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The proportion of physician-investigators involved in biomedical research is shrinking even as the need for high-quality, interdisciplinary research is growing. Building the physician-investigator workforce is thus a pressing concern. Flexible, “light-weight” training modalities can help busy physician-investigators prepare for key stages of the research life cycle and personalize their learning to their own needs. Such training can also support researchers from diverse backgrounds and lighten the work of mentors.
Materials and Methods:
The University of Pittsburgh’s Institute for Clinical Research Education designed the Stackables Microcredentials in Clinical and Translational Research (Stackables) program to provide flexible, online training to supplement and enhance formal training programs. This training utilizes a self-paced, just-in-time format along with an interactive, storytelling approach to sustain learner engagement. Learners earn badges for completing modules and certificates for completing “stacks” in key competency areas. In this paper, we describe the genesis and development of the Stackables program and report the results of a pilot study in which we evaluated changes in confidence in key skill areas from pretest to posttest, as well as engagement and perceived effectiveness.
Results:
Our Stackables pilot study showed statistically significant gains in learner confidence in all skill areas from pretest to posttest. Pilot participants reported that the module generated high levels of engagement and enhanced their skills, knowledge, and interest in the subject.
Conclusions:
Stackables provide an important complement to formal coursework by focusing on discrete skill areas and allowing learners to access the training they need when they need it.
In this article, we focus on the development of Rome: The Game – a large, lower-division online course crossed-listed in the History of Art and Architecture Department and Writing Program at the University of California, Santa Barbara – that features a choose-your-own-adventure-style interactive narrative. We explore the design principles underpinning the development of this type of gamified course, the mechanics of the course itself, student experiences, and learning outcomes. Citing relevant research in several fields – such as game studies, educational psychology, and communication studies – we argue that creating an online course in the style of an interactive, narrative-driven digital game presents a model for engaging and effective active learning in an online environment – one that goes beyond conventional virtual learning to offer an innovative, active, and deeply immersive model for online teaching.
Palliative care access in Nepal is severely limited, with few health-care providers having training and skills to pain management and other key aspects of palliative care. Online education suggests an innovation to increase access to training and mentoring, which addresses common learning barriers in low- and middle-income countries. Project ECHO (Extensions for Community Health Care Outcomes) is a model of online education which supports communities of practices (COPs) and mentoring through online teaching and case discussions. The use of online education and Project ECHO in Nepal has not been described or evaluated.
Setting
An online course, consisting of 14 synchronous weekly palliative care training sessions was designed and delivered, using the Project ECHO format. Course participants included health-care professionals from a variety of disciplines and practice settings in Nepal.
Objectives
The goal of this study was to evaluate the impact of a virtual palliative care training program in Nepal on knowledge and attitudes of participants.
Methods
Pre- and post-course surveys assessed participants’ knowledge, comfort, and attitudes toward palliative care and evaluated program acceptability and barriers to learning.
Results
Forty-two clinicians, including nurses (52%) and physicians (48%), participated in program surveys. Participants reported significant improvements in their knowledge and attitudes toward core palliative care domains. Most participants identified the program as a supportive COP, where they were able to share and learn from faculty and other participants.
Conclusion
Project ECHO is a model of online education which can successfully be implemented in Nepal, enhancing local palliative care capacity. Bringing together palliative care local and international clinical experts and teachers supports learning for participants through COP. Encouraging active participation from participants and ensuring that teaching addresses availability and practicality of treatments in the local health-care context addresses key barriers of online education.
Significance of results
This study describes a model of structured virtual learning program, which can be implemented in settings with limited access to palliative care to increase knowledge and attitudes toward palliative care. The program equips health-care providers to better address serious health-related suffering, improving the quality of life for patients and their caregivers. The program demonstrates a model of training which can be replicated to support health-care providers in rural and remote settings.
In this article, Beth Flerlage, an assistant librarian at The Honourable Society of the Middle Temple, discusses the Middle Temple Library's experience in developing a nano-training platform for members. It details the creative process and describes how the organisation reviews the content using data from YouTube Studio.
Schools are technology rich. Teachers routinely now use digital tools for reporting, communications within school and with parents, for maintaining class records, for preparing materials and so on. Some schools use online teaching programs or electronic textbooks. With NAPLAN moving to become fully online (see Chapter 19) there is a need for both teachers and students across the primary years to be confident and creative users of digital technology. Each chapter in this book has included examples and strategies for integrating digital tools into the teaching of mathematics across a range of mathematical content areas.
