In-person Education Research Articles

Effect of Blended Learning Method (Flex Model) on Final-Year Students of BAMS to Learn Shalyatantra

ABSTRACT Background: Blended learning is a blend of online and in-person instruction. This study was conducted to see its effect to learn Shalyatantra topic. Methodology: Final-year students (58) were equally in two groups. The topic was taught using a conventional technique in group A and a blended learning way in group B. Pre-test and post-test were conducted before and after the study, respectively. Students’ and teachers’ perceptions on Likert scale were also taken. Statistical analysis was done. Observation and Results: The mean post-test score of group B, i.e. blended learning group (18.37 ± 0.97), was more as compared to group A, i.e. conventional learning group (16.31 ± 1.53). Individually both groups were statistically significant. Conclusion: It can be concluded that blended learning helped in developing critical thinking, communication skill in students, and enhance the retention of course content.

The effect of hybrid classes on extrinsically motivated students

Emerging from the Covid19 pandemic, many higher education institutions rapidly improvised teaching students in a hybrid mode that concurrently combined online and in-person instruction. The varied engagement results from students and staff prompted many institutions to reconsider this hybrid approach (Raes et al., 2020), with opinions of both students and teachers divided on the merits of returning to an in-person classroom. While some studies (Peng & Wei, 2021) noted success at the ‘juggling act’ of supporting both an in-person class and an online class simultaneously, more studies found the emerging technology, split focus, resourcing and unfamiliar instructions to be a disengaging classroom experience (Aagaard et al, 2023). A lack of clear and quantitative evidence has been noted as a key issue with many of the studies of hybrid learning (Raes et al, 2020). The improvised nature of many pandemic teaching responses and the many variables that may confound engagement results, prompts a more considered and deliberate re-examination of hybrid learning which takes into account the motivational needs of students. If a student is motivated to attend a hybrid classroom, their subsequent evaluations of the experience seem likely to be related to their initial motives, expectations and reasons for attending. The lens of Self Determination Theory (SDT) offers a range of insights into the type of motivation felt by students and enables the disambiguation of whether a student is motivated intrinsically or extrinsically (Ryan & Deci, 2017). Intrinsic motivation being characterised by an internal locus of control –arising spontaneously from within. Extrinsic motivation conversely is characterised by an external locus of control – motivation is controlled by outside factors and compulsions that a student feels they ought to follow. Deci and Ryan’s Intrinsic Motivation Inventory (IMI) offers us additional insights into three descriptive sub-types of intrinsic and extrinsic motivation – autonomy, relatedness and mastery. The idea that an unfulfilled need for personal relatedness in some students might relate to levels of student engagement online and in-person was hoped might explain some of variable engagement responses from students. This presentation tells the story of how hundreds of students responded to a synchronous concurrent hybrid classroom intervention across four weeks of an otherwise online subject. Utilising high-quality hybrid learning technology available at the time, the advanced Class.com interface and a well-adapted pedagogy the journey of students with differing motivational needs was explored using the lens of Deci and Ryan’s (2017) IMI. Through regression modelling, network analysis and a broad analysis of associated demographic factors it was found in particular that low ATAR students with extrinsic motivation were more disengaged by the hybrid classroom environment, in comparison to other motivational subgroups. Contrary to expectation, students with a motivational need for relatedness were not found to respond differently to hybrid learning compared with other motivational subgroups. Recommendations for future iterations of synchronous concurrent hybrid classrooms and research are offered.

