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Teaching in the Time of COVID
Chris Candler, MD, EdDSenior Associate Dean for Academic Affairs
College of Medicine
Objectives
1. Identify alternative approaches to instruction and assessment that may be used during a pandemic
2. List the components of an administrative plan for responding to a pandemic.
My Lens: the program perspective
10,000 ft view
Pivoting an entire program to exclusively online and/or hybrid instruction
• How should instruction change?• How should assessment change?
• What policy changes should be considered?• How are these decisions made?
Pivoting: Instructional Delivery
• Today’s learners are largely comfortable with online delivery (the majority of COM students prefer it)
Synchronous (Zoom*)Asynchronous (Pre-recorded lectures)*Instructors LOVE Zoom (and want to use it post COVID)
• A subset of learners may still desire in-class attendance(20 – 30 of 165)
• Certain learning objectives may still require on-campus attendance (e.g., clinical skills training)
• There are a wealth of online learning materials
Pivoting : Instructional Delivery
• Online learning/assessment materials. . .
Pivoting : Instructional Delivery
Students will ask how a quarantine will impact his/her educational progression
Consider developing a “Quarantine Curriculum”
Example: National standardized curriculum for students under quarantine
Consider your policy regarding quarantine impact on educational progression
Effects of Infectious and/or Environmental Disease or Disability on Medical Student Educational Activities
Students with an infectious or environmental disease or disability will be allowed to continue in the program . . . in certain cases, students infected with, and in some cases exposed to, specific infectious diseases may be restricted from participating in the curriculum (referred to as “work restrictions”).
Any coursework time missed due to school-imposed work restrictions (i.e., as a result of this policy) will be considered an excused absence according to policy 306.
Pivoting : Assessment
Knowledge-based assessmentCampus-based exams
• Social distancing means more rooms & proctors (COM: 5 rooms & 8 proctors for each exam)Remote exams
• What are the rules around remote proctoring?• Develop procedures for ensuring exam integrity, communicating with students and other
proctors
Clinical assessmentOnline Objective Structured Clinical Exam (OSCE)
• Standardized patients and students both at remote sites• Significant logistical work
Everything except for the Physical Exam can be replicated
Regents, University & Accreditor Guidance
• Understand the guardrails
• Call them (we did)
• Many of these groups have issued guidance for instruction, assessment, and other related issues
LCME Guidelines (as an example)
• Anticipate and plan for sudden loss of access to external clinical training sites
• Review the learning objectives of all clinical courses (including typical final-year courses) and determine whether some objectives may have been met in another course.
• Consider waiving elective graduation requirements to allow time and resources for completion of clinical requirements.
Think longitudinally and qualitatively, not quantitatively, about the clinical curriculum and be prepared to track each student’s progress through it.
Components of an Administrative Response
Develop a Instructional & Assessment Plan (discussed)
Develop a Communication Strategy
Consider Policy Changes
Address Student Needs
Develop a Communication Strategy
Develop a plan for bi-directional communication with:• Faculty/Staff• Students
• Don’t limit decision making to administrators (a tendency in emergencies)• Hold regular meetings• Involve course directors, front-line staff, and student leadership• Ask THEM to:
• Suggest meeting agenda items• Preview email correspondence• Provide regular feedback on problems
Consider Policy Changes
Policy changes• Allow incoming (guest student) or outgoing (elective) rotations?• Continue affiliation agreement processing?• Allow students to participate in non-OU clinical environments (including
volunteer clinics)?
• Monitor national changes board exam scheduling/availability• Do you revise policies or issue a blanket exception for all students?
Policy Changes
When do we pull students from clinical setting?
When do we return them to the clinical setting?
