Communication, learning and assessment: Exploring the dimensions of the digital learning environment

Abstract Advances in technology make it possible to supplement in-person teaching activities with digital learning, use electronic records in patient care, and communicate through social media. This relatively new “digital learning environment” has changed how medical trainees learn, participate in patient care, are assessed, and provide feedback. Communication has changed with the use of digital health records, the evolution of interdisciplinary and interprofessional communication, and the emergence of social media. Learning has evolved with the proliferation of online tools such as apps, blogs, podcasts, and wikis, and the formation of virtual communities. Assessment of learners has progressed due to the increasing amounts of data being collected and analyzed. Digital technologies have also enhanced learning in resource-poor environments by making resources and expertise more accessible. While digital technology offers benefits to learners, the teachers, and health care systems, there are concerns regarding the ownership, privacy, safety, and management of patient and learner data. We highlight selected themes in the domains of digital communication, digital learning resources, and digital assessment and close by providing practical recommendations for the integration of digital technology into education, with the aim of maximizing its benefits while reducing risks.

[1]  Adam Cooper,et al.  Produced by Cetis for Jisc Analytics Series Definition and Essential Characteristics What Is Analytics? Definition and Essential Characteristics , 2022 .

[2]  C. Laine,et al.  Firearm Injury Prevention: AFFIRMing That Doctors Are in Our Lane , 2018, Annals of Internal Medicine.

[3]  T. Chan,et al.  Point‐of‐care Resource Use in the Emergency Department: A Developmental Model , 2018, AEM education and training.

[4]  L. Sonnenberg,et al.  Electronic portfolios for assessment in your postgraduate medical education program: essential questions to ask when selecting a platform for competency-based medical education (CBME) , 2017 .

[5]  A. Wise,et al.  Learning Analytics in Medical Education Assessment: The Past, the Present, and the Future , 2018, AEM education and training.

[6]  Kambria H. Evans,et al.  Smarter hospital communication: Secure smartphone text messaging improves provider satisfaction and perception of efficacy, workflow , 2014, Journal of hospital medicine.

[7]  Joseph M. Galante,et al.  Text messaging among residents and faculty in a university general surgery residency program: prevalence, purpose, and patient care. , 2013, Journal of surgical education.

[8]  Teresa M. Chan,et al.  Educational Scholarship in the Digital Age: A Scoping Review and Analysis of Scholarly Products , 2014 .

[9]  E. Coiera Four rules for the reinvention of health care , 2004, BMJ : British Medical Journal.

[10]  T. Mccarthy,et al.  The Use of WhatsApp Smartphone Messaging Improves Communication Efficiency within an Orthopaedic Surgery Team , 2017, Cureus.

[11]  Brent Thoma,et al.  Quality indicators for blogs and podcasts used in medical education: modified Delphi consensus recommendations by an international cohort of health professions educators , 2015, Postgraduate Medical Journal.

[12]  S. Syed,et al.  CanadiEM: Accessing a Virtual Community of Practice to Create a Canadian National Medical Education Institution , 2018, AEM education and training.

[13]  Marc Berg,et al.  The contextual nature of medical information , 1999, Int. J. Medical Informatics.

[14]  Saima I. Chaudhry,et al.  Resident dashboards: helping your clinical competency committee visualize trainees’ key performance indicators , 2016, Medical education online.

[15]  Scott Reeves,et al.  An Evaluation of the Use of Smartphones to Communicate Between Clinicians: A Mixed-Methods Study , 2011, Journal of medical Internet research.

[16]  Brent Thoma,et al.  Implementing peer review at an emergency medicine blog: bridging the gap between educators and clinical experts. , 2015, CJEM.

[17]  S. Chapman,et al.  WhatsApp with patient data transmitted via instant messaging? , 2016, American journal of surgery.

[18]  Steven J. Durning,et al.  Interventions Designed to Improve the Learning Environment in the Health Professions: A Scoping Review , 2018, MedEdPublish.

[19]  A. Darzi,et al.  Smartphones let surgeons know WhatsApp: an analysis of communication in emergency surgical teams. , 2015, American Journal of Surgery.

[20]  David N. Ranney,et al.  Resident Workload, Pager Communications, and Quality of Care , 2010, World Journal of Surgery.

[21]  Mike D Cadogan,et al.  Free Open Access Meducation (FOAM): the rise of emergency medicine and critical care blogs and podcasts (2002–2013) , 2014, Emergency Medicine Journal.

[22]  Abdul Rashid,et al.  The m-Health revolution: Exploring perceived benefits of WhatsApp use in clinical practice , 2017, Int. J. Medical Informatics.

[23]  Jonathan Sherbino,et al.  The use of free online educational resources by Canadian emergency medicine residents and program directors. , 2015, CJEM.

[24]  Jennifer M. Ragsdale,et al.  Cell phones during nonwork time: A source of job demands and resources , 2016, Comput. Hum. Behav..

[25]  D. Cohen Back to blame: the Bawa-Garba case and the patient safety agenda , 2017, British Medical Journal.

