Medical Education Online最新文献

{"title":"Assessing the educational impact and quality of medical microvideos on TikTok: the case of Latin America.","authors":"Juan S Izquierdo-Condoy, Marlon Arias-Intriago, Melizza Mosquera-Quiñónez, Fernando P Melgar Muñoz, Mariana Jiménez-Ascanio, Valentina Loaiza-Guevara, Esteban Ortiz-Prado","doi":"10.1080/10872981.2025.2474129","DOIUrl":"10.1080/10872981.2025.2474129","url":null,"abstract":"<p><strong>Background: </strong>Social media use in medical education has surged, with YouTube and Facebook leading before COVID-19. Recently, TikTok has drawn young learners, expanding access but often lacking alignment with formal curricula and quality standards.</p><p><strong>Objectives: </strong>This study aims to analyze the quality of academic medical content on TikTok within the Latin American context, focusing on the most-viewed Spanish-language accounts.</p><p><strong>Materials and methods: </strong>This cross-sectional study analyzed medical education microvideos on TikTok through a systematic search conducted on 1 March 2024, using the keywords 'medical education' and 'medical review.' The search yielded 300 microvideos, from which the 100 most-viewed were selected. The 13 most popular accounts were identified, and their top three most-viewed microvideos were analyzed, resulting in a final sample of 39 microvideos. Popularity was measured through views, likes, and the Viewability Index (VPI), while educational quality was assessed using the JAMA Benchmark Criteria, which evaluates authorship, attribution, disclosure, and validity.</p><p><strong>Results: </strong>The majority of accounts (69.2%) were male-created, with 30.8% based in Mexico and Peru. Physicians comprised 53.8% of content creators, followed by medical students (23.1%). General medical education was the main focus (69.2%), with general medicine as the most common topic (76.9%). The dataset included 39 microvideos, averaging 1,653,677 views, and #medicina was the most frequently used hashtag. Popularity metrics strongly correlated with engagement metrics (comments, shares) but weakly with favorites. Educational quality scores were low, with only two accounts scoring 1 out of 4 points on the JAMA Benchmark.</p><p><strong>Conclusion: </strong>TikTok's engagement metrics amplify popular medical microvideos among Spanish-speaking users but do not reliably reflect educational quality, raising concerns about misinformation. 'Favorites' may serve as a more accurate indicator of perceived informational value. Standardized assessment tools should incorporate both engagement and quality metrics to improve content reliability and accessibility to evidence-based medical information.</p>","PeriodicalId":47656,"journal":{"name":"Medical Education Online","volume":"30 1","pages":"2474129"},"PeriodicalIF":3.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11892066/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Advancing health professions education: a review of holistic admissions and competency-based admissions practices.","authors":"Morgan A Jernigan, Kira J Carbonneau","doi":"10.1080/10872981.2025.2486979","DOIUrl":"https://doi.org/10.1080/10872981.2025.2486979","url":null,"abstract":"<p><p>In this review, we gathered information about competency-based admissions and holistic admissions related to healthcare education to understand current practices better and offer recommendations within the healthcare education field. A literature search was conducted to gather peer-reviewed articles detailing information related to competency-based admissions and holistic admissions that have been implemented in healthcare education, including medical schools, nursing schools, dental schools, and other allied health fields. After screening and the addition of articles through ancestral search, 166 articles were included in this systematic review. The articles were coded for information related to definitions of competency-based admissions and holistic admissions, specific desired competencies, procedures to evaluate these competencies, outcomes of these practices, and the success of admitting well-prepared students using these practices. Results show there is wide variation in established definitions and desired competencies. Similarly, there was some variation in methods for evaluating these competencies with some common practices identified. Lastly, little evidence demonstrates the effectiveness of admitting students who are well-prepared for their programs when competency-based or holistic admissions are employed. There is a need for future research to establish a standard definition for both competency-based admissions and holistic admissions. Desired competencies should be established based on the program's mission and vision statements for what type of students they want to admit. Lastly, future research needs to focus on the long-term outcomes of implementing these practices.</p>","PeriodicalId":47656,"journal":{"name":"Medical Education Online","volume":"30 1","pages":"2486979"},"PeriodicalIF":3.