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      Evaluation of the first year of the Oxpal Medlink: A web-based partnership designed to address specific challenges facing medical education in the occupied Palestinian territories

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          Abstract

          Objectives

          To (1) evaluate educational needs of clinical students at Al-Quds University Medical School in the West Bank; (2) address these needs where possible using synchronous distance learning, with clinicians in Oxford providing case-based tutorials to undergraduates in the West Bank via an online platform (WizIQ) and (3) assess the impact of this education.

          Design

          Review of online OxPal Medlink database for tutorials held between March 2012 and April 2013. Needs assessment and evaluation of student and tutor experiences through online questionnaires, focus groups and semi-structured interviews.

          Setting

          Oxford University Hospitals, Oxford, UK, and Al-Quds University Medical School, Abu Dies, Palestine.

          Participants

          Doctors at Oxford University Hospitals and fourth-, fifth- and sixth-year medical students and faculty members at Al-Quds Medical School.

          Main outcome measures

          Number of tutorials, student participation, student-rated satisfaction and qualitative feedback from tutors and students.

          Results

          Students demonstrated strong theoretical knowledge but struggled to apply this in presentation-based scenarios. Between March 2012 and April 2013, 90 tutorials were delivered to 60 students. Feedback: >95% respondents rated tutorials as ‘Excellent’ or ‘Good’ and ‘Very’ or ‘Fairly’ relevant to their future practice in Palestine. Students reported the programme had modified their approach to patients but requested better synchronization with concurrent attachments and clarification of learning outcomes.

          Conclusions

          OxPal Medlink is a novel, web-based distance-learning partnership designed to overcome some of the challenges to local medical education in the occupied Palestinian territories. Evaluation of the first year indicates teaching is relevant to local practice and of high quality. This approach may have the potential to strengthen local capacity for medical education.

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          Most cited references12

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          Education of health professionals for the 21st century: a global independent Commission.

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            Script concordance testing: from theory to practice: AMEE guide no. 75.

            The script concordance test (SCT) is used in health professions education to assess a specific facet of clinical reasoning competence: the ability to interpret medical information under conditions of uncertainty. Grounded in established theoretical models of knowledge organization and clinical reasoning, the SCT has three key design features: (1) respondents are faced with ill-defined clinical situations and must choose between several realistic options; (2) the response format reflects the way information is processed in challenging problem-solving situations; and (3) scoring takes into account the variability of responses of experts to clinical situations. SCT scores are meant to reflect how closely respondents' ability to interpret clinical data compares with that of experienced clinicians in a given knowledge domain. A substantial body of research supports the SCT's construct validity, reliability, and feasibility across a variety of health science disciplines, and across the spectrum of health professions education from pre-clinical training to continuing professional development. In practice, its performance as an assessment tool depends on careful item development and diligent panel selection. This guide, intended as a primer for the uninitiated in SCT, will cover the basic tenets, theoretical underpinnings, and construction principles governing script concordance testing.
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              A new epoch for health professionals' education.

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                Author and article information

                Journal
                JRSM Open
                JRSM Open
                SHR
                spshr
                JRSM Open
                SAGE Publications (Sage UK: London, England )
                2054-2704
                3 February 2014
                February 2014
                : 5
                : 2
                : 2042533313517692
                Affiliations
                [1 ]Medical Sciences Division, University of Oxford, Oxford OX2 6HG, UK
                [2 ]Oxford University Clinical Academic Graduate School, Oxford OX3 9DU, UK
                [3 ]Senior Medical Registrar, Oxford Deanery, Oxford OX3 9DU, UK
                [4 ]Department of Upper GI Surgery, Oxford University Hospitals, Oxford OX3 7LE, UK
                [5 ]Nuffield Department of Surgical Sciences, Oxford OX3 9DU, UK
                [6 ]Department of Cardiovascular Medicine, University of Oxford, Oxford OX2 6HG, UK
                [7 ]Director of MedicineAfrica, Oxford OX4 1JE, UK
                [8 ]Fulbright Scholar, Harvard School of Public Health, Boston, MA 02115, USA
                Author notes
                [*]Rose Penfold. Email: rose.penfold@ 123456gtc.ox.ac.uk
                Article
                10.1177_2042533313517692
                10.1177/2042533313517692
                4012652
                25057373
                a276d504-2640-4133-9e81-4c1abab233c1
                © The Author(s) 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav

                This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 3.0 License ( http://www.creativecommons.org/licenses/by-nc/3.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page( http://www.uk.sagepub.com/aboutus/openaccess.htm).

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                distance learning,education,internet,teaching
                distance learning, education, internet, teaching

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