Challenges and Implications of Blended Learning Adoption in the Age of Communication Technology: A Case Study of Vietnamese Universities During the COVID-19 Pandemic

The pervasive influence of communication technology has profoundly shaped contemporary life, significantly impacting global education. The COVID-19 pandemic accelerated the adoption of technologies like social media platforms and massive open online courses (MOOCs) as substitutes for traditional in-person education, exposing shortcomings, particularly in regions with limited online infrastructure. Although extensive research exists on online education, including blended learning models, the challenges associated with their effective implementation remain underexplored. This study aims to address these gaps by examining the adoption of blended learning within Vietnamese universities during the pandemic through the lens of Activity Theory. This framework, which analyzes the dynamic interactions between individuals, tools, and their sociocultural environment, provides a deeper understanding of how students, educators, and institutions navigate blended learning. This study employed semi-structured interviews with administrators, lecturers, curriculum developers, and students across four campuses of a university in Vietnam. The findings highlight key challenges related to student engagement, academic dishonesty, and constraints in institutional infrastructure, underscoring the need for targeted strategies to enhance blended learning outcomes.

Vulnerability to Achievement Stressors: More Evidence That Students With Learning Disabilities Require Intensive Intervention.

In this article, we introduce the term vulnerability to achievement stressors, which refers to differentially low achievement when shifts in the educational environment "stress" or threaten the capacity of an individual or a group of individuals to make academic progress. We also introduce a methodological framework for assessing vulnerability to achievement stressors. Vulnerability to achievement stressors in students with learning disabilities (LD), relative to students without disabilities, is illustrated with two achievement stressors: (a) the shift in learning standards codified in Common Core State Standards, specifically the increase in complexity of the fourth-grade fractions curriculum, and (b) the COVID-19 pandemic, which decreased instructional structure by disrupting in-person teaching. Because these illustrations were embedded within randomized controlled trials, each with an inclusive instruction condition and an intensive intervention condition, they also provide the basis for concluding that intensive intervention is more effective than inclusive instruction for addressing students with LD's vulnerability to achievement stressors and for narrowing their persistently severe achievement gaps.

EduLive: Re-Creating Cues for Instructor-Learners Interaction in Educational Live Streams with Learners' Transcript-Based Annotations

Educational live streaming has become a complement to in-person teaching. While synchronous instructor-learner communication is useful, the technology-mediated nature of live streaming can obscure many interaction cues (e.g., learners' facial expressions and body language), which dampens the instructors' ability to respond to remote learners' needs. We explore the opportunity of leveraging real-time transcripts generated from instructors' audio as a basis for re-creating interaction cues. Transcripts can be leveraged to reveal the content of live streams in a form that learners can trace back and annotate, and such annotations can be further aggregated and presented to instructors as signals to assist them in tracking learners' engagement. By designing and evaluating our proof-of-concept prototype system, EduLive, we show that instructors benefited from the summative information extracted from learners' annotations, and the context provided by the transcript enhanced their ability to answer learners' questions. Our system contributes to the design space of social annotations in CSCW by employing social annotations in educational live streaming scenarios.

Early childhood educators’ change of strategies to recognize and assess the child via distance education

Aim of this study was to identify the recognition and assessment techniques used by early childhood educators both before and after the pandemic using a fundamental qualitative research approach. 17 preschool teachers participated in the study using a semi-structured interview form. The study's conclusions are arranged according to several themes. The methods preschool teachers employ to recognize and assess the child during in-person instruction is the first of these themes. Teachers utilize a variety of techniques to recognize and assess children during in-person instruction, including observation, developmental observation forms, developmental reports, warm-up games, drawing, working with families, anecdotes, sociometry, and portfolio work. The sudden switch to online instruction-assessment techniques in remote learning has resulted in unanticipated challenges and unexpected situations for the preschool teachers as they attempt to implement the teaching process. In such unanticipated circumstances, it is important to look at how early childhood educators recognize and assess children.