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reliability and validity of simulation-based Electrocardiogram assessment rubrics for cardiac life support skills among medical students using generalizability theory.","authors":"Sethapong Lertsakulbunlue, Kaophiphat Thammasoon, Anupong Kantiwong","doi":"10.1080/10872981.2025.2479962","DOIUrl":"10.1080/10872981.2025.2479962","url":null,"abstract":"<p><p>Simulation-based learning (SBL) is effective for EKG interpretation training in the advanced cardiac life support (ACLS) context, enhancing motivation, confidence, and learning outcomes. However, research on the psychometrics of assessment rubrics for ACLS skills among pre-clinical students is limited. This study investigates the validity and reliability of assessment rubrics for ACLS skills, including EKG interpretation, scenario and pharmacological management, and teamwork. An SBL course that integrates basic EKG interpretation into ACLS Stations was conducted at Phramongkutklao College of Medicine, utilizing high-fidelity mannequins to simulate realistic scenarios, enrolling 96 medical students. The course consisted of five independent stations, and each student was assessed once by two raters using ten-item assessment rubrics. The rubrics included three domains: (1) EKG and ACLS algorithm skills, (2) management and mechanisms of action, and (3) affective domains. Validity evidence on the content was gathered, and construct validity was confirmed with confirmatory factor analysis (CFA). Inter-rater and internal consistency reliability were calculated. Generalizability theory was utilized to analyse the data. Three expert reviews yielded an item-objective congruence index of 0.67-1.00, with iterative validation through alpha and beta tests. The CFA demonstrated a good fit, but two questions with loading factors below 0.30 were removed, resulting in an eight-item assessment form. An inter-rater correlation of 0.70 (p < 0.001) and a Cronbach's alpha of 0.76 was demonstrated. To achieve a Phi-coefficient ≥0.80, three raters and at least 10 items are required in a p×i×r crossed design. With eight items, r:(p×i) nested design reliability was 0.69, 0.79, and 0.83 for one, two, and three raters, respectively. While a single rater with 10 items achieved a Phi-coefficient of 0.74. The rubrics for assessing ACLS skills among pre-clinical students demonstrated acceptable validity and reliability. A condensed eight-item rubric with acceptable reliability is proposed as a practical tool for optimizing assessment in future evaluations relevant to the pre-clinical context.</p>","PeriodicalId":47656,"journal":{"name":"Medical Education Online","volume":"30 1","pages":"2479962"},"PeriodicalIF":3.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11934178/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Underground nursing students' experiences in a face-to-face, hybrid, and online escape room model: a comparative analysis in Serbian context.","authors":"Dragana Simin, Vladimir Dolinaj, Nina Brkić-Jovanović, Branislava Brestovački-Svitlica, Dragana Milutinović","doi":"10.1080/10872981.2025.2464204","DOIUrl":"10.1080/10872981.2025.2464204","url":null,"abstract":"<p><p>Educational escape rooms (EERs) are gamified teaching and learning tools increasingly used in nursing education. This study aims to compare undergraduate nursing students' gameful experiences (GEs) across three EER models: face-to-face, hybrid, and online. A cross-sectional study was conducted with 136 first-year students in a Serbian undergraduate nursing programme. All models EERs had the same narrative, which included several topics from the Fundamentals of Nursing course. Face-to-face and hybrid EERs were implemented in faculty skills laboratories, while the online model used the Zoom® platform. Face-to-face EERs were conducted in 2021/2022. and hybrid and online in the 2022/2023 school year. Immediately after the EER activity, the Gameful Experience Scale (GAMEX) assessed students' GE across six dimensions (Enjoyment, Absorption, Creative Thinking, Activation, Absence of Negative Effects and Dominance). All students solved the puzzles in the allotted time and 'escaped from the room.' Median escape time from face-to-face EER was 39.2 (IQR = 2.1), from online 37.4 (IQR = 4.1), and hybrid 37.2 (IQR = 3.5) minutes. By comparing GE students in three EER models, significant differences were found in five dimensions of the GAMEX scale. Students in face-to-face EER enjoyed significantly more (<i>p</i> < 0.001) and thought more creatively (<i>p</i> < 0.001), while the GE of online model students indicated significantly higher levels of activation (<i>p</i> < 0.001), dominance (<i>p</i> < 0.001), and negative effect (<i>p</i> < 0.001). In the face-to-face and hybrid models, students' GE were more moderate in these dimensions. All EER models can generate positive emotions with moderate negative effects, aligning with the goals of EERs as educational games. Further research is needed to identify the most effective EER model for different areas of nursing education.</p>","PeriodicalId":47656,"journal":{"name":"Medical Education Online","volume":"30 1","pages":"2464204"},"PeriodicalIF":3.