSCE (ReMO). We hoped to demonstrate this would be a feasible and valuable learning experience.MethodIn keeping with other OSCEs, ReMO had active stations (4) and a rest station. Four simultaneous Skype meetings were set up as clinical stations, each with an examiner and actor. To test the technology, students and facilitators were emailed links to each meeting in advance, and invited to sign in. Students were given individualised timings to rotate between stations. Stations involved history taking, risk assessment, and management discussions of common psychiatric presentations.The students then rotated again, receiving personalised feedback about their performance, enabling immediate reflection and consideration of areas for development. This was followed up with written feedback, using examiner completed mark schemes.ResultAfter ReMO we invited feedback from medical students and facilitators. 7 out of the 8 medical students that participated completed a post-ReMO survey. 100% of students found ReMO “useful”, with 71% (5/7) rating it an “extremely valuable” experience and 29% (2/7) rating it “fairly valuable”. Students felt it was well organised, realistic, and increased their confidence in remote consultations and OSCE practice. 6 out of 8 facilitators completed feedback on ReMO. 100% felt that ReMO was reproducible and 83% (5/6) rated it as “fairly realistic” when compared to the face-to-face standard.ConclusionFirstly, ReMO was feasible. However, it was logistically difficult, requiring extensive organisation to ensure this relatively small group were in the right place at the right time. In future, we would consider alternative platforms such as Zoom, or specific consultation software, such as Attend Anywhere, to reduce the logistics burden and utilise features such as ‘breakout rooms’. We would recommend an allocated co-ordinator to troubleshoot any problems in real time via a group messaging service.In conclusion, ReMO is achievable and a valuable student learning experience. Since the pilot it has become an integral part of our curriculum. We recommend that all undergraduate Psychiatry faculties consider adding it to their programme.

2018 ◽  
Vol 19 (1) ◽  
pp. 20-40
Author(s):  
Terry TF Leung ◽  
Barry CL Lam

Summary In order to understand how mutual understanding was achieved in discursive interactions between the welfare service users and service practitioners, conversation analysis was conducted in four discussion panels set up for building consensus on the appropriate structure for user participation in service management. Conversations in eight panel discussion meetings were audio-taped for analysing the talks-in-interaction therein. Drawing on the conversation analysis, the article uncovers the dynamics of consensus building among participants from different epistemic communities. Findings The study identifies the extent of divergence in views among stakeholders, which could have been obscured by the pressure to acquiesce in platform of face-to-face coordination. In the contest for truth between the welfare service users and service practitioners, personal experience has not been accepted as legitimate resource for supporting truth claims. Having limited argument resources on issues of service management, the welfare service users perceived argumentation in panel discussion a threatening venture that they chose to avoid. Avoidance was also a strategy that panel participants employed to maintain mundane interactions in the face of looming dissents. The article argues that the Habermasian communicative ethics are not panacea to the problem of coordination between the welfare service users and service practitioners. An agonistic model of democracy is called for to shift the objective of communication from gauging consensus to encouraging articulation of disagreements in the intricate user participation project. Application The article provides a new direction for developing the user participation imperative to address necessary pluralities among stakeholders of welfare services.


Author(s):  
Michelle Kilburn ◽  
Martha Henckell ◽  
David Starrett

Identifying the positive attributes of students and instructors in the online environment will contribute to the understanding of how we can enhance the learning experience for the student and the teaching experience for the instructor. This article will assist students and instructors in understanding the differences that may be experienced in the online environment versus the face-to-face environment and provide the opportunity to consider whether online learning and/or teaching is a “good fit” for them. Understanding why students and/or instructors might choose the online environment will also assist administrators in developing successful, quality online programs that enrich the experiences for both students and instructors.