The COVID-19 pandemic triggered the adoption of online education across all sectors worldwide, which was particularly challenging for disciplines that rely on hands-on learning such as bioarchaeology. Although the impacts of this rapid transition have been well investigated in fields such as anatomy and forensic anthropology, there has been little research into its effects within bioarchaeology. We address this deficit by investigating two common perceptions around online learning from a bioarchaeological perspective: (1) online techniques are inadequate for teaching practical skills, and (2) online learning environments lack a sense of community, thereby negatively affecting learner experiences. To gauge learner perceptions around online practical education in this field, we conducted a qualitative survey of participants in a bioarchaeology masterclass series. Results suggest that students perceive online learning to be as effective for practical training as in-person alternatives and that online learning may engender a sense of community when offered using a collaborative, interactive approach. Based on our results we provide several key recommendations for online education in bioarchaeology, including an active emphasis on social engagement and relationship building, culturally appropriate teaching, and the use of resources to encourage flexibility in learning. A Thai-language abstract is available as Supplemental Text 1.
During the school closures in the beginning of 2021 many students and teachers found themselves making use of new remote educational technology. The use of an online chat function and breakout rooms became routine. Using observations during lessons, anonymised chat logs and a student questionnaire it is shown that there are positive outcomes for student voice and inclusion when using these features. The possibility for integration of a chat function in the physical classroom, to benefit students who are more confident in messaging than speaking, is briefly considered although a proper study of this was not possible at the time.
Inspired by the human brain, neural network (NN) models have emerged as the dominant branch of machine learning, with the multi-layer perceptron (MLP) model being the most popular. Non-linear optimization and the presence of local minima during optimization led to interests in other NN architectures that only require linear least squares optimization, e.g. extreme learning machines (ELM) and radial basis functions (RBF). Such models readily adapt to online learning, where a model can be updated inexpensively as new data arrive continually. Applications of NN to predict conditional distributions (by the conditional density network and the mixture density network) and to perform quantile regression are also covered.
The current study is an approximate replication of Gray and DiLoreto’s (2016) study, which proposed a model predicting that course structure, learner interaction and instructor presence would influence students’ perceived learning and satisfaction in online learning, with student engagement acting as a mediator between two of the predictors and the outcome variables. Using mixed methods, the current study investigated whether Gray and DiLoreto’s model would be able to explain the relationships among the same variables in a computer-assisted language learning environment. A mediation analysis was conducted using survey responses from a sample of 215 college-level students, and qualitative analysis was conducted on the survey responses from a subsample of 50 students. Similar to Gray and DiLoreto’s study, positive correlational relationships emerged between the variables. However, the model proposed by Gray and DiLoreto did not fit our data well, leading us to suggest alternative path-analytic models with both student engagement and learner interaction as mediators. These models showed that the role of course organization and instructor presence were pivotal in explaining the variation in students’ perceived learning and satisfaction both directly and indirectly via student engagement and learner interaction. Moreover, qualitative analysis of students’ responses to open-ended questions suggested that from students’ perspectives, course structure was the most salient factor affecting their experiences within online language learning contexts, followed by learner interaction, and then by instructor presence.
The chapter defines the meaning of online silence, explains how it occurs in virtual classroom settings and unpacks the phenomenon as learning engagement or the lack of it in cognitive, social, emotional, and technological dimensions. Online silence is an unsettled, under-theorised construct without a universal definition but varies according to context and educators’ various levels of patience when waiting for learner response. The author argues that online silence represents both a barrier to and a condition for learning efficacy. Drawn extensively from the research discourse on the occurrence and absence of learner participation, the discussion outlines how silence pervades the digital educational environment. The discussion first defines the meaning of online silence and examines how online instruction provokes silence. Secondly, the dynamic of silence is unpacked concerning both learning engagement and learning disengagement in cognitive, social, emotional, and technological dimensions. Thirdly, it is argued that online silence exhibits two opposing impacts by being both a barrier to and a condition for learning efficacy. The chapter embraces online silence in language learning and in subject-content education considering that learners need to develop not only language proficiency but also knowledge and skills for real-world communication.
