Using video chat via Google Hangout ZOOM to

Using video chat via Google Hangout ZOOM to teach students in small group discussions at remote training sites Cinthia Elkins MD Ph. D STFM 2015 Annual Meeting Breakfast Roundtable 4/28/14

Disclosures • No personal or family financial or other links to any software or other products mentioned. • Faculty at SUNY Upstate Dept. of Family Medicine.

Changed Platform • Google Hangout = Free, works with all operating systems, up to 10 participants at a time, But – everyone has to have a Google email account and data stored on their secure server or Utube private site. • Zoom = Dept. pays $100/year for unlimited use, private, any operating system, any email, international calls, audio and video files saved to local host’s desktop. https: //www. zoom. us/signin

https: //upstate. zoom. us/j/5132647261 Upstate Medical University Zoom Meeting Greetings, Family Medicine is inviting you to a scheduled Zoom meeting. Join from a PC, Mac, i. Pad, i. Phone or Android device: Please click this URL to start or join. https: //upstate. zoom. us/j/5132647261 Or, go to https: //upstate. zoom. us/join and enter meeting ID: 513 264 7261 Join from dial-in phone line: Dial: +1 (415) 762 -9988 or +1 (646) 568 -7788 Meeting ID: 513 264 7261 Participant ID: Shown after joining the meeting International numbers available: https: //upstate. zoom. us/zoomconference Join from a H. 323/SIP room system: Dial: 162. 255. 37. 11 (US West) or 162. 255. 36. 11 (US East) Meeting ID: 513 264 7261

Zoom Meeting

Rural Medical Education Program • Upstate Medical University – SUNY COM • 5 -9 months of 3 rd year clerkship training in rural communities, working with boardcertified physicians • Family Medicine, Emergency, Surgery, Radiology and other elective rotations • Scholarships/housing from host communities • More hands-on experiences, continuity care

Zoom Meetings • 23 RMED students broken into 3 groups – scheduled for noon meeting once a month with either: • Clinical Jazz format (Present a case, discussion on applicable evidence-based medicine that applies to case and art of making it work for patient) with Clinical faculty • Balint Group (Psychodynamic Psychoanalysis of professional self, sharing troubling cases, discussing how to handle/cope/process) with Psychology Faculty and Clinical Faculty

Technical difficulties/successes • 23 students participating in new virtual groups • 18 different rural sites • 15 with good connections, 8 strugging with bad wifi • Public wifi unstable, cell data bad lag • Iphone 5/mac/ipad better, windows ok • Can call in via phone – don’t have to video

Technical difficulties/successes • Timing is difficult. • Due to surgery and clinical schedules, evening better than lunch time. • Due to bad hospital wifi, those with home internet rather connect at home • Finding a quiet spot to meet can be challenging – trying to mute background noise affects a connection, especially on iphone

Meeting challenges • Lag time can make conversation awkward – this word appears in majority of surveys. • Trying to teach balint over computer is challenging • Some students unnerved by record button – despite explanations – hesitate to participate • Some desire more structure, others desire less structure • Encouraging participation difficult

Next steps • Change time to evening meetings • Consider not recording audio • Offer unmoderated group chat sessions for students to connect with each other • Using monthly reflection assignment to drive topic of discussion • Consider more frequent meetings, requiring case presentation from each student. • Analyze student body survey data.

Impact? • Just started new curriculum with RMED rotation in January 2015. • Goal is to help connect students at rural sites to home base more? – will measure by surveys, compare to previous years. • Goal to help prevent burnout? - have added PHQ-2 and Modified Maslach Burnout Score to annual student body survey, will compare to previous year but also RMED to non. RMED

Please evaluate this session at: stfm. org/sessionevaluation