Best if a group develops & uses criteria to make these decisions
DRAFT – SUBJECT TO REVISION
Addressing Student NeedsEngaging student and employee health
What are the most recent screening & exposure protocols – keep your students informed
Keep Students Informed
Emails
Town halls
Small group meetings
Individually calling all students
Special attention to at-risk students
Organizing Your Work (Trello)
8/21/2020
1
Teaching in the Time of COVID-19: Academic Policy Matters
Valerie N. Williams, PhD, MPAUniversity of Oklahoma Presidential Professor, and
Vice Provost for Academic Affairs and Faculty DevelopmentThe University of Oklahoma Health Sciences Center
OUHSC Education Grand Rounds | August 21, 2020
Objective:
Discuss health, safety, and shared responsibility academic policy matters
COVID-19 and Academic Policy Matters
Williams 082120
8/21/2020
2
What steps can we take as faculty to establish, acknowledge, and reinforce an HSC-wide culture of health, safety, and shared responsibility?
COVID-19 and Academic Policy Matters
Williams 082120
Examples of steps taken at HSC and in your College to establish, acknowledge, and reinforce an HSC-wide culture…
COVID-19 and Academic Policy Matters
Williams 082120
https://www.ouhsc.edu/coronavirus
8/21/2020
3
For our
health
COVID-19 and Academic Policy Matters
Williams 082120
• OU HR EAP webpage: https://hr.ou.edu/EAP . Great general information about the EAP program, guidance on how to contact the EAP office, and some excellent resources for HSC faculty and staff.
Magellan EAP program and LiveWell OU
Magellan website login : https://magellanascend.com/ to begin exploring resources and information
Magellan Health | 800-327-5043 https://www.magellanascend.com/
LiveWell OU at https://hr.ou.edu/wellness
COVID-19 and Academic Policy Matters
Williams 082120
For our
safety
• OUHSC SPPOT and EOC• HSC Provosts’ Office and Operations
Offices
• OUHSC Return Plan(s)• Campus Colleges and Units• Research• Academics
• Academic Programs Council• Academic Affairs Policy Coordination
Committee• Vice Provost for Academic Affairs
offices• College Deans Offices and Curriculum
Committees (classroom, clinical, etc.)
8/21/2020
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shared responsibility…• self-care• learner progression• colleague faculty and staff wellness• learner, faculty & staff diversity (of
experiences and needs for support)• academic environment• well-being as an academic community
COVID-19 and Academic Policy Matters
Williams 082120
What steps can we take to further model best practices for safe & effective academic continuity during this pandemic?
shared responsibility…• self-care• learner progression• colleague faculty and staff wellness• learner, faculty & staff diversity (of
experiences and needs for support)• academic environment• well-being as an academic
community
COVID-19 and Academic Policy Matters
Williams 082120
More ideas, thoughts, reflections on Teaching in a Time of COVID-19…
Email: [email protected]
COVID-19Navigating in the Classroom
Dale W. Bratzler, DO, MPH, MACOI, FIDSAChief COVID Officer – University of Oklahoma
Professor College of MedicineProfessor and Chair, Department of Health Administration and Policy
Hudson College of Public HealthEdith Kinney Gaylord Presidential Professor
Email: [email protected] Phone: (405) 271-3932
August 21, 2020
Objectives
• Provide a brief overview of the pandemic in Oklahoma.
• Review what have we learned about the virus and transmission?
• Discuss how do we keep students, staff, and faculty safe on campus?