University teachers' perspectives on synchronous in-person and distance teaching and learning (SynPaD hybrid)

Although most teaching in higher education may still involve either in-person teaching or online distance teaching, various forms of hybrid teaching are becoming more common. Maturity of hybrid teaching has been limited by the lack of research-based development and poor definition of teaching practices in the literature. This article is about a particular variant of hybrid teaching (SynPaD hybrid) involving learners in the physical presence of one or more teachers with other learners attending synchronously via videoconferencing, in situations where all participants can, or should be able to, interact both verbally and visually with all other participants. The article applies a recognised qualitative research approach to gather potentially important insights into the perspectives of university teachers in capacities as teachers and as learners about SynPaD hybrid teaching, and interprets its findings using self-determination theory. Notable insights from this research suggest that university teachers in the role of learners are able to appreciate SynPaD hybrid and may insist that university teachers tasked with supporting learning in this context should rise to the challenges of teaching in this way. University teachers, acting in the role of teacher, may question the practicality of teaching in SynPaD hybrid and their motivation to teach in this way. This article describes and comments on the difficult decisions faced by higher education institutions as SynPaD hybrid emerges as an alternative to more orthodox in-person and online teaching situations.

How to run a qualitative methods short course in epidemiology: faculty and student perspectives

Abstract Background Qualitative research and mixed methods are core competencies for epidemiologists. In response to the shortage of guidance on graduate course development, we wrote a course development to guide faculty and students designing similar courses in epidemiology curricula. We combine established educational theory with faculty and student experiences from a recent introductory course for epidemiology and biostatistics doctoral students at the University of Zurich and Swiss Federal Institute of Technology, Zurich. Objectives We propose a 1-ECTS, six session long, student-centred course with inverse in-person classroom teaching and practice exercises with faculty input. The overarching course objective is to introduce students to qualitative research and mixed methods. The proposed course covers learning outcomes in comprehension, knowledge, application, analysis, synthesis and evaluation. Results Following an introductory session, the students engage in face-to-face interviews, focus group interviews, observational methods, analysis and how qualitative and quantitative methods are integrated in mixed methods. Furthermore, the course covers interviewer safety, research ethics, quality in qualitative research and a practice session focused on the use of interview hardware, including video and audio recorders. The student-led teaching characteristic of the course allows for an immersive and reflective teaching-learning environment. Conclusions After implementation of the course and learning from faculty and student perspectives, we propose these additional foci: a student project to apply learned knowledge to a case study; integration in mixed-methods; and providing faculty a larger space to cover theory and field anecdotes. Based on: Gille, et al. A guide for a student-led doctoral-level qualitative methods short course in epidemiology: faculty and student perspectives, International Journal of Epidemiology, Volume 53, Issue 2, April 2024. Key messages • Qualitative research methods and mixed methods are core competencies for epidemiologists. • Students appreciate a student-centred course design with inverse classroom teaching and practice exercises.

How do working conditions change for in-person versus digital work? The case of schoolteachers

Abstract Background Telework has significantly increased in Europe and internationally in the aftermath of COVID-19 lockdowns, with estimates of 22% of Europeans now doing some form of telework. However, it is unclear how working conditions for the same job differ when work is conducted in-person versus digitally, and if occupational health risks can be considered as equal across formats. Our study addressed the profession of school teaching to examine online working conditions versus those for in-person teaching. Methods To allow for close consideration of employment contexts, a qualitative study was conducted. Focus groups and interviews took place in 2023-24 with 45 teachers and tutors who teach from kindergarten to secondary grades across Canada. Results We found that online teaching added to emotional labour of teaching work and involved new occupational exposures. These included challenges with engaging students via cameras and microphones, digital surveillance of teachers by parents and students, unwanted exposure to students’ intimate home lives, and technostress. Conclusions The work of being an online teacher was very different than teaching in-person, yet there has been slow recognition of working condition differences for understanding of OHS exposures and for collective agreements. Key messages • In the context of a significant expansion of telework, assumptions cannot be made that the job conditions and exposures are the same job when performed in-person or at-home. • These differences will need to be recognized in job agreements and occupational risk assessments.

Teaching Strategies in Interventional Radiology: A Narrative Review of the Literature.