Author(s):  
Michelle Kilburn ◽  
Martha Henckell ◽  
David Starrett

As technological advances become mainstream in higher education, many universities have begun delving into online learning as an effective means of course delivery. Transitioning from the Industrial Age to the Digital Age of learning has forced some evaluators to rethink standards of success and the idea of productivity and learning (Leonard, 1999). Understanding the positive attributes of students and instructors in the online environment will contribute to the understanding of how we can enhance the learning experience for the student and the teaching experience for the instructor. This article will also assist students and instructors in understanding the differences that may be experienced in the online environment vs. the face-to-face environment and provide the opportunity to consider whether online learning or teaching is a “good fit” for them. Understanding why students or instructors might choose the online environment will also assist administrators in developing successful, quality online programs that enrich the experiences for both students and instructors.


Author(s):  
David A. Banks

Collaborative learning is an activity that takes place between a teacher and a learner, between learner and learner, and sometimes, one would hope, between learner and teacher. The free flow of ideas between the various parties can be inhibited by a variety of factors, including perceived or actual power barriers, language skills, previous learning experience, and personal factors such as shyness or dominance. Technology can be used as a way of overcoming, or reducing, some of these inhibitory factors, and this chapter outlines some of the computer-based technologies that can be used. The use of technology to support distant learners is well documented, and this chapter concentrates instead on the less well-reported use of technology in the face-to-face classroom. The chapter opens with a brief consideration of collaborative learning and then focuses on the technologies that can be used to support collaborative learning process in a variety of time and place settings. These technologies include audience response systems, electronic meeting systems, and more recently, and rapidly developing, blended versions of these technologies.


2020 ◽  
Vol 20 (1) ◽  
pp. 53-74
Author(s):  
Andrei-Bogdan Popa

Abstract The aim of this essay is to prove that, throughout Ali Smith’s There But For The (2011), the “narrative” subjective identity (Alphen 83) accessed via the face-to-face relation (Levinas and Hand 42), as well as through storytelling itself, is liable to be turned into archivable information under the pressures of a surveillance state in which its citizens are complicit. I will use this archival/narrative identity dyad as articulated by theorist Ernst van Alphen in order to investigate at length the novel’s staging of hospitality as corrupted by surveillance. I will oppose the notion of identity as information against Emmanuel Levinas’s conception of the face-to-face relation (Levinas and Hand 42), whereby true hospitality depends upon the mutual respect one person has for the absolute singularity of the other, which involves personal information and the right to privacy. As it will become apparent, these identities lose or gain agency according to the engagement of the self with a newly arrived foreign alterity. Thus, the arrival of strangers throughout Smith’s novel thematizes the scenario of hospitality in tension with the stranger as surveyor or as surveyed. The doubling of language, the self-editing of one’s discourse and the risky openness towards the Other are modes of resistance that eschew the artificial categorizations upon which the archival identity is contingent. However, the bridge from interiority to exteriority is mediation. Smith therefore develops a conception of secularized Grace that works by exploring the revolutionary potential of this very mediation and can disrupt the logic of tyrannical surveillance. Part of this approach to history and language is informed by the witnessing of the traces left on the bodies of martyrized dissidents by unjust systems at their apex. There But For The is narrated by four characters in the mediatic aftermath of a bourgeois dinner party in an affluent suburb of London that witnessed the sudden and unexplainable reclusion of Miles Garth into the spare room of his stunned hosts. The event, as well as those leading up to and following it, is recounted by a grieving nature photographer in his sixties named Mark; May, a rebellious old woman suffering from dementia; an unemployed, middle-aged Anna; and Brooke, a ten-year old girl and voracious reader. The essay will approach these characters’ meditations upon the nature of identity as split between its narrative and archival forms.