Daily New Cases with 7-day Rolling AverageOklahoma
1 0 0 1 0 0 1 1 3 3 712155 414142558
847455525284
154160109
171
9375
145
52
160110
7410299115
7994108105
2981
12787
1231047260
27
130
63
145130103121
728374
12994
6699
24
119120110124151
73889143
148169
11177
534792
41688088
6711911310296
5691
55
158117
146
222225
158186
228259
450
352331
478
218
295
482438
395
299302
228
585
355
427
526
580
283
434
858
673
603596
687
456
510
993
1075
628
699
916
209168
1714
918
737
314
965
1204
1401
1089
848
1117
747
1244
494
377
861
1101
837854825
486
397
765
670705
794
901
544
369
615597
746
1077
0
200
400
600
800
1000
1200
1400
1600
1800
6-Mar
13-Mar
20-Mar
27-Mar
3-Apr
10-Apr
17-Apr
24-Apr
1-May
8-May
15-May
22-May
29-May
5-Jun
12-Jun
19-Jun
26-Jun
3-Jul
10-Jul
17-Jul
24-Jul
31-Jul
7-Aug
14-Aug
21-Aug
Daily New Cases 7-day Rolling Average
Through August 21:51,746 Confirmed Cases715 deaths (1.4%)
In the past week:- 4,849 new cases- 71 deaths
Seven-day Rolling Average of New CasesOklahoma – Last 14 days
764 763 766 752
691 672 663 674 682 678 657 646 652693
0
200
400
600
800
1000
1200
44051
44052
44053
44054
44055
44056
44057
44058
44059
44060
44061
44062
44063
44064
44065
44066
44067
County Cumulative Cases New Cases
OKLAHOMA 12328 291
TULSA 12095 222
CLEVELAND 3469 70
COMANCHE 987 64
GARFIELD 704 33
CANADIAN 1393 32
WAGONER 1034 31
PAYNE 874 27
LE FLORE 504 23
OKMULGEE 553 22
MCCURTAIN 929 15
CREEK 735 14
OTTAWA 456 14
CARTER 388 13
MCCLAIN 519 13
LINCOLN 261 11
August 21, 2020
COVID PCR Tests Done Per Week, and Percent Positive
17777 17030
2550128085
3694933593
28749 2937931251
43808
38606
56996 56262
93638
70857
56939
61918
47221
868 785 773 869 904 595 818 1347 1884 2601 27805646 5536
8586 7567 5826 5684 4578
4.94.6
3.0 3.1
2.4
1.8
2.8
4.6
6.0
5.9
7.2
9.9 9.8 9.2
10.710.2
9.29.7
0.0
2.0
4.0
6.0
8.0
10.0
12.0
0
10000
20000
30000
40000
50000
60000
70000
80000
90000
100000
19-Apr 26-Apr 3-May 10-May 17-May 25-May 31-May 7-Jun 14-Jun 22-Jun 29-Jun 6-Jul 13-Jul 20-Jul 27-Jul 3-Aug 10-Aug 17-Aug 24-Aug
Perc
ent o
f Tes
ts T
hat a
re P
ositi
ve
Num
ber o
f Tes
ts
Results per Weeks
Tests Done Tests Positive Percent Positive
Source: Oklahoma State Department of Health Executive Order Reports.Available at: https://coronavirus.health.ok.gov/executive-order-reports.
Total Hospitalizations – Confirmed and PUIs
562
0
100
200
300
400
500
600
70030
-Mar
1-Ap
r3-
Apr
5-Ap
r7-
Apr
9-Ap
r11
-Apr
13-A
pr15
-Apr
17-A
pr19
-Apr
21-A
pr23
-Apr
25-A
pr27
-Apr
29-A
pr1-
May
3-M
ay5-
May
7-M
ay9-
May
11-M
ay13
-May
15-M
ay17
-May
19-M
ay21
-May
23-M
ay25
-May
27-M
ay29
-May
31-M
ay2-
Jun
4-Ju
n6-
Jun
8-Ju
n10
-Jun
12-J
un14
-Jun
16-J
un18
-Jun
20-J
un22
-Jun
24-J
un26
-Jun
28-J
un30
-Jun
2-Ju
l4-
Jul
6-Ju
l8-
Jul
10-J
ul12
-Jul
14-J
ul16
-Jul
18-J
ul20
-Jul
22-J
ul24
-Jul
26-J
ul28
-Jul
30-J
ul1-
Aug
3-Au
g5-
Aug
7-Au
g9-
Aug
11-A
ug13
-Aug
15-A
ug17
-Aug
19-A
ug21
-Aug
23-A
ug
Num
ber H
ospi
taliz
ed
Confirmed COVID-19 Hospitalized Person Under Investigation Total
Source: Oklahoma State Department of Health Executive Order Reports.Available at: https://coronavirus.health.ok.gov/executive-order-reports
Hospitalizations – PUIs390
385
323313
306
276
295
272266
225 227
241
207
171162
193
149149155
166
148149150
132
118126
108117115
88
110
132129138
104 104
135
111106
89
72
100
8180
5558
74
8678
6061595763
7467
8282
62
847372
97102
87
131130
113
137126
108
126
102
129
105
152
130
106
122132
