Teleneurology Teaching Service at a Rural Regional Campus

Regional rural medical school campuses offer many opportunities for medical students to gain more hands-on experience, have more direct interaction with attending physicians, and cultivate a deeper understanding of challenges and opportunities specific to rural medicine. Some specialty services such as neurology are not available at these small regional campuses, and telemedicine technology can be a valuable tool to address this need. We report the implementation of teleneurology stroke consultation services as part of the third-year neurology clerkship at a regional medical school campus. We analyzed daily clinical notes and student satisfaction surveys. Students saw many common and important presentations of cerebrovascular events. Students worked as part of a multi-disciplinary care team while following these patients through their hospital course with effective instruction provided by remote stroke neurologists. All students strongly agreed that telemedicine was a positive component of the clerkship. We conclude that teleneurology is an effective way to provide inpatient neurology clinical exposure, especially when remote attendings have a strong screen presence and are enthusiastic about teaching. We believe these findings could be useful to other campuses considering similar teaching methods, as innovations in telemedicine continue to address challenges in medical education and clinical care. The authors have no conflicts of interest to report and the Baptist Health Madisonville Institutional Review Board found this study to be exempt.

Motivating Factors of and Perceived Barriers to Research at a Canadian Medical University with Regional Campuses: A Cross-Sectional Survey Study

Introduction Research training programs are an integral part of a well-rounded medical education. These programs help students contribute to medical knowledge, develop skills in critical evaluation and research dissemination, and they facilitate the training of our future medical researchers. Existing literature suggests barriers including lack of available time and access to projects may hinder a medical student’s research training. These barriers likely differ based on the medical school curriculum, and there exists limited data looking at these attitudes in Canadian students, students outside large academic centers or those in condensed programs. Given this, our study aims to further explore medical students' perceptions, perceived barriers of research in a three-year Canadian undergraduate medical school with regional campuses. Methods We conducted a cross-sectional survey of medical students (classes of 2019, 2020 and 2021) representing the main and regional campuses of the Michael G. DeGroote School of Medicine in Ontario, Canada to explore their attitudes towards research. Descriptive statistics were used to describe participant demographics, research background and attitudes towards research. Results Overall, 70.4% of students identified as being involved in a research project at some point during their medical school tenure. Motivating factors for research participation included the goal of obtaining a residency spot (63.0%), and interest in their research topic (74.7%). Barriers to research included perceived lack of available time (31.5%), and difficulty in finding a research project (44.5%). Perceived curriculum deficiencies included lack of education in research methodology and appraisal of scientific literature (93.2% and 89.0%, respectively). Lastly, regional campuses tended conduct their research outside of their home campus (43.6% vs 3.3%, p<0.0001). Conclusion The findings from our study highlighted the students’ attitudes towards research in a Canadian medical school that has multiple campuses and a shortened medical curriculum (3-year). It identifies potential areas of improvement from a student perspective, which can hopefully be utilized by medical educators to continue the improvement of medical trainee research training.

CSU Pathway Courses during COVID-19: A multi-faceted support strategy for online engagement.

In March 2020, Charles Sturt University (CSU) launched two new pathway courses: the Diploma of General Studies (DGS) and the CSU Pathway course. These courses are offered at five regional campuses, along with an online offering. This particular cohort of students lack the skills and confidence necessary to engage withuniversity-level study. With the advent of COVID-19, the challenge was to transition the five on-campus cohorts to a fully online mode of delivery within a few weeks. This task was further complicated as a number of teaching staff on the program were new to CSU, with little to no experience teaching explicitly online.This paper showcases the student-centric strategies adopted to transition on-campus students to online delivery. A summary will also be provided of the successes of this approach (to date), particularly in terms of retention and progression, along with the lessons learnt as part of the process.

Self-Regulation for and of Learning: Student Insights for Online Success in a Bachelor of Nursing Program in Regional Australia

The blended online digital (BOLD) approach to teaching is popular within many universities. Despite this popularity, our understanding of the experiences of students making the transition to online learning is limited, specifically an examination of those elements associated with success. The aim of this study is to explore the experiences of students transitioning from a traditional mode of delivery to a more online approach in an inaugural BOLD Bachelor of Nursing program at a regional multi-campus institution in Victoria, Australia. Fifteen students across two regional campuses participated in one of four focus groups. This qualitative exploration of students’ experience contributes to contemporary insights into how we might begin to develop programs of study that help students develop self-regulation. A modified method of thematic analysis of phenomenological data was employed to analyse the focus group interview data to identify themes that represent the meaning of the transition experience for students. This qualitative exploration of students’ experience contributes to contemporary insights into how we might begin to develop programs of study that help students develop self-regulation.