[26]  R. Duvivier,et al.  2018 Consensus framework for good assessment , 2018, Medical teacher.

[27]  M. Furukawa,et al.  Clinical benefits of electronic health record use: national findings. , 2014, Health services research.

[28]  M. Cox,et al.  Free Open Access Medical Education resource knowledge and utilisation amongst Emergency Medicine trainees: A survey in four countries , 2015, African journal of emergency medicine : Revue africaine de la medecine d'urgence.

[29]  Sara Rosenbaum,et al.  Data governance and stewardship: designing data stewardship entities and advancing data access. , 2010, Health services research.

[30]  Michael Gottlieb,et al.  Applying Design Thinking Principles to Curricular Development in Medical Education , 2017, AEM education and training.

[31]  Daniela P Ladner,et al.  The role of technology in clinician-to-clinician communication , 2013, BMJ quality & safety.

[32]  Robert Stuntz,et al.  An Evaluation of Emergency Medicine Core Content Covered by Free Open Access Medical Education Resources. , 2016, Annals of emergency medicine.

[33]  Yianna Vovides,et al.  E-learning in medical education in resource constrained low- and middle-income countries , 2013, Human Resources for Health.

[34]  C. V. D. van der Vleuten,et al.  Programmatic assessment: From assessment of learning to assessment for learning , 2011, Medical teacher.

[35]  J. Frank,et al.  Core principles of assessment in competency-based medical education , 2017, Medical teacher.

[36]  Vineet M Arora,et al.  Resident Use of Text Messaging for Patient Care: Ease of Use or Breach of Privacy? , 2015, JMIR medical informatics.

[37]  D. Morra,et al.  Beyond Paging: Building a Web-based Communication Tool for Nurses and Physicians , 2008, Journal of General Internal Medicine.

[38]  C. Dyer,et al.  How should doctors use e-portfolios in the wake of the Bawa-Garba case? , 2018, British Medical Journal.

[39]  P. Brennan,et al.  Challenging hierarchy in healthcare teams - ways to flatten gradients to improve teamwork and patient care. , 2017, The British journal of oral & maxillofacial surgery.

[40]  Orrin I. Franko,et al.  Smartphone App Use Among Medical Providers in ACGME Training Programs , 2012, Journal of Medical Systems.

[41]  Roger L. Brown,et al.  Joy In Medical Practice: Clinician Satisfaction In The Healthy Work Place Trial. , 2017, Health affairs.

[42]  Marius Fieschi,et al.  Virtual biomedical universities and e-learning , 2007, Int. J. Medical Informatics.

[43]  Rikesh K. Patel,et al.  A UK perspective on smartphone use amongst doctors within the surgical profession , 2015, Annals of medicine and surgery.

[44]  L. Lingard,et al.  Enhanced Requirements for Assessment in a Competency-Based, Time-Variable Medical Education System , 2018, Academic medicine : journal of the Association of American Medical Colleges.

[45]  C. Vleuten Programmatic assessment: From assessment of learning to assessment for learning , 2011 .

[46]  Karen E Hauer,et al.  Twelve tips to promote successful development of a learner performance dashboard within a medical education program , 2017, Medical teacher.

[47]  Janice Palaganas,et al.  Establishing a Virtual Community of Practice in Simulation: The Value of Social Media , 2018, Simulation in healthcare : journal of the Society for Simulation in Healthcare.

[48]  R. Katz-Sidlow,et al.  Smartphone use during inpatient attending rounds: prevalence, patterns and potential for distraction. , 2012, Journal of hospital medicine.

[49]  Brent Thoma,et al.  Coached Peer Review: Developing the Next Generation of Authors. , 2017, Academic medicine : journal of the Association of American Medical Colleges.

[50]  Brent Thoma,et al.  Emergency Medicine and Critical Care Blogs and Podcasts: Establishing an International Consensus on Quality. , 2015, Annals of emergency medicine.

[51]  J. Gilhooly,et al.  Improvement in Context: Exploring Aims, Improvement Priorities, and Environmental Considerations in a National Sample of Programs Using "Small Data". , 2017, Journal of graduate medical education.

[52]  Brent Thoma,et al.  Creating, curating, and sharing online faculty development resources: the medical education in cases series experience. , 2015, Academic medicine : journal of the Association of American Medical Colleges.

[53]  Vineet M Arora,et al.  Harnessing the Power of Big Data to Improve Graduate Medical Education: Big Idea or Bust? , 2018, Academic medicine : journal of the Association of American Medical Colleges.

[54]  T. Chan,et al.  Accelerating Knowledge Translation: Reflections From the Online ALiEM-Annals Global Emergency Medicine Journal Club Experience. , 2017, Annals of emergency medicine.

[55]  M. A. Faria,et al.  Firearm Injury Prevention , 2023, Annals of Internal Medicine.

[56]  J. McKimm,et al.  Interprofessional learning experiences: Exploring the perception and attitudes of Saudi Arabian medical and dental students , 2018, Medical teacher.