{"id":40334,"date":"2017-10-10T12:03:44","date_gmt":"2017-10-10T11:03:44","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=40334"},"modified":"2017-10-14T09:05:53","modified_gmt":"2017-10-14T08:05:53","slug":"kieran-walsh-class-war-e-learning","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2017\/10\/10\/kieran-walsh-class-war-e-learning\/","title":{"rendered":"Kieran Walsh: Class war\u2014e-learning"},"content":{"rendered":"

\"\"<\/a>In the early days of e-learning there was great enthusiasm, but little evidence of effectiveness. The enthusiasts said that they couldn\u2019t wait for evidence and so went ahead anyway. When evidence did start to emerge, it seemed to suggest that e-learning offered similar outcomes as traditional methods of medical education\u2014which was a good and solid result. [1]<\/span><\/p>\n

But the enthusiasts weren\u2019t satisfied. They said that the evidence was based on early forms of e-learning and the technology had already moved on. E-learning was now about massive open online courses and flipped classrooms and all-singing all-dancing online resources. Advocates of evidence based education then split into those who wanted to evaluate these new forms of e-learning and those who said enough is enough\u2014e-learning is like any other form of learning\u2014except that it is online.<\/span><\/p>\n

In the meantime, another group emerged that was interested in looking at e-learning from the point of view of convenience, choice, and cost effectiveness. At BMJ Learning we have always been most interested in these outcomes and also in how e-learning might be able to help medical learners, and in what subjects and contexts it might work best. We have also been interested in barriers to e-learning and how best to overcome these barriers.<\/span><\/p>\n

Kohan et al have recently published a clever study on barriers to e-learning among medical learners. [2] They found a number of barriers. These included information overload\u2014which is not surprising considering the amount of information that is now available over the internet. They found that some students were ambiguous about their role and were uncertain of exactly how to act in virtual learning environments. The learners had to communicate as part of their online learning course but often had inadequate writing skills and this prevented them from communicating as they wished to\u2014with both their tutors and their peers. Some of the students found that the workload from their online learning was heavy and that they simply didn\u2019t have enough time to complete their online coursework. \u00a0<\/span><\/p>\n

But what interested me most was not the barriers that they found but rather the barriers that they didn\u2019t find. Technological barriers were not a predominant theme. By contrast, nearly ten years ago we did a study of barriers to e-learning and found mainly technological barriers. [3]<\/span><\/p>\n

So what has happened over the ten years? It is likely that e-learning has gone mainstream and is seen by learners as just like any other form of learning. So there must be a lesson for providers of e-learning in the 2017 paper\u2014which is that e-learners are no different from other types of learners. And that they need short bite sized chunks of learning to help them overcome information overload. This fits with the feedback that we get at BMJ Learning and with the types of resources that we are trying to provide. \u00a0<\/span><\/p>\n

There is also a lesson for employers\u2014that healthcare professionals need protected time to do their e-learning just as they need protected time for their other learning activities. How long will it be until healthcare professionals will be able to claim study leave to do e-learning? <\/span>
\n<\/span><\/p>\n

Kieran Walsh<\/strong>\u00a0is clinical director of BMJ Learning and BMJ Best Practice. He is responsible for the editorial quality of both products. He has worked in the past as a hospital doctor\u2014specialising in care of the elderly medicine and neurology.<\/em><\/p>\n

Competing interests:\u00a0<\/strong>Kieran Walsh works for BMJ, which produces the online clinical decision support tool BMJ Best Practice.<\/em><\/p>\n

References:<\/b><\/p>\n

    \n
  1. Cook DA, Triola MM. What is the role of e<\/span>\u2010<\/span>learning? Looking past the hype. Medical education. 2014 Sep 1;48(9):930-7.<\/span><\/li>\n
  2. Kohan N<\/span><\/a>,\u00a0<\/span>Soltani Arabshahi K<\/span><\/a>,\u00a0<\/span>Mojtahedzadeh R<\/span><\/a>,\u00a0<\/span>Abbaszadeh A<\/span><\/a>,\u00a0<\/span>Rakhshani T<\/span><\/a>,\u00a0<\/span>Emami A\u00a0<\/span><\/a>Self-\u00a0directed\u00a0learning\u00a0barriers\u00a0in a\u00a0virtual\u00a0environment: a\u00a0qualitative\u00a0study. J Adv Med Educ Prof.<\/a>\u00a02017 Jul;5(3):116-123.<\/span><\/li>\n
  3. Walsh K. Barriers to online learning \u2013 the BMJ Learning experience. Focus on Health Profession education: a multidisciplinary journal, Vol. 10, No. 1, 2008, pp77-78. <\/span><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

    In the early days of e-learning there was great enthusiasm, but little evidence of effectiveness. The enthusiasts said that they couldn\u2019t wait for evidence and so went ahead anyway. When […]<\/p>\n

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