Accepted Type
Oral
Code
OE3-1-2
Acceptance Declaration
Accept
Additional Information
I declare I have no actual or potential conflict of interest in relation to this program.
Was this work accepted for CCME 2020?
no
Category
General Call (Workshop, Oral Presentation, Poster Presentation)
Type
Oral
Sub Type
Education Innovation
Will the presenter be a:
Student
Affiliation
Considered for Poster
yes
Title
Implementation of case-based learning strategies in the development of an online clerkship curriculum during the COVID-19 pandemic.
Length of Presentation
Background/Purpose
Clerkship is an integral time in medical education to build clinical reasoning and communication skills on the foundation of content knowledge learned in pre-clinical years. Due to the COVID pandemic, clerks were removed from clinical rotations, necessitating a shift to virtual teaching.
Summary of the Innovation
Final year clerkship students were divided into 2 groups and completed 4 weeks of Internal Medicine teaching via Zoom. Teaching for the first cohort included physical examination teaching, didactic lectures, skills drills, Cardboard and Cards, two Calgary-developed virtual patient platforms. A needs assessment was performed and identified that case-based learning (CBL) methods were the preferred strategy. A CBL curriculum was implemented for the second cohort entailing small-group exercises, didactic lectures, Cards and Cardboard.
Conclusion
Data from our program evaluation (N=48) suggest the evolution to CBL was associated with multiple advantages during the virtual clerkship. Although students felt it could not replace traditional clinical teaching, 83% of students believed online teaching with a clinical focus organized around 1-2 organ systems per week cultivated clerkship-specific skills. This was especially true when delivered in a small group, CBL format which increased student engagement and allowed real-time questions with individualized feedback. Virtual patient platforms (Cards, Cardboard) were more effective than didactic lectures, and 95% of students believed that CBL should be incorporated into traditional clerkship teaching in the future. This study can inform future virtual clerkship teaching and can also be considered to supplement the traditional clerkship curricula beyond the pandemic.
Keyword 1
clerkship
Keyword 2
virtual learning
Keyword 3
covid-19
Level of Training
Undergraduate
Abstract Themes
Teaching and learning
Teaching and Learning
- Clinical Context
- Clinical Skills
- E-Learning/Technology
- Integrated instruction & learning
- Small Group
- Virtual Patients
Additional Theme (First choice)
Undergraduate
Additional Theme (Second Choice)
Additional Theme (Third Choice)
Authors
Presenter
Chad Kimmitt
Term 1
Yes
Term 2
Yes
Term 3
Yes
Term 4
Yes
Term 5
Yes