Assessing the feasibility and outcomes of asynchronous and synchronous learning in nuclear medicine for medical students

Document Type : Original Article

Authors

1 Department of Internal Medicine, Faculty of Medicine, Chulalongkorn University, Pathum Wan, Bangkok, Thailand

2 Chulalongkorn University International Doctor of Medicine Program (CU-MEDi), Division of Academic Affairs, Faculty of Medicine, Chulalongkorn University, Pathum Wan, Bangkok, Thailand

3 Nuclear Medicine Unit, Department of Radiology, King Chulalongkorn Memorial Hospital, Pathum Wan, Bangkok, Thailand

Abstract

Introduction: Although both asynchronous and synchronous online learning have gained significant popularity in medical education, there have only been a few studies comparing the effectiveness of these two modalities.
Methods: We compared the exam scores, the proportions of students who scored below the minimal passing levels, and the satisfaction levels of medical students who attended asynchronous online nuclear medicine courses to those who attended synchronous ones.
Results: The asynchronous and the synchronous classes were attended by 241 and 268 students, respectively. The median score of the asynchronous class (Median=16, IQR=3) was not significantly different (p=0.859) from that of the synchronous class (Median=15, IQR=3). the percentage of students who scored below the minimum passing level in the asynchronous class (5.60%) was significantly higher (p=0.033) than that of the synchronous class (1.66%). Only 55 students from the asynchronous class (22.8%), and 12 students from the synchronous class (4.48%) returned the satisfaction questionnaires. From the available responses, we did not find significant difference between the satisfaction levels of the two classes. 
Conclusion: We found no significant difference in exam scores and satisfaction levels between asynchronous and synchronous online nuclear medicine courses for medical students. However, the asynchronous class had a higher proportion of students scoring below passing levels, which could imply caution needed when implementing online asynchronous teaching methods.

Keywords

Main Subjects


  1. Gnanasegaran G, Paez D, Sathekge M, Giammarile F, Fanti S, Chiti A, Bom H, Vinjamuri S, Pascual TN, Bomanji J. Coronavirus (COVID-19) pandemic mediated changing trends in nuclear medicine education and training: time to change and scintillate. Eur J Nucl Med Mol Imaging. 2022 Jan;49(2):427-35.
  2. Kositanurit W, Vivatvakin S, Kaikaew K, Varachotisate P, Burana C, Chayanupatkul M, Thanprasertsuk S, Wangsaturaka D, Kulaputana O. Asynchronous online lecture may not be an effective method in teaching cardiovascular physiology during the COVID-19 pandemic. BMC Med Educ. 2022 Mar 9;22(1):162.
  3. Jordan J, Jalali A, Clarke S, Dyne P, Spector T, Coates W. Asynchronous vs didactic education: it's too early to throw in the towel on tradition. BMC Med Educ. 2013 Aug 8;13:105.
  4. Creagh S, Pigg N, Gordillo C, Banks J. Virtual medical student radiology clerkships during the COVID-19 pandemic: Distancing is not a barrier. Clin Imaging. 2021 Dec;80:420-3.
  5. Musick A, Malhotra D, French R, Carrico C, Martin J. Return to the reading room: implementation of a hybrid radiology Clerkship Model after emergent conversion to remote learning in the COVID-19 pandemic. Acad Radiol. 2023 Aug;30(8):1738-45.
  6. Chakladar J, Diomino A, Li WT, Tsai JC, Krishnan AR, Zou AE, Kharidia K, Baig FA, Householder S, Kuo SZ, Chandrasekar S, Chang EY, Ongkeko WM. Medical student's perception of the COVID-19 pandemic effect on their education and well-being: a cross-sectional survey in the United States. BMC Med Educ. 2022 Mar 5;22(1):149.
  7. Fernandez CJ, Ramesh R, Manivannan ASR. Synchronous learning and asynchronous learning during COVID-19 pandemic: a case study in India. Asian Assoc Open Univ J. 2022 Jun;17(1):1-14.
  8. Zaidi SJA, Kazmi S, Shahid Shamim M. Ways of engaging students through zoom and avoiding zoom fatigue. Pak J Public Health. 2022 Apr;11(4):211–3.
  9. Alzahrani HA, Shati AA, Bawahab MA, Alamri AA, Hassan B, Patel AA, Ahmad MT, El Maksoud WA, Alsaleem MA. Students' perception of asynchronous versus synchronous distance learning during COVID-19 pandemic in a medical college, southwestern region of Saudi Arabia. BMC Med Educ. 2023 Jan 23;23(1):53.
  10. Alamer A, Alharbi F. Synchronous distance teaching of radiology clerkship promotes medical students' learning and engagement. Insights Imaging. 2021 Mar 25;12(1):41.
  11. Rosner B. Fundamentals of biostatistics. 5th ed. Pacific Grove (CA): Duxbury; 2000.
  12. Taylor CA. Development of a modified Cohen method of standard setting. Med Teach. 2011;33(12):e678-82.
  13. Regmi K, Jones L. A systematic review of the factors - enablers and barriers - affecting e-learning in health sciences education. BMC Med Educ. 2020 Mar 30;20(1):91. 
  14. Vaughan S, Sanders T, Crossley N, O'Neill P, Wass V. Bridging the gap: the roles of social capital and ethnicity in medical student achievement. Med Educ. 2015 Jan;49(1):114-23.
  15. Dash NR, Guraya SY, Al Bataineh MT, Abdalla ME, Yusoff MSB, Al-Qahtani MF, van Mook WNKA, Shafi MS, Almaramhy HH, Mukhtar WNO. Preferred teaching styles of medical faculty: an international multi-center study. BMC Med Educ. 2020 Nov 30;20(1):480.
  16. Assadi, M. Creation the fully integrated and flourishing assessment challenge award: Integration is the key. Iran J Nucl Med. 2020;28(2):1-3.