2021 ◽  
Vol 2 (1) ◽  
pp. 35-42
Author(s):  
Rizal Wahid Permana Putra

The increase number of Covid-19 outbreak has profoundly changed our education system. This condition has led the teachers to alter the face-to-face learning into online learning. Online learning emphasizes on the internet-based courses synchronously and asynchronously. Besides its technical problems, conducting online learning was said to be monotonous since the teachers preferred doing online tasking to providing effective learning experience. Further, this condition led to low students’ motivation in learning English. In other words, the students might be in boredom to participate and engage in the teaching- learning process owing to the monotonous learning. Most students were said to be late or even reluctant to complete the assignments. Therefore, the researcher conducted the Classroom Action Research dealing with the use of Google meet to improve the students’ motivation in learning English during the online learning. The research subject was the 7th grade students of SMP Negeri Satu Atap Jarit. The research was conducted in two cycles. In cycle I, it showed that there was an increase of students’ motivation in learning English. The increase of students’ motivation was 61, 8%. Meanwhile, in cycle II, the researcher found that the Google meet significantly improved the students’ motivation in learning English. The increase of students’ motivation was 79, 4%. The result showed that the students actively participate and engage in the teaching-learning process. The students were very enthusiastic to respond and answer the some questions, and share their ideas related to the topic of the meeting. In addition, the increase of students’ motivation influence the students to compose sentences correctly related to the given assignments. Based on the result of data analysis, the researcher drew a conclusion that the use of Google meet significantly improved the students’ motivation in learning English during the online learning.Keywords: Google meet, Learning English, Students’ Motivation


Author(s):  
Rizki Widyawulandari ◽  
Sarwanto Sarwanto ◽  
Mintasihu Indriayu

<p><em>The disruption era is defined as the time when so many innovations are emerging, unrecognized by established organizations that they interfere with the activities of the old system's order or even destroy the old system. The world of education must also be ready in the face of this disruption era, especially in the era of increasingly advanced technology. One of the efforts in the development of learning-based disrupted era, especially in primary school is the use of interactive multimedia. With the steps and processes of using the right interactive multimedia, using interactive multimedia as a message media will stimulate the thoughts, feelings, concerns and desires of students so as to encourage more interactive and communicative learning process and can improve the learning experience of students become more concrete. The research method used is qualitative with case study design where researchers collect and analyze data about the use of interactive multimedia in primary school. The results revealed that interactive multimedia is considered important in the effort of IT utilization in learning in disruption era but there are still many teachers who have not realized and apply it.</em></p>


2020 ◽  
Vol 52 (2) ◽  
pp. 127-130
Author(s):  
Lina Al-Imari ◽  
Melissa Nutik ◽  
Linda Rozmovits ◽  
Ruby Alvi ◽  
Risa Freeman

Background and Objectives: Online journal clubs have recently become popular, but their effectiveness in promoting meaningful discussion of the evidence is unknown. We aimed to understand the learner experience of a hybrid online-traditional family medicine journal club. Methods: We used a qualitative descriptive study to understand the experience of medical students and residents at the University of Toronto with the hybrid online-traditional family medicine journal club, including perceived useful and challenging aspects related to participant engagement and fostering discussion. The program, informed by the literature and needs assessment, comprised five sessions over a 6-month period. Learners led the discussion between the distributed sites via videoconferencing and Twitter. Six of 12 medical students and 33 of 57 residents participated in one of four focus groups. Thematic data analysis was performed using the constant comparison method. Results: While participants could appreciate the potential of an online component to journal club to connect distributed learners, overall, they preferred the small group, face-to-face format that they felt produced richer and more meaningful discussion, higher levels of engagement, and a better learning opportunity. Videoconferencing and Twitter were seen as diminishing rather than enhancing their learning experience and they challenged the assumption that millennials would favor the use of social media for learning. Conclusions: Our study demonstrates that for discussion-based teaching activities such as journal club, learners prefer a small-group, face-to-face format. Our findings have implications for the design of curricular programs for distributed medical learners.


Author(s):  
YunJoon Jason Lee

With the continued proliferation of digital technologies, students are absorbing more information than ever. As a result, the relationship between students and teachers in a traditional face-to-face classroom can be limiting. As the flipped classroom approach has emerged, the classroom culture has changed. The active environment, interactive approach, and content-specific flipped learning has great potential for the ESL-learning context, especially for Korean college students. Korean college students were accustomed to the face-to-face, top-down structure of learning, and flipped learning provided an opportunity for them to look at and experience learning differently. More specifically, the top-down relationship between teacher and student shifted into a more balanced and interactive learning culture. The positive aspects of flipped learning were beneficial for the Korean ESL college students. This chapter features a case study of a college English language conversation class in Korea and explores how to set up a flipped classroom through web-based tools in order to keep the students motivated and generate a participatory environment.


