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E-Learning in Global Surgery

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Abstract

E-learning – the use of the Internet and multimedia technology – is completely transforming the learning environment of the twenty-first century. The global penetration of computers, smart phones, and access to the Internet is reaching even the remotest parts of the least developed countries. As learner-educators, global surgeons can take advantage of new technologies by accessing existing online learning resources or developing their own. E-learning tools have unique advantages in distance learning, such as allowing learners to be engaged synchronously with an online lecture, or review and respond through an asynchronous discussion board. This chapter discusses e-learning instructional design and describes successful projects, evaluation approaches, and future directions for e-learning in global surgery. Formal online courses, webinars, and remote telementoring all provide examples of surgical leadership and north-south partnerships in surgical education. Evaluation of surgical e-learning partnership initiatives will provide opportunities for bilateral mutual learning and “reverse innovation.” Globally minded surgeons are on the cutting edge using innovation and new technology to teach their craft.

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References

  1. Cook DA, Triola MM. What is the role of e-learning? Looking past the hype. Med Educ. 2014;48(9):930–7.

    Article  PubMed  Google Scholar 

  2. Evgeniou E, Loizou P. The theoretical base of e-learning and its role in surgical education. J Surg Educ. 2012;69(5):665–9.

    Article  PubMed  Google Scholar 

  3. Masic I. E-learning as new method of medical education. Acta Inform Med. 2008;16(2):102–17.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Frehywot S, Vovides Y, Talib Z, Mikhail N, Ross H, Wohltjen H, et al. E-learning in medical education in resource constrained low- and middle-income countries. Hum Resour Health. 2013;11(1):4.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Beveridge M, Howard A, Burton K, Holder W. The Ptolemy project: a scalable model for delivering health information in Africa. BMJ. 2003;327:790–3.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Jayakumar N, Brunckhorst O, Dasgupta P, Khan MS, Ahmed K. e-Learning in surgical education: a systematic review. J Surg Educ. 2015;72(6):1145–57.

    Article  PubMed  Google Scholar 

  7. Kemp S. Digital, social and mobile 2015 [Internet]. Wearesocialsg: SlideShare.net; 2015 [cited 2015 August 17]. Available from: http://www.slideshare.net/wearesocialsg/digital-social-mobile-in-2015.

  8. Ogden J. Internet users in 2012 as a percentage of a country’s population [Internet]. Wikimedia Foundation, Inc; 2012 [updated 2013 June 28; cited 2015 August 17]. Available from: https://en.wikipedia.org/wiki/Digital_divide#/media/File:Internet_users_per_100_inhabitants_ITU.svg.

  9. eLearning Africa [Internet]. Berlin: Integrated communication. [updated 2015 November 24; cited 2015 August 17]. Available from: http://www.elearning-africa.com/.

  10. Safie N, Aljunid S. E-learning initiative capacity building for healthcare workforce of developing countries. J Comput Sci. 2013;9(5):583–91.

    Article  Google Scholar 

  11. Ponsky TA, Rothenberg SS. Modern, multi-media, advances in surgical information. Semin Pediatr Surg. 2015;24(3):124–9.

    Article  PubMed  Google Scholar 

  12. Bediang G, Stoll B, Geissbuhler A, Klohn AM, Stuckelberger A, Nko’o S, et al. Computer literacy and E-learning perception in Cameroon: the case of Yaounde Faculty of Medicine and Biomedical Sciences. BMC Med Educ. 2013;13:57.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Morgan H, McLean K, Chapman C, Fitzgerald J, Yousuf A, Hammoud M. The flipped classroom for medical students. Clin Teach. 2015;12(3):155–60.

    Article  PubMed  Google Scholar 

  14. Bhuasiri W, Xaymoungkhoun O, Zo H, Rho JJ, Ciganek AP. Critical success factors for e-learning in developing countries: a comparative analysis between ICT experts and faculty. Comput Educ. 2012;58(2):843–55.

    Article  Google Scholar 

  15. Ruggeri K, Farrington C, Brayne C. A global model for effective use and evaluation of e-learning in health. Telemed J E Health. 2013;19(4):312–21.

    Article  PubMed  PubMed Central  Google Scholar 

  16. Pecka SL, Kotcherlakota S, Berger AM. Community of inquiry model: advancing distance learning in nurse anesthesia education. AANA J. 2014;82(3):212–8.

    PubMed  Google Scholar 

  17. Obura T, Brant WE, Miller F, Parboosingh IJ. Participating in a community of learners enhances resident perceptions of learning in an e-mentoring program: proof of concept. BMC Med Educ. 2011;11:3.