This study reviews 71 high-quality studies of massive open online courses focused on languages (LMOOCs) that were published from the inception of LMOOCs to 2021. The purpose of this study is to gain a deeper understanding of the current state of research and identify fruitful directions for future LMOOC research. First, we reviewed three basic sets of characteristics of these studies: (1) research trends – for example, publication types and years; (2) research contexts – for example, countries in which the studies were conducted, the subjects’ target languages, language-ability levels, skills, and whether the focal courses are for specific purposes; and (3) research design, including data collection, data analysis, and theoretical frameworks. We then utilized a text-mining approach called Latent Dirichlet Allocation that uses machine-learning techniques to identify research-topic commonalities underlying the collected studies. In this way, a total of nine topics were identified. They were: (1) core elements of LMOOCs; (2) interaction and communication in LMOOCs; (3) innovative LMOOC teaching practices; (4) LMOOC standards and quality assurance; (5) LMOOC implementation, participation, and completion; (6) LMOOC teaching plans; (7) LMOOC learning effectiveness and its drivers/obstacles; (8) learners and learning in LMOOCs; and (9) inclusiveness in LMOOCs. These were then diagrammed as a ThemeRiver, which showed the evolutionary trend of the nine identified topics. Specifically, scholarly interest in Topics 5, 7, and 9 increased over time, whereas for Topics 1 and 6, it decreased. Based on our results, we highlighted specific directions for future LMOOC research on each of the identified research topics.
The transition from residency to paediatric cardiology fellowship is challenging due to the new knowledge and technical skills required. Online learning can be an effective didactic modality that can be widely accessed by trainees. We sought to evaluate the effectiveness of a paediatric cardiology Fellowship Online Preparatory Course prior to the start of fellowship.
Methods:
The Online Preparatory Course contained 18 online learning modules covering basic concepts in anatomy, auscultation, echocardiography, catheterisation, cardiovascular intensive care, electrophysiology, pulmonary hypertension, heart failure, and cardiac surgery. Each online learning module included an instructional video with pre-and post-video tests. Participants completed pre- and post-Online Preparatory Course knowledge-based exams and surveys. Pre- and post-Online Preparatory Course survey and knowledge-based examination results were compared via Wilcoxon sign and paired t-tests.
Results:
151 incoming paediatric cardiology fellows from programmes across the USA participated in the 3 months prior to starting fellowship training between 2017 and 2019. There was significant improvement between pre- and post-video test scores for all 18 online learning modules. There was also significant improvement between pre- and post-Online Preparatory Course exam scores (PRE 43.6 ± 11% versus POST 60.3 ± 10%, p < 0.001). Comparing pre- and post-Online Preparatory Course surveys, there was a statistically significant improvement in the participants’ comfort level in 35 of 36 (97%) assessment areas. Nearly all participants (98%) agreed or strongly agreed that the Online Preparatory Course was a valuable learning experience and helped alleviate some anxieties (77% agreed or strongly agreed) related to starting fellowship.
Conclusion:
An Online Preparatory Course prior to starting fellowship can provide a foundation of knowledge, decrease anxiety, and serve as an effective educational springboard for paediatric cardiology fellows.
Learn to solve the unprecedented challenges facing Online Learning and Adaptive Signal Processing in this concise, intuitive text. The ever-increasing amount of data generated every day requires new strategies to tackle issues such as: combining data from a large number of sensors; improving spectral usage, utilizing multiple-antennas with adaptive capabilities; or learning from signals placed on graphs, generating unstructured data. Solutions to all of these and more are described in a condensed and unified way, enabling you to expose valuable information from data and signals in a fast and economical way. The up-to-date techniques explained here can be implemented in simple electronic hardware, or as part of multi-purpose systems. Also featuring alternative explanations for online learning, including newly developed methods and data selection, and several easily implemented algorithms, this one-of-a-kind book is an ideal resource for graduate students, researchers, and professionals in online learning and adaptive filtering.
The coronavirus disease 2019 (COVID-19) pandemic dramatically accelerated a growing trend toward online and asynchronous education and professional training, including in the disaster medicine and public health sector. This study analyzed the impact of the COVID-19 pandemic on the growth of the TRAIN Learning Network (TRAIN) for the year 2020 and evaluated pandemic-related changes in use patterns by disaster and public health professionals.
Methods:
The TRAIN database was queried to determine the change in the number of registered users, total courses completed, and courses completed related to COVID-19 during 2020.
Results:
In 2020, a total of 755,222 new users joined the platform – nearly 3 times the average added annually over the preceding 5 y (2015-2019). TRAIN users completed 3,259,074 training courses in 2020, more than double the average number of training courses that were completed annually from 2015-2019. In addition, 17.8% of all newly added disaster and public health training courses in 2020 were specifically related to COVID-19.