Interventional radiology (IR) is a rapidly developing speciality where innovation-especially in teaching practices-is vital. With workforce and capacity shortages, synthesis of classical educational theories and novel strategies utilising virtual reality (VR) and artificial intelligence (AI) provide opportunities to make teaching as efficient and effective as possible. The aim of this review is to examine the literature on different approaches in IR teaching and learning in undergraduates and postgraduates. Literature was reviewed using a comprehensive search strategy with relevant keywords. Articles were limited to 2013-2023. Databases searched included MEDLINE, Embase, British Education Index and ERIC, in addition to a manual review of references. Of the 2903 unique abstracts reviewed by the authors, 43 were relevant to the purpose of this study. The major pedagogical approaches identified were categorised into the following-traditional master-apprentice mentoring, virtual reality/simulation, physical models, and remote teaching. VR simulations enable practise free from the limits of time and risk to patients, as well as potential for standardised formal curricula. AI has the capability to enhance training simulations and assessment of trainees. With recent events necessitating innovation in online remote teaching, programs that are accessible whilst arguably imparting just as much clinical knowledge as in-person education have now been developed. Mentoring has conventionally been the standard for radiology teaching, however there are now several alternative pedagogical approaches available to the IR community. Acombination of the most effective ideas within each is the optimal method by which IR should be taught.

Creating a Complete Online Environment for Ancient-Language Teaching

There are many reasons for creating online resources both to supplement in-person teaching and to lay the basis for a course taught entirely online. This paper aims to give an overview of the questions we ought to ask ourselves so that we can design exactly the resources or the course we need. Even an experienced classroom teacher may not be aware of all the elements that should be in place for an online and thus possibly more student-guided course to be successful. We thus begin by looking at very basic issues of learning space, time and patterns. Next, while ‘teaching a language’ or ‘knowing a language’ are precise-sounding aims, they unite a broad variety of activities and abilities. We thus suggest a series of questions that let instructors figure out what they mean by those terms, and then go through the various practical decisions that need to be made on that basis in order to set up exactly the course needed: we go through what course elements should be included, and the best ways of creating these given the academic services available electronically and online. Sometimes, more is better, but often, basic structures set up in a way possible even for time-strapped academics who are required to focus on publishing rather than teaching can go a long way. Finally, we introduce the examples of two complete online alt-ac set-ups (for both language and ‘content’ classes) as potential models for future courses.

Bones at Home

Remote teaching during the COVID-19 pandemic led to a range of pedagogical challenges for anthropology laboratory courses. In biological anthropology courses such as Human Osteology, hands-on experience is essential to achieving learning outcomes, including basic bone and feature (i.e., landmark) identification, identification from fragmentary remains, and age and sex estimation. To address the need for training that includes object-based, tactile (haptic) learning in fields such as biological anthropology and archaeology, all Human Osteology students at Mount Royal University and the University of Manitoba took home plastic model skeletons. The purpose of this study was to evaluate how well remotely educated undergraduates (REUs) met human osteology learning objectives when supported by plastic model skeletons at home. We present the results of a survey designed to test core osteological skills obtained by REUs in comparison with undergraduates educated with in-person laboratory components (IPUs) and experts in the field (zero to four and five or more years of experience). REU scores did not differ significantly from those of IPU or Junior Experts with less than five years of experience. Students performed well in bone identification but were limited in their ability to apply common sex and age estimation methods and to identify incomplete elements. Our findings reinforce the importance of haptic learning and years of experience in human osteological learning. They support the use of take-home models as valuable resources in both remote and in-person undergraduate teaching. This work is a step toward more inclusive universal instructional design that can be applied across various anthropology laboratory courses.

A Systematic Review of Dental Antibiotic Stewardship Interventions.

