OJOG  Vol.5 No.13 , November 2015
Teaching by Teleconference: A Model for Distance Medical Education across Two Continents
Introduction: In Uganda, an estimated 120 obstetrician/gynecologists serve a population of 30 million people demonstrating the need to train additional skilled clinician leaders in reproductive health. In 2012, a partnership was formed with the Mbarara Regional Referral Hospital (MRRH) in southwest Uganda and the Massachusetts General Hospital (MGH) in Boston, USA, in part to increase access to specialist training. This report presents an update in the development of a teaching conference between the institutions. Methods: In June 2012, a didactic teleconference between the institutions was instituted. Various conferencing tools were tried: direct telephone connection, VentriloTM conferencing system and SkypeTM via personal computer or smart phone. In Mbarara, Internet was accessed via cellular data. In Boston, Internet was accessed via hospital network or cellular data. All lectures were HIPAA compliant. PowerPoint lectures were stored in a collective DropboxTM that could be accessed and downloaded prior to lecture dates. Results: Over 30 months, 30 lectures were given. Lecturers included faculty and fellows from maternal fetal medicine, gynecology oncology, urogynecology, family planning, psychiatry and obstetric anesthesia. A patient case pertinent to the teaching topic framed the discussion. About 20 participants attended each lecture. Internet connectivity was the biggest challenge. Ultimately audio Skype via cellular data proved the most successful modality and became the method of choice. Conclusion: A successful collaboration in medical education via teleconference is sustainable, low cost, and beneficial to both resource-rich and resource-poor institutions. Expertise can be shared bilaterally and internationally by individuals potentially unable travel.

Cite this paper
Boatin, A. , Ngonzi, J. , Bradford, L. , Wylie, B. and Goodman, A. (2015) Teaching by Teleconference: A Model for Distance Medical Education across Two Continents. Open Journal of Obstetrics and Gynecology, 5, 754-761. doi: 10.4236/ojog.2015.513106.
[1]   Guilbert, J.J. (2006) The World Health Report 2006: Working Together for Health. Education for Health (Abingdon), 19, 385-387.

[2]   Holmer, H., et al. (2015) Global Distribution of Surgeons, Anaesthesiologists, and Obstetricians. Lancet Global Health, 3, S9-S11.

[3]   Augestad, K.M. and Lindsetmo, R.O. (2009) Overcoming Distance: Video-Conferencing as a Clinical and Educational Tool among Surgeons. World Journal of Surgery, 33, 1356-1365.

[4]   Antoun, J., et al. (2014) Balint Seminars: The Transatlantic Experience through Videoconference. Family Practice, 31, 733-738.

[5]   Cook, A., et al. (2005) Prospective Evaluation of Remote, Interactive Videoconferencing to Enhance Urology Resident Education: The Genitourinary Teleteaching Initiative. Journal of Urology, 174, 1958-1960.

[6]   Spitzer, R.F., et al. (2008) Videoconferencing for Resident Teaching of Subspecialty Topics: The Pediatric and Adolescent Gynecology Experience at the Hospital for Sick Children. Journal of Pediatric and Adolescent Gynecology, 21, 343-346.

[7]   Hadley, G.P. and Mars, M. (2008) Postgraduate Medical Education in Paediatric Surgery: Videoconferencing—A Possible Solution for Africa? Pediatric Surgery International, 24, 223-226.

[8]   Kiwanuka, J.K., et al. (2015) Synchronous Distance Anesthesia Education by Internet Videoconference between Uganda and the United States. Journal of Clinical Anesthesia, 27, 499-503.

[9]   Stain, S.C., et al. (2005) Objective Assessment of Videoconferenced Lectures in a Surgical Clerkship. American Journal of Surgery, 189, 81-84.

[10]   Agrawal, S., et al. (2011) Training the Trainees in Radiation Oncology with Telemedicine as a Tool in a Developing Country: A Two-Year Audit. International Journal of Telemedicine and Applications, 2011, Article ID: 230670.

[11]   Hortos, K., et al. (2013) Synchronous Videoconferencing: Impact on Achievement of Medical Students. Teaching and Learning in Medicine, 25, 211-215.

[12]   Tomlinson, J., et al. (2013) How Does Tele-Learning Compare with Other Forms of Education Delivery? A Systematic Review of Tele-Learning Educational Outcomes for Health Professionals. NSW Public Health Bulletin, 24, 70-75.

[13]   Kroeker, K.I., et al. (2000) Residency Training via Videoconference—Satisfaction Survey. Telemedicine Journal and E-Health, 6, 425-428.