Leveraging technology to improve access to medical education in anatomy and physiology in resource‐limited settings: A mixed methods study

Author:

Mora Carpio Andres Leonardo1ORCID,Romero‐Reveron Rafael2ORCID,Vasquez Milagros2,Bonilla Castillo Jose Antonio3ORCID,Gaitán Concepción Lucía3,Pano Carrera Romina3,Liévanos Díaz Diego3,Menéndez Conde Benjamín Galván3,Montbrun Miryam2,Espinoza‐Luna Anabel2,Kreiger Joan4ORCID,Davis John Lucian56ORCID,Rochester Carolyn1,Martin Andres7ORCID

Affiliation:

1. Department of Pulmonary, Critical Care and Sleep Medicine Yale School of Medicine New Haven Connecticut USA

2. Facultad de Medicina, Escuela “José María Vargas” Universidad Central de Venezuela Caracas Venezuela

3. ALPHA Anahuac, Escuela de Medicina Universidad de Anahuac Lomas Anahuac Mexico

4. Department of Health and Movement Sciences Southern Connecticut State University New Haven Connecticut USA

5. Department Epidemiology of Microbial Diseases and Center for Methods in Implementation, Yale School of Public Health Yale School of Medicine New Haven Connecticut USA

6. Department of Pulmonary, Critical Care, and Sleep Medicine Yale School of Medicine New Haven Connecticut USA

7. Child Study Center and Center for Medical Education Yale School of Medicine New Haven Connecticut USA

Abstract

AbstractThis study assesses the acceptability, appropriateness, feasibility, and efficacy of a novel asynchronous video‐based intervention for teaching respiratory physiology and anatomy to medical students in resource‐limited settings. A series of short video lectures on pleural anatomy, pulmonary physiology, and pathophysiology was created using Lightboard and screen capture technology. These were uploaded to YouTube and Google Drive and made available to 1st‐3rd year medical students at two Latin American universities for 1 week. Employing a parallel‐convergent mixed methods design, we conducted surveys, focus groups, interviews, and pre/post testing for qualitative and quantitative data. Thematic Analysis was used to analyze qualitative data and McNemar's test for quantitative analysis. Seventy‐six students participated. The videos' short format, interactivity, and Lightboard style were highly valued for their flexibility, time efficiency, and educational impact. Students recognized their clinical relevance and trusted their content, suggesting potential applicability in similar settings. Despite infrastructure and connectivity challenges, the use of flexible streaming and downloadable options facilitated learning. Survey results indicated high levels of feasibility (99%), appropriateness (95%), and acceptability (95%), with significant knowledge gains observed (37% correct pre‐test answers vs. 56% post‐test, p < 0.0001). Our findings demonstrate high acceptability, appropriateness, feasibility, and efficacy of a targeted asynchronous education centered on short‐format videos in resource‐limited settings, enabling robust learning despite local barriers. Flexible access is key for overcoming localized barriers. Taking an adaptive, learner‐centered approach to content creation and delivery to address constraints was pivotal to success. Our modular videos could serve as versatile models for flexible education in resource‐constrained settings.

Publisher

Wiley

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