Conclusion:
Online education provided by TRAIN is a critical tool for just-in-time disaster health training following a disaster event or public health emergency, including in a global health crisis such as a pandemic.
One essential activity that organisations must review as they capitalise on digital technologies' potential is their existing business processes. Put simply, they must examine 'how things are done around here' and, in doing so, identify if there is any way of improving these activities. In this chapter, I seek to offer an account of delivering a module on 'Innovation, Creativity and Critical Thinking' to final year students of a BA Honours Degree in Insurance Practice. This programme, which commenced in 2016,is Ireland's first apprenticeship towards awarding a level 8 honours degree. The three-year, work-based training programme combines digital academic learning with on-the-job learning, allowing students to acquire various skills. This chapter will demonstrate how students can practically apply techniques learnt in their online class to industry, bridging the theory-practice gap by adopting a learning-by-doing approach to business process re-engineering (BPR).
this research explores the effectiveness of one UK university’s online networking operations from the student perspective. Existing research on online learning has largely overlooked students’ social development. However, developing a desired level of social connections is considered critical for boosting their emotional well-being. Adopting case study, this research used semi-structured interviews to collect data. The findings suggest that this group of year one students did not meet as many new people as they wished, and were also unable to turn acquaintances into close friends (breadth and depth), even though they were looking forward to making new friends. It appears that a lack of face-to-face, and also online networking opportunities seems to be the main causes. This study ends with recommendations for UK universities, and potentially higher education institutions in other countries using remote teaching as the main teaching approach.
Quality assurance and enhancement exercises are important in higher education. Curriculum assurance and enhancement exercise, relied in the past primarily on raw assessment data and self-reported, which lacked follow-up mechanisms gauging its effectiveness. This paper reports on an impact study of a curriculum review exercise using both digitalised data and self-reported data. Both the original review and its impact study were conducted on an English Programme in a Hong Kong university taken by around 6,000 students each year. Both adopted a learning analytics approach with digitalised behavioural and assessment data. Results of the impact study, which is the focus of this paper, demonstrate the strength of using learning analytics, including its capability of inter-course and intra-course investigations. Learning analytics can also empirically confirm and/or refute concerns reported by teachers and students. The use of digitalised data for learning analytics offers opportunities to implement and follow-up on quality assurance measures.
The COVID-19 pandemic brought significant changes to student experiences. A sudden switch to an online learning mode may serve as a natural experiment for the educational system. In this chapter, we test four "promises" of online education, which were widely discussed before the pandemic. Based on survey data of 5,464 undergraduate students from eight Russian universities, we compare the expectations to the reality of online learning. As the results show, the massive forced transition to online learning gave students more time to sleep, but they are not less tired than in traditional educational formats. Students find it difficult to ask questions, focus their attention when an instructor delivers material and find a comfortable place for studying. Consequently, the majority of students estimate their learning as ineffective. Relying on these results, we formulate lessons learned from this natural experiment.
This chapter examines the origins and the future role of digitally induced shared learning and, in this context, of micro-credentials as a currency towards earning a degree qualification, possibly in combination with the flexibility where to seek the qualification. We argue that the general trend towards the deinstitutionalization of tertiary education, to be understood as the unbundling and re-bundling of educational services, will help to make digitally based micro-credentials fungible by taking advantage of the so far reluctantly utilized degrees of freedom for accreditation and assessment more liberally. The COVID pandemic is encouraging a merger of the world of theoretically face-to-face programmes, now delivered virtually, and the world of MOOCs and micro-credentials. It will ultimately change the underlying economics of shared learning and will thereby help to make it a core feature of a much more accessible higher education.
This article investigates the different uses of the Cambridge Latin Course Explorer Tool in the classroom, and students' perceptions of this, through a case study of a Year 8 class in an all-girls' comprehensive school. Student perceptions of this tool were a particular focus of the research, exploring its enhancement of students' enjoyment of the subject, its impact on vocabulary retention, and what they considered to be a reduced difficulty of translation. However, it also brought to light students' misgivings about the tool, including a sense of guilt in some pupils, who were of the opinion that their use of the Explorer Tool could be considered as ‘cheating'. Others, meanwhile, felt that it detracted from the ‘process' of translating to the point that they believed it actively hindered their learning.