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11834819/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143415539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Student engagement in a flipped undergraduate medical classroom to measure optimal video-based lecture length.","authors":"Raquel Gutiérrez-González, Ana Royuela, Alvaro Zamarron","doi":"10.1080/10872981.2025.2479752","DOIUrl":"10.1080/10872981.2025.2479752","url":null,"abstract":"<p><p>To determine the optimal length of video-based lectures for undergraduate medical students in a flipped classroom environment and evaluate the effect of their length on student engagement outcomes. Using an observational cohort study, 152 students (male = 38 and female = 114) viewed 173 videos focused on teaching Neurosurgery over three consecutive academic years. Each course consisted of 11 topics divided into a variable number of clips. Materials, methodology, and instructors remained constant throughout the study period. All students enrolled in the subject were invited to register on the online platform hosting the videos voluntarily. Data on course variables, video-based lecture characteristics, and six student engagement outcomes were analyzed. Videos under 5 minutes in length were associated with higher audience retention and higher response rates to embedded questions in the univariable analysis (p = 0.039 and p = 0.045, respectively). The viewing index, which can be equated to cumulative views, was also higher for videos under 5 minutes after multiple regression analysis (p = 0.049). Videos released earlier in the course and those related to a seminar session (with mandatory homework and class attendance) had significantly higher percentages of video viewing, viewing index, and response rate to embedded questions but lower non-access rates. In addition, earlier videos retained more audience (p = 0.036). This study provides new insights by analyzing the interaction between video duration and various engagement metrics, highlighting the importance of instructional design in flipped learning environments. The findings support the recommendation that video length should be under 5 minutes. However, this is not the only determining factor; the timing of the video release and the seminar structure can also play a crucial role. Other unmeasured classroom dynamics need to be considered for further studies that should explore these interactions in more depth.</p>","PeriodicalId":47656,"journal":{"name":"Medical Education Online","volume":"30 1","pages":"2479752"},"PeriodicalIF":3.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11912274/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Are medical associations' paid parental leave recommendations instituted for United States medical school faculty?","authors":"Hannah Gurley, Rebecca S Lufler, Brian J Goldberg, Christopher Ferrigno, Adam B Wilson","doi":"10.1080/10872981.2025.2487656","DOIUrl":"10.1080/10872981.2025.2487656","url":null,"abstract":"<p><p>Longer paid parental leaves have many well-documented biopsychosocial benefits for parents and children. However, many United States (U.S.) employers do not offer 8-12 weeks of paid parental leave as recommended by medical associations such as The American College of Obstetricians and Gynecologists, the American Academy of Pediatrics, and the American Medical Association. This study compared and summarized the quality of parental leave policies offered across U.S. allopathic medical schools to determine their alignment with medical associations' recommendations. Parental leave policies were analyzed to determine 1) whether employers offered standalone parental leave policies and/or relied on the Family Medical Leave Act, 2) who received parental leave, 3) whether leave was paid or unpaid, and 4) the number of paid weeks offered, if any. Differences in leave durations were compared according to Carnegie classifications, school control, and geographic region. Of the 134 (85.9%; 134/156) allopathic medical schools with retrievable policies, one-fifth (21.6%; 29/134) offered 12 weeks or more of fully compensated birthing parent leave. Schools offered an average of 6.72 weeks (median = 6) of paid birthing parent leave and 5.82 weeks (median = 6) of paid non-birthing parent leave. Private (<i>p</i> < 0.001) and Northeast (<i>p</i> < 0.001) schools offered more weeks of paid birthing parent leave. Despite the benefits of longer paid parental leaves, over three-quarters of parental leave policies used by allopathic medical schools did not offer faculty 12 weeks of fully paid birthing parent (78.4%; 105/134) or non-birthing parent leave (84.3%; 113/134). This suggests that most parental leave policies offered to academic medicine faculty are misaligned with medical associations' recommendations.</p>","PeriodicalId":47656,"journal":{"name":"Medical Education Online","volume":"30 1","pages":"2487656"},"PeriodicalIF":3.