Influence of distributed medical education on pre-clerkship elective use and utility

Purpose To explore differences in pre-clerkship elective (PCE) use and utility between main and regional campuses at McMaster University’s Michael G. DeGroote School of Medicine, in four main areas: ease of access to PCEs, volume and breadth of PCEs, helpfulness in choosing future specialties, and utility for clerkship preparation. Methods An anonymous and voluntary survey was distributed in early 2020 to McMaster University Michael G. DeGroote School of Medicine’s medical students across all three years of study. Data were analyzed for any significant differences between main and regional campuses, and post-hoc sensitivity analyses were used to account for non-response and self-selection bias. Results Regional campus students felt significantly less frustration around PCE availability (2.88 vs 4.16, p<0.001, scale 1(least) – 5(most)) and significantly greater ease of PCE scheduling than students at the main campus (3.50 vs 2.24, p<0.001, scale 1(least) – 5(most)). Regional campus students explored significantly fewer specialties (5.19 vs 6.19, p = 0.049) and there was no significant difference in the total number of PCE hours undertaken, nor hours spent with a single specialty. Overall, students in both campuses endorsed pressure to take PCEs and mixed benefits of PCEs for clerkship preparation. Students also found PCEs to be an important part of choosing a specialty independent of campus. Conclusion Regional medical campuses at McMaster University offer generally equal opportunities for PCE volume and breadth as main campuses, but with significantly lower barriers and frustrations around scheduling and availabilities. Conflicts of interest There are no conflicts of interest to report.

Promoting Regional Campus Excellence: The Scholarly Concentrations Program at Indiana University School of Medicine

While Indiana University School of Medicine has had multiple regional campuses delivering the pre-clerkship phase of the education for 50 years, since 2008, all four years of medical education, including clinical, have also been available at the eight regional campuses statewide. While 67 percent of admitted students designate a preference for the Indianapolis main campus, 60 percent of students are assigned to a regional campus for pre-clerkship education. Of those, 32 percent chose to be at their assigned campus. Students are often not able to identify a compelling reason to choose a regional campus. Despite data to the contrary, including our own, a majority of students continue to believe the path to success is through the main campus in Indianapolis, and as a result, transfer to the main campus for clerkships. In 2019, the school launched a Scholarly Concentrations Program as a key strategy to address this problem. The program leverages the unique expertise and resources at its diverse campuses and shines a spotlight on them to attract and retain students at regional campuses through educational enhancement and engaged community scholarship. While still in pilot phase, significant progress has been realized. With faculty statewide, 11 concentrations launched in less than one year; 17 in two years. About 220 students are enrolled in concentrations statewide; about half at regional campuses. A special program through the admissions process resulted in 9 percent of the Class of 2024, with an average GPA of 3.8 and 512 MCAT, choosing to enroll at a regional campus and its associated scholarly concentration. Immediate plans revolve around supporting concentration growth, building systems and processes to support a sustainable program, and monitoring results of the three pilot phases to inform future development and implementation. In addition, students are being recruited to regional campuses through an Early Decision Program.

Using Technology to Connect the Generations and Understand Lifelong Learning

The University of Connecticut (UConn) has a thriving Osher Lifelong Learning Institute (OLLI), which has existed for over a decade on one of their regional campuses (700+ members). Intergenerational classes are utilized, but connecting UConn students with OLLI members outside of these classes in an effective, meaningful way is a challenge. A successful model developed within an adulthood and aging class to connect the generations outside of the classroom utilizes technology as a bridge. The two most successful activities will be highlighted. The first is a “technology clinic,” which requires students to pair up with OLLI members to assist them with technological needs. The second requires students to create a podcast by interviewing an OLLI member on the importance of lifelong learning, which is uploaded to the campus OLLI website. Implications for both generations, bi-directional affective change, and inclusivity of older learners in the classroom and beyond will be discussed.

Review of an Intensive Faculty Development Program Conducted at a Regional Medical Campus.

Purpose: The process of attracting, training, and retaining adjunct clinical faculty can be a challenge for regional medical campuses. It is important to have a faculty development program that addresses the specific needs of community-based faculty members. However, there is a shortage of literature on how to best develop and deliver such programs at regional campuses. Objective: to describe the development and implementation of a comprehensive faculty development program at a regional medical campus. Method: An intensive faculty development program was developed at the regional medical campus of a large US Midwestern medical school. The faculty development program was directed by a senior faculty member at the regional medical campus working with a senior educator from the medical education office on the main campus. The program expanded the number of yearly faculty development workshops offered to all faculty at the regional campus and specifically included an intensive two-year program for 12 faculty teaching scholars. The two-year Teaching Scholars program entailed additional meeting sessions along with assignments, readings, and the scholars’ commitment to incorporate session content into practice. Results: Teaching scholars maintained regular session attendance. Self-assessed knowledge and skills in completing common teaching activities improved for participating faculty across the study period. All participating faculty rated the program good (18%) to excellent (82%) and all indicated they would recommend the program to colleagues. Conclusions: The described program can be accomplished by any regional medical campus working with faculty experts at the main campus. The financial costs of the program were minimal, and data from the program supported its benefits.