    Article  PubMed  PubMed Central  Google Scholar 

  18. Gordon M, Chandratilake M, Baker P. Low fidelity, high quality: a model for e-learning. Clin Teach. 2013;10(4):258–63.

    Article  PubMed  Google Scholar 

  19. Merrill M. First principles of instruction: a synthesis. 2007 [Internet]. Saddle River: Meddle East Technical University [cited 2015 August 17]. Available from: http://ocw.metu.edu.tr/pluginfile.php/9338/mod_resource/content/1/FirstPrinciplesSynthesis.pdf.

  20. Harden RM, Laidlaw JM. Be FAIR to students: four principles that lead to more effective learning. Med Teach. 2013;35(1):27–31.

    Article  PubMed  Google Scholar 

  21. Cook DA, Levinson AJ, Garside S, Dupras DM, Erwin PJ, Montori VM. Instructional design variations in internet-based learning for health professions education: a systematic review and meta-analysis. Acad Med. 2010;85(5):909–22.

    Article  PubMed  Google Scholar 

  22. Gunning Fog Index [Internet]. Wikimedia Foundation, Inc. [updated 2015 June 18; cited 2015 August 17]. Available from: https://en.wikipedia.org/wiki/Gunning_fog_index.

  23. Koski RJ, Mann GA. The editor’s role in reducing future shock. Tech Commun. 1974;21(2):2–5.

    Google Scholar 

  24. Salmon G. E-moderating: the key to online teaching and learning. 3rd ed. New York: Routledge; 2011.

    Google Scholar 

  25. Garrison DR, Arbaugh JB. Researching the community of inquiry framework: review, issues, and future directions. Internet High Educ. 2007;10:157–72.

    Article  Google Scholar 

  26. Riveros RE, Espinosa A, Jimenez P, Martinez L. E-learning experience: a teaching model with undergraduate surgery students in a developing country. Stud Health Technol Inform. 2005;111:404–6.

    PubMed  Google Scholar 

  27. O’Leary DP, Corrigan MA, McHugh SM, Hill AD, Redmond HP. From theater to the world wide web – a new online era for surgical education. J Surg Educ. 2012;69(4):483–6.

    Article  PubMed  Google Scholar 

  28. Rehim SA, Chung KC. Educational video recording and editing for the hand surgeon. J Hand Surg Am. 2015;40(5):1048–54.

    Article  PubMed  PubMed Central  Google Scholar 

  29. Surgery UBC [Internet]. Graduate Certificate in Global Surgical Care: University of British Columbia; 2015 [cited 2015 August 17]. Available from: http://internationalsurgery.med.ubc.ca/education-courses/graduate-certificate-in-global-surgical-care/.

  30. Goldstein SD, Papandria D, Linden A, Azzie G, Borgstein E, Calland JF, et al. A pilot comparison of standardized online surgical curricula for use in low- and middle-income countries. JAMA Surg. 2014;149(4):341–6.

    Article  PubMed  Google Scholar 

  31. Smith PJ, Wigmore SJ, Paisley A, Lamb P, Richards JM, Robson AJ, et al. Distance learning improves attainment of professional milestones in the early years of surgical training. Ann Surg. 2013;258(5):838–42. discussion 42–3

    Article  PubMed  PubMed Central  Google Scholar 

  32. Royal College of Surgeons of Ireland [Internet]. Ireland: School for Surgeons. [updated 2013 March 21; cited 2015 February 21]. Available from: www.schoolforsurgeons.net.

  33. Beddy P, Ridgway PF, Beddy D, Clarke E, Traynor O, Tierney S. Defining useful surrogates for user participation in online medical learning. Adv Health Sci Educ Theory Pract. 2009;14(4):567–74.

    Article  PubMed  Google Scholar 

  34. Jotwani P, Srivastav V, Tripathi M, Deo RC, Baby B, Damodaran N, et al. Free-access open-source e-learning in comprehensive neurosurgery skills training. Neurol India. 2014;62(4):352–61.

    Article  PubMed  Google Scholar 

  35. Blankstein U, Dakurah T, Bagan M, Hodaie M. Structured online neurosurgical education as a novel method of education delivery in the developing world. World Neurosurg. 2011;76(3–4):224–30.

    Article  PubMed  Google Scholar 

  36. Raigani S, Numanoglu A, Schwachter M, Ponsky TA. Online resources in pediatric surgery: the new era of medical information. Eur J Pediatr Surg. 2014;24(4):308–12.