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11966969/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and validation of the QASSH scale: a tool for assessing the quality of simulation scenarios in healthcare education.","authors":"Etienne Rivière, Guillaume Der Sahakian, Marie-Laurence Tremblay, Gilles Chiniara","doi":"10.1080/10872981.2025.2486971","DOIUrl":"https://doi.org/10.1080/10872981.2025.2486971","url":null,"abstract":"<p><p>Simulation-based education has become essential for pre- and post-graduate training of healthcare professionals. However, there is no tool to help simulation educators or program managers in assessing the educational quality of simulation scenario scripts for team-based immersive simulation (IS), simulated participants (SP) and procedural simulation (PS). To that end, we developed the Quality Assessment of Simulation Scenario in Healthcare (QASSH) tool. This study aims at providing validity evidence for QASSH. We set up a francophone group of experts within the French-speaking Society for Simulation in Healthcare (SoFraSimS) network and designed this scale based on recently published best practices and our long experience in conceiving simulation scenarios. We tested it by submitting three scenarios of high, borderline and low quality for assessment to a group of experts, a third of which were involved in its development. Analysis of reliability and validity of the QASSH was done using the Standards for educational and psychological testing. Generalizability theory (GT) was used to assess the internal structure and reliability of the tool. The absolute reliability coefficients (G coefficients) calculated through GT were: 0.97 (IS), 0.96 (SP), and 0.98 (PS). G-facet analyses showed that no removal of a single item of QASSH significantly increased the G coefficient above 0.01 for any of the three variants. Cronbach's alpha coefficients were 0.94 (IS), 0.94 (SP) and 0.97 (PS). Estimating the impact of the number of raters on reliability (i.e. D-studies) showed that two raters were enough to achieve a G coefficient above 0.85. The G study shows a high generalizability coefficient (≥0.90), which demonstrates high reliability. The response process evidence for validity provides evidence that no error was associated with using the instrument and its reliability was high with two raters. The QASSH is a tool to assess the quality of healthcare simulation scenarios and will be helpful to instructors wishing to build effective IS, PS and SPs scenarios.</p>","PeriodicalId":47656,"journal":{"name":"Medical Education Online","volume":"30 1","pages":"2486971"},"PeriodicalIF":3.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"CARAvELA - Competency in Anaesthesiology - self-Reported Assessment on European Learning Aims: a national survey.","authors":"Carmen Oliveira, Marta Dias Vaz, Luís Gonçalves, Henrique Gouveia, Andrea Tomassi, Andrea Falegnami, Alessandro Caforio, Alessandro Scudelari, Fátima Lima, Federico Bilotta","doi":"10.1080/10872981.2025.2463483","DOIUrl":"10.1080/10872981.2025.2463483","url":null,"abstract":"<p><strong>Introduction: </strong>Competency-based teaching is the preferred approach for anaesthesia training, however, limited data exists on Portuguese residents' exposure to essential competencies. This study aimed to evaluate their daily exposure to seven selected competencies from the 2022 European Training Requirements (ETR).</p><p><strong>Methods: </strong>A cross-sectional survey was conducted amongst 350 Portuguese anaesthesia residents, throughout a 10 working day period, using a questionnaire with 170 questions. Participants were on either anaesthesia or intensive care unit rotation. Demographic data and scores of exposures to selected competencies were gathered. Statistical analyses included descriptive statistics, comparison of means and a Linear Mixed Model using the restricted maximum likelihood estimation method. The significance threshold was set at <i>p</i> < 0.05.</p><p><strong>Results: </strong>Regarding ETR competency exposure, no statistical differences were found based on gender. Residents reported statistically significant higher levels of exposure to competencies while in anaesthesia rotations, except for lung, cardiac and Point-of Care ultrasound. Apart from ultrasound and academic research activities, the maximum exposure level was attained only during anaesthesia rotations. There was no reported exposure to airway ultrasound in any rotation. Exposure to academic research activities, in a scale from 0 to 5, was on average below one. The average reported values for direct patient communication were the highest. As expected, the fifth-year residents reported overall higher scores. Residents from the North reported lower scores for general anaesthesia maintenance, peripheral regional anaesthesia, airway intubation and ventilation management, but higher scores of exposures to academic research activities.</p><p><strong>Discussion: </strong>Adopting a national logbook, formative regular assessment, supporting the trainers as well as strategies to improve competencies in academic research activities and ultrasound training are recommendations to improve the Portuguese training curricula.</p><p><strong>Conclusion: </strong>Addressing the gaps between expected and monitored competencies contributes to the advancement of anaesthesiology training. The survey drew attention to the ETR among the residents.</p><p><strong>Trial registration: </strong>Not applicable - registered on OSF Registries.</p>","PeriodicalId":47656,"journal":{"name":"Medical Education Online","volume":"30 1","pages":"2463483"},"PeriodicalIF":3.