114
99107
122133
161
139130
83
105115
110109 111
85
106101
80
949399
94
0
50
100
150
200
250
300
350
400
30-M
ar1-
Apr
3-Ap
r5-
Apr
7-Ap
r9-
Apr
11-A
pr13
-Apr
15-A
pr17
-Apr
19-A
pr21
-Apr
23-A
pr25
-Apr
27-A
pr29
-Apr
1-M
ay3-
May
5-M
ay7-
May
9-M
ay11
-May
13-M
ay15
-May
17-M
ay19
-May
21-M
ay23
-May
25-M
ay27
-May
29-M
ay31
-May
2-Ju
n4-
Jun
6-Ju
n8-
Jun
10-J
un12
-Jun
14-J
un16
-Jun
18-J
un20
-Jun
22-J
un24
-Jun
26-J
un28
-Jun
30-J
un2-
Jul
4-Ju
l6-
Jul
8-Ju
l10
-Jul
12-J
ul14
-Jul
16-J
ul18
-Jul
20-J
ul22
-Jul
24-J
ul26
-Jul
28-J
ul30
-Jul
1-Au
g3-
Aug
5-Au
g7-
Aug
9-Au
g11
-Aug
13-A
ug15
-Aug
17-A
ug19
-Aug
21-A
ug23
-Aug
Num
ber H
ospi
taliz
ed
Person Under Investigation
Source: Oklahoma State Department of Health Executive Order Reports.Available at: https://coronavirus.health.ok.gov/executive-order-reports
Hospitalizations – Confirmed Cases
468
0
100
200
300
400
500
600
30-Mar 6-Apr 13-Apr 20-Apr 27-Apr 4-May 11-May 18-May 25-May 1-Jun 8-Jun 15-Jun 22-Jun 29-Jun 6-Jul 13-Jul 20-Jul 27-Jul 3-Aug 10-Aug 17-Aug
Num
ber H
ospi
taliz
ed
Confirmed COVID-19 Hospitalized
Source: Oklahoma State Department of Health Executive Order Reports.Available at: https://coronavirus.health.ok.gov/executive-order-reports
235/468 (50%) in ICU on August 20, 2020
What have we learned?
How is it transmitted?• Primarily through person-to-person spread among close
contacts• Through respiratory droplets and aerosols produced when an infected
person breaths, talks, sings, coughs, or sneezes.
• A person may get COVID-19 by touching a surface or object that has the virus on it and then touching their own mouth, nose, or eyes. This is not thought to be the main way the virus spreads.*
*Centers for Disease Control and Prevention. https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/how-covid-spreads.html
Watch this video – see what happens when you talk, and see how a mask can change that!
N Engl J Med. April 15, 2020.
https://www.youtube.com/watch?v=UNHgQq0BGLI
Symptoms – our understanding has evolved
• The following symptoms may appear 2–14 days after exposure (but most commonly occur within 4-5 days)
• Fever or chills• Cough• Shortness of breath or difficulty breathing• Fatigue• Muscle or body aches• Headache• New loss of taste or smell• Sore throat• Congestion or runny nose• Nausea or vomiting• Diarrhea
Source: https://www.cdc.gov/coronavirus/2019-ncov/symptoms-testing/symptoms.html
Is COVID a chronic disease?
• We don’t know…..but• We do know that some people have residual symptoms for weeks even
though they don’t spread the virus any more
• Some people will test positive for weeks, even though you cannot grow the virus from their specimens
• So, for the most part, we do not retest individuals any more
How do we keep everyone safe?
Safe and Resilient Plan
• Keep students, faculty, and staff safe
• Accommodate students, faculty, and staff in high risk categories for COVID-19
• Recognize that there will likely be some disruptions and to be flexible and prepared to adjust plans should the need arise
Masks and Physical Distancing
• If everyone wears a mask, the risk of person-to-person transmission of this virus is dramatically decreased. Now a mandate in any University-owned facility.
• Of the public health interventions to prevent spread of this disease, maintaining physical distancing is also quite effective
Combined, the classroom will be a very safe environment!