    Article  PubMed  Google Scholar 

  37. Sukhraj R, Martin C, Rambaran M, Cameron BH, Ostrow B. The use of the internet and web-conferencing software to facilitate post-graduate surgical training in Guyana (abst). Can J Surg. 2009;52(4):348.

    Google Scholar 

  38. Hadley GP, Mars M. e-Education in paediatric surgery: a role for recorded seminars in areas of low bandwidth in sub-Saharan Africa. Pediatr Surg Int. 2011;27(4):407–10.

    Article  CAS  PubMed  Google Scholar 

  39. Okrainec A, Henao O, Azzie G. Telesimulation: an effective method for teaching the fundamentals of laparoscopic surgery in resource-restricted countries. Surg Endosc. 2010;24(2):417–22.

    Article  PubMed  Google Scholar 

  40. Canadian Medical Association. CMA Policy: Social Media and Canadian Physicians: issues and rules of engagement [Internet]. 2011. [cited 2016 March 30]. Available from: https://www.cma.ca/Assets/assets-library/document/en/advocacy/CMA_Policy_Social_Media_Canadian_Physicians_Rules_Engagement_PD12-03-e.pdf.

  41. Canadian Healthcare Education Commons [Internet]. The Association of Faculties of Medicine of Canada; [updated 2015; cited 2015 August 20]. Available from: https://chec-cesc.afmc.ca/.

  42. AAMC [Internet]. MedEdPORTAL Publications; 2005–2014 [cited 2014 December 11]. Available from: https://www.mededportal.org/.

  43. Association of Surgical Education. ASE Resources Overview [Internet]. 2015. [cited 2016 March 30]. Available from: https://surgicaleducation.com/ase-resources-overview.

  44. Cook DA, Levinson AJ, Garside S, Dupras DM, Erwin PJ, Montori VM. Internet-based learning in the health professions: a meta-analysis. JAMA. 2008;300(10):1181–96.

    Article  CAS  PubMed  Google Scholar 

  45. Cook DA, Garside S, Levinson AJ, Dupras DM, Montori VM. What do we mean by web-based learning? A systematic review of the variability of interventions. Med Educ. 2010;44(8):765–74.

    Article  PubMed  Google Scholar 

  46. Belfield C, Thomas H, Bullock A, Eynon R, Wall D. Measuring effectiveness for best evidence medical education: a discussion. Med Teach. 2001;23(2):164–70.

    Article  PubMed  Google Scholar 

  47. Arbaugh JB, Cleveland-Innes M, Diaz SR, Garrison DR, Ice P, Richardson JC, et al. Developing a community of inquiry instrument: testing a measure of the community of inquiry framework using a multi-institutional sample. Internet High Educ. 2008;11(3–4):133–6.

    Article  Google Scholar 

  48. Walsh K. Accreditation of e-learning. Telemedicine J E Health. 2013;19(11):892–3.

    Article  Google Scholar 

  49. World Federation of Medical Education. Postgraduate medical education: WFME standards for quality improvement. Denmark: WFME Office, University of Copenhagen; 2003.

    Google Scholar 

  50. Mullan F, Frehywot S, Omaswa F, Sewankambo N, Talib Z, Chen C, et al. The medical education partnership initiative: PEPFAR’s effort to boost health worker education to strengthen health systems. Health Aff. 2012;31(7):1561–72.

    Article  Google Scholar 

  51. Jimenez-Castellanos A, Ramirez-Robles M, Shousha A, Bagayoko CO, Perrin C, Zolfo M, et al. Enhancing research capacity of African institutions through social networking. Stud Health Technol Inform. 2013;192:1099.

    PubMed  Google Scholar 

  52. Walsh K. The future of e-learning in healthcare professional education: some possible directions. Comment Ann Ist Super Sanita. 2014;50(4):309–10.

    Google Scholar 

  53. Choo EK, Ranney ML, Chan TM, Trueger NS, Walsh AE, Tegtmeyer K, et al. Twitter as a tool for communication and knowledge exchange in academic medicine: a guide for skeptics and novices. Med Teach. 2015;37(5):411–6.

    Article  PubMed  Google Scholar 

  54. Crisp N. Mutual learning and reverse innovation-where next? Glob Health. 2014;10(1):14.

    Article  Google Scholar 

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Correspondence to Brian H. Cameron MD,PGDipMedEd,FRCSC,FACS .

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Cameron, B.H., Schofield, S. (2017). E-Learning in Global Surgery. In: Park, A., Price, R. (eds) Global Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-49482-1_7

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  • DOI: https://doi.org/10.1007/978-3-319-49482-1_7

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