Antimicrobial resistance is a significant threat to global health. Antimicrobial stewardship is reducing inappropriate antimicrobial prescribing to counter it. Dentists prescribe ~10% of all antibiotics worldwide, yet up to 90% of antibiotic prescriptions by dentists are inappropriate. The aim of this systematic review was to update a 2017 review evaluating the effects of antibiotic stewardship interventions in dental settings, using the international consensus on core outcomes for dental antibiotic stewardship. Systematic database searches were undertaken in April 2023, of the: Cochrane Oral Health Group Trials Register, Cochrane Central Register of Controlled Trials, MEDLINE via OVID, EMBASE via OVID, Dentistry and Oral Sciences Source, the US National Institutes of Health Trials Register, the World Health Organisation International Clinical Trials Registry Platform and the ISRCTN registry databases. Randomised controlled trials (or non-randomised studies with clearly reported mechanism of group formation and inclusion criteria) of interventions to optimise and/or reduce dental antibiotic prescribing were eligible for inclusion. Two authors independently screened for eligible studies. Risk of bias was assessed using the Cochrane Risk of Bias 2 tool, certainty of evidence assessed using GRADE. Meta-analysis was planned whether the results of studies reported similar outcomes, otherwise narrative synthesis was undertaken. Three eligible studies randomising 2148 participants were included. The interventions were combinations of education, audit and feedback and written behaviour change messages, guideline summary, practice visits and patient leaflets. None of the control groups received an intervention. All three included studies measured the quantity of antibiotics prescribed and two measured the appropriateness of prescribing. None measured patient-reported or adverse outcomes. Two included studies were assessed as 'high risk' and one with 'low risk' of bias. There was high-certainty evidence that audit and personalised feedback with individualised behaviour change messages can be effective. Evidence for in-person education was low-certainty. Guideline dissemination alone was ineffective at improving antibiotic prescribing. Due to different outcomes reported, meta-analysis was inappropriate. Although various dental antibiotic stewardship interventions have been reported in the literature, none provided high-certainty evidence of effectiveness and only three have been evaluated using a randomised design. To strengthen the body of evidence, well-powered, robust, randomised controlled trials are required, with adequate follow-up, reporting the internationally-agreed core outcomes and including a parallel process evaluation is recommended. PROSPERO (CRD42023411476).

Using teach ECE to observe the quality of online teaching during the pandemic: an exploratory study in a pre-school in Chile

ABSTRACT During COVID-19, many schools worldwide were closed. In this unprecedented context, some students accessed distance or remote education. Assessing the quality of in-person early childhood education has a long-dated challenge and doing the same within a preschool online setting is unprecedented. This study aimed to utilize the Teach ECE observation instrument developed by the World Bank in 2021 to explore the quality of synchronous online lessons across 8 preschool classrooms in a private school in Chile. The tool is designed to observe 28 quality teaching behaviors organized into four areas. The dataset encompassed 640 min of video recordings capturing synchronous online classes over a 5-month period. Findings revealed that 7 out of the 8 preschool teachers exhibited low or medium-low quality practices across all three areas examined in this study. Average scores per area indicate that Classroom Culture obtained the highest score, followed by guided learning, and finally by socio-emotional Skills.

A multi-site mixed-method evaluation of 'Cardiac College for Women' implementation: perspectives of cardiac rehabilitation patients and providers.

A Cardiac College for Women curriculum was developed to address the dearth of women-focused cardiac rehabilitation (CR) education. This study investigated: (1) patient utilization of the education; (2) acceptability and applicability of the education; as well as (3) patient and CR providers' experiences implementing it. This was a multi-site, mixed-methods study. After baseline assessments at an academic CR program in two Canadian provinces, the 12 weekly 30 min structured in-person group education sessions were led by staff in the relevant discipline, with supporting online videos and written materials. Women reported their engagement with the education in weekly diaries, and completed a survey post-program. Semi-structured virtual interviews were held with willing participants and staff delivering the intervention. Transcripts were analyzed concurrently by two researchers independently via NVIVO using text condensation, followed by consensus reconciliation and multi-source validation. Forty patients participated in the women-focused education program, with 28 completing weekly diaries and 36 post-intervention surveys. Participants attended 80% of sessions (67%-89%). They spent an average of 30 min/week engaging additionally with the online education, with 83% rating the weekly content applicable (73%-100%). Overall acceptability was rated 4.3 ± 1.7/5. Twelve patients and 5 staff participated in interviews. Four themes were identified: contextual considerations, staffing and implementation issues, valued aspects, and suggestions for improvement. In conclusion, Cardiac College for Women was established as highly acceptable and applicable to patients, supporting their self-management. The women-specific CR education materials were also established as readily implementable by CR staff.

