eHealth Strategy Office
RHYMERemote 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
CCME Conference Toronto 2011:
eHealth Strategy Office
1. UBC learning context
2. RHYME: purpose & results
3. Next steps
Remote Hands-on “YouTube” Mediated Education
RHYME
eHealth Strategy Office
UBC Faculty of Medicine
• 4 Campuses
• Integrated Clerkship
Case mix & exposure
Specialists supervision
Examination tips
• Connecting to peers
Between sites
NMP
SMP
FMP
IMP
eHealth Strategy Office
UBC Faculty of Medicine
• 4 Campuses
• Integrated Clerkship
Case mix & exposure
Specialists supervision
Examination tips
• Connecting to peers
Between sites
NMP
SMP
FMP
IMP
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)
• YouTu
be-like
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: 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
• 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
RHYME: Feedback
eHealth Strategy Office
Students
• Enjoy learning experience
• Feedback is worth the
investment of time
• Easy technologically
– Filming
– Secure video
transfer/upload
• Concerned re: access
• Share with other students
“…always a pleasure
to watch myself
awkwardly fumble
through an abdo exam
on film.”
RHYME: Feedback
eHealth Strategy Office
RHYME: Feedback
Students
• Enjoy learning experience
• Feedback is worth the
investment of time
• Easy technologically
– Filming
– Secure video
transfer/upload
• Concerned re: access
• Share with other students
Internists
• Conceptually “no brainer”
• Uncomfortable not
knowing students
• Own credibility to
students?
• Limited views of
procedures
• Guess at 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
• Joanna Bates
• Jennifer Cordeiro
• Michael Easton
• Andrea Gingerich
• Kendall Ho
• Daniel Hooker
• Sophia Khan
• Helen Novak Lauscher
• Mohammed Rahman
• Nelson Shen
• David Snadden
• Janice Tian
• Stephane Voyer
• Peter Weerasinghe
• Nancy Zhao
e H e a l t h S t r a t e g y O f f i c e