Abstract

BackgroundTraditional learning in medical education has been transformed with the advent of information technology. We have recently seen global initiatives to produce online activities in an effort to scale up learning opportunities through learning management systems and massive open online courses for both undergraduate and continued professional education. Despite the positive impact of such efforts, factors such as cost, time, resources, and the specificity of educational contexts restrict the design and exchange of online medical educational activities.ObjectiveThe goal is to address the stated issues within the health professions education context while promoting learning by proposing the Online Learning Activities for Medical Education (OLAmeD) concept which builds on unified competency frameworks and generic technical standards for education.MethodsWe outline how frameworks used to describe a set of competencies for a specific topic in medical education across medical schools in the United States and Europe can be compared to identify commonalities that could result in a unified set of competencies representing both contexts adequately. Further, we examine how technical standards could be used to allow standardization, seamless sharing, and reusability of educational content.ResultsThe entire process of developing and sharing OLAmeD is structured and presented in a set of steps using as example Urology as a part of clinical surgery specialization.ConclusionsBeyond supporting the development, sharing, and repurposing of educational content, we expect OLAmeD to work as a tool that promotes learning and sets a base for a community of medical educational content developers across different educational contexts.

Highlights

  • The interest in Massive Open Online Courses (MOOCs) has created a context in which higher education institutions are re-evaluating their online learning provision

  • For MOOCs based on a content delivery model, openness is important because it brings with it the possibility of large numbers of learners following a structured learning experience

  • A third choice is around the recognition of their learning: are they satisfied with informal self-evaluation, or do they want or need formal recognition? Figure 2, Learner Choices, positions MOOC where they are at the moment with developments changing their characteristics along the axis depending on the different packages put together by institutions that offer greater levels of support and greater degrees of formal recognition of learning

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Summary

Executive Summary

The key opportunity for institutions is to take the concepts developed by the MOOC experiment to date and use them to improve the quality of their face-to-face and online provision, and to open up access to higher education. Service Disaggregation - experimentation with business models that include unbundling and re-bundling of courses and delivery related services, such as offering paid for assessment and/or teaching and support, on top of free online course content This may have a wider impact across institutions in the future through better deployment of existing resources to add value to customers where there is greatest benefit and to reduce costs through outsourcing (unbundling is already happening independently of MOOCs). Institutions should consider exploring a set of opportunities that have been brought to the attention of mainstream education by MOOCs, and experiment with new approaches for developing technology-enabled changes in teaching and learning to improve opportunities for individual learners. Business model components - there is an opportunity for institutions to examine their current provision and think about ways in which they can change and diversify to develop new sustainable business models for open online provision that take as their starting point the needs of the learner rather than the interests of the institution. [High impact & medium term, likely for some institutions]

Introduction
Key Concepts of MOOC Development
Openness
Revenue Model
Service Disaggregation
Significance
Technology Options
Pedagogic Opportunities
Learner Choices
Implementation of Open Online Learning in Institutions
Strategic Challenges and Opportunities
Organisational Response
Strategic Directions
Capability Building Requirements
Conclusion
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