Educator perspectives on stressors and health: a qualitative study of U.S. K-12 educators in February 2022

BackgroundTeachers experienced increased stressors and stress during the initial onset of the COVID-19 pandemic. While many educators returned to in-person instruction in the 2021–2022 school year, they faced changing job demands and stressors which has important implications for educator well-being. We sought to understand the stressors and health impacts faced by U.S. educators in the 2021–2022 school year, two years following the acute phase of the pandemic.MethodsThirty-four certified educators based in Connecticut, USA participated in four virtual focus groups in February 2022. A semi-structured focus group script, designed by the research team and guided by the job demands-resources model, was administered to understand stressors and stress impacts. Data were transcribed and analyzed using the constant comparative method to identify themes and sub-themes. Themes were summarized based on how many participants mentioned them.ResultsAnalysis of the qualitative data yielded three themes concerning the well-being impacts of stress: physical health and health behaviors, psychological health, and relationships and social well-being behaviors. The majority of educators indicated impacts in these domains with 76% indicating impacts on physical health and health behaviors (e.g. poor sleep, physical exhaustion, lack of exercise, unhealthy eating), 62% indicating impacts on psychological health (e.g. emotional exhaustion, anxiety, negative self-evaluation); and 68% indicating impacts on relationships social well-being behaviors (e.g. connections with family or friends, connections with others, relationships with coworkers). The majority (94%) of educators indicated that stressors from the school or district with the majority (91%) citing stressors related to protocols/expectations (e.g. excessive or increased demands, insufficient or decreased resources) and some (38%) administrators. Over half (62%) indicated personal stressors including personal/home life (41%), high personal expectations (18%), and income (18%). Some (35%) indicated either the pandemic (26%) or safety concerns (9%) were stressors. Some (24%) cited students’ parents as a stressor and a few indicated community (12%), students (12%), and state or national level (9%) stressors.ConclusionEducator well-being continued to be impacted in the post-pandemic era. Targeted interventions are needed to reduce school and district-related demands and to address stress-related educator well-being.

COVID-19 pandemic impacts on student learning in undergraduate mineralogy

Online and hybrid instruction as a response to the coronavirus (COVID-19) pandemic presented specific challenges in geosciences due to the role of laboratory and field activities. We carried out a research study on student learning in undergraduate mineralogy at a large public research university in the United States over a 4-year period including pre-pandemic in-person instruction and during pandemic online and hybrid instruction. A total of 94 students participated in course activities and mixed-method surveys. Survey results indicated that during the pandemic, students entered the course with lower sense of belonging relative to pre-pandemic students. Despite challenges related to instruction and student learning since 2020, the pandemic did not necessarily produce worse learning outcomes for mineralogy students as measured by course assessments. Structured course delivery and opportunities for interaction can offset challenges resulting from global emergencies.

The Efficacy of High-Fidelity Telesimulation in Preparing Nursing Students for Emergency and Critical Patient Care: A Prospective Study.