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11809165/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143374787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A cross-sectional study of newly established medical schools in the United States: student body diversity remains an unmet challenge.","authors":"Leen Oyoun Alsoud, Kelsey West, Sara Sorrell, Kathryn M Andolsek, Cynthia Al Hageh, Halah Ibrahim","doi":"10.1080/10872981.2025.2487660","DOIUrl":"10.1080/10872981.2025.2487660","url":null,"abstract":"<p><strong>Introduction: </strong>The number of medical schools in the United States (US) has rapidly increased over the past two decades, but it is unclear if these newer schools better address the needs of a diversifying population. We hypothesized that newer medical schools might be less encumbered by historical processes and power structures and, therefore, more successful in recruiting students more representative of the US population. This study assesses whether medical schools established since 2000 are advancing diversity compared to their predecessors.</p><p><strong>Methods: </strong>Between October 1 and 14 December 2023, a cross-sectional study was conducted of all US allopathic and osteopathic medical schools that achieved accreditation and enrolled students by December 2023. School characteristics and matriculant demographics were collected from publicly available sources, including the 2022-2023 Medical School Admission Requirements website provided by the Association of American Medical Colleges and the American Association of Colleges of Osteopathic Medicine website. Descriptive statistics compared schools established before and after 2000.</p><p><strong>Results: </strong>Sixty new medical schools were identified. Thirty-three (55%) are allopathic and 27 (45%) are osteopathic; 40 (66.7%) are private and 20 (33.3%) are public. Allopathic schools are primarily located in urban areas (21/33; 63.6%); osteopathic schools are in suburban areas (16/27; 59.3%). Mean annual tuition costs are $48,782.82 (standard error (SE) 2201.09) and $56,072.37 (SE: 2120.63) for in-state and out-of-state students, respectively. Out-of-state tuition, matriculant grade point average, and Medical College Admissions Test scores are significantly lower in newly established medical schools. More women entered medical school but the number of underrepresented students by race and ethnicity has not made substantial gains and continues to fail to represent the US population.</p><p><strong>Conclusions: </strong>Geographic maldistribution, high tuition, and lack of student body diversity persist in newly accredited medical schools. Newly established medical schools are perpetuating many existing obstacles to diversifying the US physician workforce.</p>","PeriodicalId":47656,"journal":{"name":"Medical Education Online","volume":"30 1","pages":"2487660"},"PeriodicalIF":3.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11966980/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"When is \"convenient time\" for residents?: a trial of Resident Study Log as asynchronous learning tool for residents.","authors":"Tadayuki Hashimoto, Shoko Ariyoshi, Taira Ariyoshi, Ryosuke Horitani, Mohammad Adrian Hasdianda, Kanapa Kornsawad, Shunsuke Kosugi, Makoto Kikukawa, Tomio Suzuki","doi":"10.1080/10872981.2025.2461579","DOIUrl":"10.1080/10872981.2025.2461579","url":null,"abstract":"<p><strong>Introduction: </strong>The integration of online learning in health professions education has grown rapidly, offering flexibility to learners worldwide. Asynchronous online learning allows residents to engage with educational content at a time convenient for them, accommodating their demanding schedules. This study aims to reveal how residents approach asynchronous online learning during their residency training.</p><p><strong>Methods: </strong>The Resident Study Log, an asynchronous learning tool, was introduced in a teaching hospital in Japan. This tool facilitated residents to share daily reflections on their learning experiences, allowing supervising physicians outside of their regular clinical teams to provide feedback. Posts shared between April 2020 and July 2021 were reviewed. The outcome measured included the frequency and timing of posts as well as residents' satisfaction and perceived burden, which were assessed through anonymous surveys.</p><p><strong>Results: </strong>A total of 31 residents participated during the study period, posting 599 entries on the Resident Study Log, averaging one post per resident every two days. Participants reported an average satisfaction score of 5.3 out of 6.0 (6-point Likert scale, where 1 indicated 'not satisfied at all' and 6 indicated 'very satisfied'), while the perceived burden averaged 4.0 out of 6.0 (6-point Likert scale, where 1 indicated 'not burdensome at all' and 6 indicated 'very burdensome'). Notably, posting activity peaked at around 23:00, with 17.4% of posts created between midnight and 5:00.</p><p><strong>Conclusion: </strong>The Resident Study Log was a simple, low-cost tool, with high satisfaction levels among residents. However, the late-night posting pattern raises concerns about resident well-being and sleep hygiene. As asynchronous learning is increasingly more prevalent, it is crucial to ensure it does not inadvertently impose hidden burdens on learners' overall well-being.</p>","PeriodicalId":47656,"journal":{"name":"Medical Education Online","volume":"30 1","pages":"2461579"},"PeriodicalIF":3.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11789214/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143075866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}