2021 ◽  
Vol 14 (1) ◽  
pp. 39
Author(s):  
Humberto Vieira Farias ◽  
Eduardo Jorge Lopes da Silva ◽  
Timothy Denis Ireland

A escola possui um modelo bastante rígido no requisito tempo, nesse sentido procura reproduzir suas atividades dentro da lógica temporal da sociedade. Adequar todo o potencial dos educandos da Educação de Jovens e Adultos (EJA) a essa rigidez é problemático, uma vez que, para muitos sujeitos, é imprescindível articular os tempos de vida e os tempos impostos pela escola. O presente artigo objetiva analisar como os cursos semipresenciais diminuem as tensões entre os tempos de vida dos estudantes e os tempos escolares. Trata-se de uma abordagem de pesquisa qualidade em educação. As informações foram obtidas por meio de um questionário aplicado a cem estudantes e da realização de doze entrevistas semiestruturadas, em uma escola estadual de ensino fundamental e médio de EJA, que integra o sistema de ensino do estado da Paraíba, durante os meses de setembro a dezembro de 2014, a partir de uma pesquisa mais ampla, em nível de Pós-Graduação em Educação, strictu sensu. Os resultados demonstram que a flexibilidade dos tempos dos cursos semipresenciais constitui um elemento importante para a garantia do direito à educação de parte dos sujeitos da EJA que não se adequam ao formato presencial de ensino.Palavras-chave: EJA. Cursos semipresenciais. Flexibilidade.Times of life and school times: tensions relieved by the flexibility offered by semi-presential courses of Youth and Adult EducationABSTRACTThe school has a very rigid model in terms of time. In this sense, it seeks to reproduce its activities within the temporal logic of society. Adapting the full potential of Youth and Adult Education (EJA) students to this rigidity is problematic, since, for many subjects, it is essential to articulate the times of life with the times imposed by the school. The present article aims to analyse how the semi-presential courses decrease the tensions between the times of the students’ life and school times. The research is based on a qualitative approach to research in education. The data were obtained through the application of a questionnaire to a hundred students and the holding of twelve semi-structured interviews, during the months from September to December of 2014, in a state school offering primary and secondary education for youth and adult students, which belongs to the Paraiba state system of education. This was part of a broader research carried out at post-graduate level in education. The results show that the flexibility of times offered by semi-presential courses is an important element for guaranteeing the right to education for a significant number of the young and adult students who do not adapt to the face-to-face teaching format.Keywords: Youth and Adult Education. Semi-presential courses.  Flexibility.Los tiempos de vida y los tiempos escolares: tensiones aliviadas por la flexibilidad de los cursos semipresenciales de Educación de Jóvenes y AdultosRESUMENLa escuela tiene un modelo muy rígido en cuanto al tiempo, en este sentido busca reproducir sus actividades dentro de la lógica temporal de la sociedad. Adaptar todo el potencial de los estudiantes de Educación de Jóvenes y Adultos (EJA) a esta rigidez es problemático, ya que, para muchas materias, es fundamental articular los tiempos de la vida y los tiempos impuestos por la escuela. Este artículo tiene como objetivo analizar cómo los cursos semipresenciales reducen las tensiones entre la vida de los estudiantes y los tiempos escolares. Es un enfoque de investigación cualitativa en educación. La información se obtuvo mediante un cuestionario aplicado a cien estudiantes y se realizó doce entrevistas semiestructuradas en una escuela estatal de enseñanza fundamental y secundaria de EJA, que integra el sistema educativo del estado de Paraíba, durante los meses de Septiembre a Diciembre de 2014, a partir de una investigación más amplia, a nivel de Posgrado en Educación, stricto sensu. Los resultados demuestran que la flexibilidad de los horarios de los cursos semipresenciales es un elemento importante para garantizar el derecho a la educación a los sujetos de la EJA que no se adaptan al formato de enseñanza presencial.Palabras clave: Educación de Jóvenes y Adultos. Cursos Semipresenciales. Flexibilidad.


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