HomeHealth Sciences Journalvol. 13 no. 1 (2024)

Student performance in year 1 undergraduate medical education during traditional, emergency online, online and HyFlex teaching strategy: a single center study

Maria Milagros U. Magat | Agnes A. Alba | Maria Lilia Reyes | Melissa Calilao | Vinna Marie Tenorio-Quiñones | Malou Sta. Ana

Discipline: Medicine

 

Abstract:

Background The global pandemic caused by COVID-19, the subsequent improvement in health situation caused by anti- COVID-19 vaccination and the developments in digital technology prompted changes in undergraduate medical education as to content delivery and assessment. This study determined the difference in the performance of first year medical students in traditional face-to face, online and Hyflex teaching strategy. Methods A non-concurrent cohort study was done to determine the performance of students in three annual subjects in Year 1 undergraduate medical education for school years 2018 to 2023. One-way ANOVA at p=0.001 determined significance of differences of variables. Results There was no difference in the profile of students as to their sex, pre-medicine course and scores in the National Medical Admission Test (NMAT). The performance in the written examinations in Anatomy and Physiology showed significant difference (p=0.001) when the conduct of examinations was shifted online on an emergency basis. There was no difference (p=0.001) in performance in the laboratory conference sessions in Physiology, as compared to the focused group discussion sessions in Biochemistry and practical examinations in Anatomy. Conclusion Significant difference in the performance of first year medical students was observed only during the emergency shift to online examinations, otherwise the performance was similar in traditional face-to face, online and Hyflex teaching strategy.



References:

  1. Stoehr F, Müller L, Brady A, Trilla A, Mähringer-Kunz A, Hahn F, et al. How COVID-19 kick-started online learning in medical education-The DigiMed study. PLoS One 2021 Sep 21;16(9). doi: 10.1371/journal.pone.0257394.
  2. Milone AS, Cortese AM, Balestrieri RL, Pittenger AL. The impact of proctored online exams on the educational experience. Curr Pharm Teach Learn 2017;9(1):108-14.
  3. Comas-Forgas R, Lancaster T, Calvo-Sastre A, et al. Exam cheating and academic integrity breaches during the COVID-19 pandemic: An analysis of internet search activity in Spain. Heliyon 2021;7. doi: 10.1016/j. heliyon.2021.e08233.
  4. Elshama SS. How to use and apply assessment tools in medical education? Iberoam J Med 2020;4:351-9.
  5. Khan AM, Patra S, Gupta P, Sharma AK, Jain AKJ. Rapid transition to online teaching program during COVID-19 lockdown: Experience from a medical college of India. Educ Health Promot 2021 Mar 31;10:99. doi: 10.4103/ jehp.jehp_606_20. eCollection 2021.
  6. Akram H, Yingxiu Y, Al-Adwan AS, Alkhalifah A. Technology integration in higher education during COVID-19: an assessment of online teaching competencies through technological pedagogical content knowledge model. Front Psychol 2021 Aug 26;12:736522. doi: 10.3389/fpsyg.2021.736522. Epub 2021 Aug 26.
  7. Albalushi H, Al Mushaiqri M, Sirasanagandla SR, Das S. Students’ performance in face-to-face, online, and hybrid methods of teaching and assessment in anatomy. Int J Environ Res Public Health 2022 Oct;19(20):13318. Published online 2022 Oct 15. doi: 10.3390/ijerph192013318.
  8. Memon I, Feroz Z, Alkushi A, Qamar N, Ismail F. Switching from face-to-face to an online teaching strategy: how anatomy and physiology teaching transformed postCOVID-19 for a university preprofessional program. Adv Physiol Educ 2021 Sep 1;45(3):606-11. doi: 10.1152/ advan.00033.2021.
  9. Liu XY, Lu C, Zhu H, Wang X, Jia S, Zhang Y, et al. Assessment of the effectiveness of BOPPPS-based hybrid teaching model in physiology education. BMC Med Educ 2022;22:217.
  10. Guo J, Li L, Bu H, Feng M, Yang Y, Zhang Y, et al. Effect of hybrid teaching incorporating problem-based learning on student performance in pathophysiology. J Int Med Res 2020;48:300060520949402. Erratum in: J Int Med Res 2021;49:3000605211017393.
  11. Siddiquei MI, Kathpal S. Challenges of online teaching during COVID-19: An exploratory factor analysis. Hum Behav Emerg Technol 2021;5:811-822.15 .
  12. Al-Maskari A, Al-Riyami T, Kunjumuhammed SK. Students’ academic and social concerns during COVID-19 pandemic. Educ Inf Technol (Dordr) 2022;27(1):1-21. doi: 10.1007/s10639-021-10592-2. Epub 2021 Jun 30.
  13. Elsalem L, Al-Azzam N, Jum’ah AA, Obeidat N. Remote E-exams during COVID-19 pandemic: A cross-sectional study of students’ preferences and academic dishonesty in faculties of medical sciences. Ann Med Surg (Lond) 2021 Feb;62:326-333. doi: 10.1016/j.amsu.2021.01.054.
  14. Totlis T, Tishukov M, Piagkou M, Kostares M, Natsis K. Online educational methods vs. traditional teaching of anatomy during the COVID-19 pandemic. Anat Cell Biol 2021 Sep 30;54(3):332-9. doi: 10.5115/acb.21.006.
  15. Pei L, Wu H. Does online learning work better than offline learning in undergraduate medical education? A systematic review and meta-analysis. Med Educ Online 2019;24:1666538.
  16. He L, Yang N, Xu L, Ping F, Li W, Sun Q, et al. Synchronous distance education vs traditional education for health science students: A systematic review and metaanalysis. Med Educ 2020;54(12):1161-1171. doi: 10.1111/ medu.14364.
  17. Chang M, Cuyegkeng A, Breuer JA, et al. Medical student exam performance and perceptions of a COVID-19 pandemic-appropriate pre-clerkship medical physiology and pathophysiology curriculum. BMC Med Educ 2022 Dec 2;22(1):833. doi: 10.1186/s12909-022-03907-5.
  18. Ayoubieh H, Alkhalili E, Nino D, Coue M, Herber-Valdez C, Pfarr CM. Analysis of Pre-clerkship Medical Students’ Perceptions and Performance During the COVID-19 Pandemic. Med Sci Educ 2023 Jan 9;33(1):147-56. doi: 10.1007/s40670-022-01723-6.
  19. Bloxham S, den-Outer B, Hudson J, Price M. Let’s stop the pretence of consistent marking: exploring the multiple limitations of assessment criteria. Assess Eval High Educ 2016;41(3):466-81.
  20. Rinne I. Same grade for different reasons, different grades for the same reason? Assess Eval High Educ 2024;49(2):220-232. Published online Apr 27, 2023. doi: 10.1080/02602938.2023.2203883.
  21. Medland E. Assessment in higher education: drivers, barriers and directions for change in the UK. Assess Eval High Educ. 2016;41(1):81-96. Published online Nov 21, 2014. doi: 10.1080/02602938.2014.982072.
  22. Liao L. Dancing with explicit criteria or marginalising them: the complexity of grading student work and the reconstruction of the meaning of criterion-referenced assessment. Teach High Educ 2022 Sep 6. doi: 10.1080/13562517.2022.2119076.
  23. Chan Z, Ho S. Good and bad practices in rubrics: the perspectives of students and educators. Assess Eval High Educ 2019;44(4):533-45. doi: 10.1080/02602938.2018.1522528. 24. Ajjawi R, et al. ‘From authentic assessment to authenticity in assessment: broadening perspectives. Assessment & Evaluation in Higher Education 2023; 49(4): 499–510. doi: 10.1080/02602938.2023.2271193.
  24. Fischer J, Blomberg G, Deane T, Winberg S. How does assessment drive learning? A focus on students’ development of evaluative judgement. Assess Eval High Educ 2023 May 4. doi: 10.1080/02602938.2023.2206986. Student Performance in Year 1 Undergraduate Medical Education During Traditional, Emergency Online, Online and HyFlex Teaching Strategy 54
  25. Shek DTL, Zhu X, Li X, Dou D. Satisfaction with HyFlex teaching and law-abiding leadership education in Hong Kong University students under COVID-19. Appl Res Qual Life 2022; 17: 2833-58.
  26. Mortagy M, Abdelhameed A, Sexton P, Olken M, Hegazy MT, Gawad MA, Senna F, Mahmoud IA, Shah J. Egyptian Medical Education Collaborative Group (EGY MedEd); Aiash H. Online medical education in Egypt during the COVID-19 pandemic: a nationwide assessment of medical students’ usage and perceptions. BMC Med Educ 2022 Mar 30;22(1):218. doi: 10.1186/s12909-022-03249-2.
  27. Kakeshita T. Improved HyFlex course design utilizing live online and on-demand courses. In: Csapo B, Uhomoibhi J, editors. Proceedings of the 13th International Conference on Computer Supported Education (CSEDU); 2021 Apr 23-25; Online Streaming. Setúbal, Portugal: SciTePress 2021; 2: 104-13.
  28. Hanafy SM, Jumaa MI, Arafa MA. A comparative study of online learning in response to the coronavirus disease 2019 pandemic versus conventional learning. Saudi Med J 2021; 42: 324-31.
  29. Arias JJ, Swinton J, Anderson K. Online vs. face-to-face: A comparison of student outcomes with random assignment. E J Bus Educ Scholarsh Teach 2018;12:1-23.33.
  30. Miller J, Risser M, Griffiths R. Student choice, instructor flexibility: moving beyond the blended instructional model. Issues Trends Educ Technol 2013;1:8-24. doi: 10.2458/ azu_itet_v1i1_16464.
  31. Bergwerk M, Gonen T, Lustig Y, Amit S, Lipsitch M, Cohen C, et al. Resurgence of SARS-CoV-2 infection in a highly vaccinated health system workforce. N Engl J Med 2021;385:1330-2. doi: 10.1056/NEJMc2112981.
  32. Philstar.com. SWS: 78% of Filipinos still worried about getting COVID-19. Philstar.com. March 20, 2023. Available from: https://www.philstar.com/headlines/2023/03/20/2253124/sws-78-filipinos-stillworried-about-getting-covid-19.  
  33. Department of Education (DepEd). On class suspensions and shifting to ADM due to high heat index, other calamities. [Internet] DepEd; 2024 April 4 [cited 2024 June 11]. Available from: https://www.deped.gov.ph/2024/04/04/on-class-suspensions-and-shifting-toadm-due-to-high-heat-index-other-calamities
  34. Philippine Information Agency (PIA). Metro Manila schools resort to online classes amid nationwide transport strike. [Internet] Manila: PIA; 2023 Mar 6 [cited 2024 Jun 11]. Available from: https://pia.gov.ph/news/2023/03/06/metro-manila-schools-resort-to-online-classes-amidnationwide-transport-strike.
  35. Abualadas HM, Xu L. Achievement of learning outcomes in non-traditional (online) versus traditional (face-to-face) anatomy teaching in medical schools: A mixed method systematic review. Clin Anat 2023 Jan;36(1):50-76. doi: 10.1002/ca.23942. Epub 2022 Aug 25.