High-fidelity telesimulation can address the gap in nursing education caused by the pandemic by providing a simulated environment for students to practice skills that closely mimic real-life scenarios. This study was designed to determine the effect of a high-fidelity telesimulation teaching program on emergency and critical patient care-related knowledge, self-confidence, and critical thinking skills in nursing students. This randomized, single-blind controlled study was conducted on a sample of 84 nursing students who were evaluated using pretest and posttest measurements. The participants were randomized into a control group ( n = 43) and an experimental group ( n = 41). The control group received an in-person traditional teaching program, and the experimental group was taught using a high-fidelity telesimulation program. During the high-fidelity telesimulation, synchronous online tutorial learning and telesimulation were conducted every 100 and 300 minutes. The experimental group program included a lecture, simulation teaching videos, and demonstrations related to endotracheal intubation, 12-lead electrocardiography, protective clothing, and hybrid telesimulation learning. In each subgroup, the students executed a single high-fidelity telesimulation scenario in which they were assigned individual roles. The students in the other subgroups served as observers and engaged in the synchronous online debriefing. Teaching efficacy was evaluated using an objective structured clinical examination and a questionnaire designed for emergency and critical patient care. In the experimental group, levels of knowledge and self-confidence as well as critical thinking skills related to emergency and critical patient care were significantly higher than in the control group ( p < .05). High-fidelity telesimulation teaching is a feasible and reliable alternative to conventional in-person simulation for nursing students, particularly in situations where traditional clinical experiences are not possible.

Online Education Benefits Instructors’ Emotional Labor Management

The growth in online education preceded the pandemic, however, COVID-19 drastically altered the educational landscape by forcing the unprecedented shift of education from in-person to remote learning. This change heightened concerns over student outcomes due to a lack of emotional engagement that is critical to academic outcomes. To create a positive emotional connection in any learning environment, teachers must actively manage their emotions within professional guidelines. Studies on instructors’ emotional experiences are sparse, leading to a lack of understanding as to how instructors adapt their strategies and emotional labor in online versus in-person teaching modalities to build deep emotional connections with students. This study addresses this gap in the literature by asking instructors about their comparative experiences of emotional empathy and emotional labor in person and online. Nineteen qualitative interviews with higher education instructors experienced in both settings revealed three key findings: 1) creative use of empathy-building strategies online reduced instructors’ concerns over platform limitations, 2) the time lag in asynchronous online courses allowed instructors to more meaningfully address all student concerns and 3) contrary to expectations, emotional labor was experienced more intensely in face-to-face classes than online, suggesting that online settings gave instructors more space to manage emotional labor. This research centers on the debate between technological determinism and social constructionism: Are empathetic bonds and fulfilling professional experiences shaped by the teaching modality, or are they the result of adaptive pedagogies and strategies?

Paramedic educational programs maintain entry level competency throughout the COVID-19 pandemic.

The COVID-19 pandemic required unprecedented changes to emergency medical services (EMS) educational frameworks in the United States. It is unclear if pandemic-related changes impacted paramedic educational outcomes. We aimed to evaluate curricular and performance changes resulting from the initial COVID-19 pandemic on paramedic educational programs. We performed a retrospective cross-sectional evaluation of paramedic educational programs in 2019 and 2020 using the Committee on Accreditation of Educational Programs for the Emergency Medical Services Professions annual reports. These reports contain detailed program components and measures of program success. We included programs reporting at least one graduate in the study period. Descriptive statistics (proportions [%], median [interquartile range, IQR]) were calculated for paramedic program characteristics in 2019 and 2020, as well as pandemic specific curriculum changes. Wilcoxon rank-sum and Fisher's exact tests were used to evaluate differences in characteristics by year. The number of paramedic educational programs in our population decreased from 640 programs in 2019 to 612 in 2020, with a statistically significant decrease in clinical hours (2019: 219 [IQR 168‒272]; 2020: 200.5 [IQR 157‒261]). There was no difference in first or third-attempt certification examination success between years. Temporary shutdown was experienced in 34% of programs (duration: 3weeks [2‒7]) and 72% of required curricular changes. Curricular changes commonly included decreased in-person education (86%), traditional classroom lectures (78%), number of clinical sites (78%), and increased online didactic education (92%). Only 20% of programs decreased laboratory simulation or total training hours. During the pandemic, paramedic educational programs changed educational delivery with no observed differences on overall program performance. Identifying key curricular changes and best practices for implementation may be necessary to better optimize future educational delivery.