No abstract

The study focuses on ‘horizontal’ and ‘vertical’ adoption of e-learning strategies at The Chinese University of Hong Kong as revealed through computer log records in the centrally supported learning management systems. Horizontal diffusion refers to whether e-learning has spread to influence the practice of more teachers and students. In vertical diffusion, the authors examined whether or not teachers tend to adopt more varied online learning activities in successive years. The overall findings are that, while adoption of simple strategies is increasing, there is little evidence of horizontal and vertical diffusion of more complex strategies. Indeed, the use of some of the more complex strategies, which may relate to greater potential learning benefits, decreased. Results have led to discussions about new focuses and strategies for our institutional eLearning Service.

Background: The COVID-19 pandemic of 2020 has forced medical educators worldwide to make sudden and unexpected shifts from face-to-face teaching to e-learning. These emergency changes can be quite unlike coordinated and planned shifts to digital education, and some institutions have found themselves with limited time for preparation of teachers and students, as well as digital infrastructure. This article explores issues raised through a series of student-teacher dialogues. These were conducted online and outside of the formal curriculum development processes as a form of rapid and informal exchange on the subject of the sudden shift to e-learning. Three salient issues were raised from our iterant discussions; the first of which being the generation gap leading to expectation mismatches of students between media they normally consume and those which teachers are able to produce. We propose mutual understanding and sharing of best digital practices as methods to reduce the degree of mismatch. The second issue was the potential benefits and pitfalls of students as co-creators of elearning. Potential benefits of technical proficiency in e-learning production and a peer-teaching element must be balanced with respect for students' time and effort in any such endeavours. Finally, the issue of wealth inequality within medical student bodies was identified, which is likely to be exacerbated by lack of access to equalising provisions such as university computing facilities. This article serves to highlight issues that teachers and students face in this emergency e-learning era, and to demonstrate how informal student-teacher dialogue can identify issues for further scholarly exploration.

The study focuses on ‘horizontal’ and ‘vertical’ adoption of e-learning strategies at The Chinese University of Hong Kong as revealed through computer log records in the centrally supported learning management systems. Horizontal diffusion refers to whether e-learning has spread to influence the practice of more teachers and students. In vertical diffusion, the authors examined whether or not teachers tend to adopt more varied online learning activities in successive years. The overall findings are that, while adoption of simple strategies is increasing, there is little evidence of horizontal and vertical diffusion of more complex strategies. Indeed, the use of some of the more complex strategies, which may relate to greater potential learning benefits, decreased. Results have led to discussions about new focuses and strategies for our institutional eLearning Service.