Curriculum Development with the Implementation of an Open-Source Learning Management System for Training Early Clinical Students: An Educational Design Research Study

Abstract

Background: Learning management systems (LMSs) have not been explored from an educational design research (EDR) perspective for developing clinical curricula and supporting novice clinical students with self-regulated learning during their early clinical rotations. Methods: An EDR approach was used to inform a de novo implementation of an LMS during an early clinical rotation of medical students. The EDR consisted of three phases: analysis and exploration; design and construction; and evaluation and reflection. Process and evaluation data (including academic years 2018 and 2019) from two student cohorts (total n = 190, 107 without and 83 with LMS exposure) at one academic teaching hospital were analyzed. Results: Learning theories and concepts of self-regulated learning were used to develop and implement an LMS clerkship prototype. For design and construction, the maturing prototype design included flipped-classroom elements, in-class activation, voluntary digital selfassessments, and clinical teaching videos. For evaluation and reflection, global satisfaction improvement was significant (from 3.9 to 4.4 on a 5-point Likert scale, p < 0.05). There was a positive evaluation trend for all evaluation items related to learning climate, self-regulated learning, and perceived usefulness of the LMS prototype; however, these changes were not statistically significant. The teaching hospital also improved its ranking after the introduction of the LMS prototype. Nearly all students (94%) used the LMS material. The average number of times the LMS course was accessed per student was 70 (range: 7-172), and the average duration students spent online was 58 minutes (range: 9-165). Conclusion:Our data indicate that using an EDR approach was helpful for systematically introducing an LMS in a clerkship curriculum informed by learning theory. Our evidenceoriented curriculum reform was associated with higher student satisfaction and appeared to support self-regulated learning in the workplace. Further research should explore which elements of an LMS most effectively help to achieve educational outcomes.

The Design of Student Training System of Ethnic Minorities in Jiangxi Universities Based on Big Data

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“…With the continuous globalization of economy, driven by the rapid development of science and technology and the trend of information networking, culture has begun to go out of the original closed area and expand to the world [1][2]. Culture is developing in the direction of diversification, which has become an inevitable trend and an objective fact [3][4].…”

Suggestions for Improving the Assessment of a Learning Management System Used for Clinical Curriculum Development [Letter]

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Pinilla et al explore the use of Educational Design Research to develop a Learning Management System (LMS), an online platform for self-regulated learning activities and clinical curriculum mapping. 1 As fifth year medical students in the UK, we see the importance of online platforms to provide a structured and comprehensive learning experience. The work of Pinilla et al is of particular relevance in the context of the COVID-19 pandemic, where ward-based clinical learning has been limited, resulting in a greater reliance on online teaching modalities.

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