Academic Journal
Embedding e-learning in postgraduate medical education: system-level barriers and enablers in Hong Kong.
| Τίτλος: | Embedding e-learning in postgraduate medical education: system-level barriers and enablers in Hong Kong. |
|---|---|
| Συγγραφείς: | So HY; The Jockey Club Institute for Medical Education and Development, Hong Kong Academy of Medicine, Hong Kong SAR, China., Chan AKM; The Jockey Club Institute for Medical Education and Development, Hong Kong Academy of Medicine, Hong Kong SAR, China., Lui CT; The Jockey Club Institute for Medical Education and Development, Hong Kong Academy of Medicine, Hong Kong SAR, China., Cheng BCP; The Jockey Club Institute for Medical Education and Development, Hong Kong Academy of Medicine, Hong Kong SAR, China., Pun J; Department of English, The Chinese University of Hong Kong, Hong Kong SAR, China., Tham CCY; Education Committee, Hong Kong Academy of Medicine, Hong Kong SAR, China. |
| Πηγή: | Hong Kong medical journal = Xianggang yi xue za zhi [Hong Kong Med J] 2026 Aug; Vol. 32 (4), pp. 322-329. Date of Electronic Publication: 2026 Aug 14. |
| Τύπος έκδοσης: | Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Hong Kong Academy of Medicine Press Country of Publication: China NLM ID: 9512509 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1024-2708 (Print) Linking ISSN: 10242708 NLM ISO Abbreviation: Hong Kong Med J Subsets: MEDLINE |
| Imprint Name(s): | Publication: Hong Kong : Hong Kong Academy of Medicine Press Original Publication: Hong Kong : Churchill Livingstone, c1995- |
| Ιατρικοί όροι (MeSH): | Education, Medical, Graduate*/methods , Education, Medical, Graduate*/organization & administration , Education, Distance*/methods , Computer-Assisted Instruction*/methods, Hong Kong ; Humans ; Faculty, Medical ; Academia ; Surveys and Questionnaires ; Interviews as Topic ; Learning |
| Περίληψη: | Introduction: E-learning is increasingly central to postgraduate medical education (PGME), yet system-level barriers may hinder its integration. In Hong Kong, the Academy of Medicine (HKAM) has invested in a learning management system and faculty development, but uptake among Academy Colleges remains uneven. This study examined barriers and enablers across Colleges to inform system-level implementation. Methods: We used a sequential exploratory mixed-methods design. Phase 1 involved semi-structured interviews with one e-learning lead from each of the 13 participating Colleges, which were analysed thematically. Phase 2 comprised a survey of 266 education committee members, of whom 88 responded (33.1%). Items were rated on a five-point Likert scale (1=strongly disagree to 5=strongly agree), with optional free-text comments. Results: Five themes emerged, namely, (1) limited strategic urgency; (2) gaps in faculty capability and trainee readiness; (3) weak system enablers; (4) lack of recognition and resources; and (5) the need for system-level strategies. The survey corroborated these findings, with the lowest ratings for information technology (IT) support and incentives and the highest for a clear HKAM policy (mean, 4.20) and inter-College benchmarking (mean, 4.01). System enablers received the lowest overall score (mean, 2.89); recognition and resource allocation also scored poorly (mean, 2.87). Strategic buy-in was moderate (mean, 3.53), highlighting a contrast between strong demand for central direction and limited operational support. Conclusion: Sustainable PGME e-learning requires integrated action across motivation, capability, and opportunity. Leadership signalling and recognition are needed to strengthen motivation; tiered faculty development and trainee orientation to build capability; and coordinated IT support, workflow integration, and resource sharing to expand opportunity. |
| Competing Interests: | All authors have disclosed no conflicts of interest. |
| Contributed Indexing: | Keywords: Computer-assisted instruction; Education, medical; Faculty; Motivation; Workflow |
| Entry Date(s): | Date Created: 20260814 Date Completed: 20260824 Latest Revision: 20260824 |
| Update Code: | 20260824 |
| DOI: | 10.12809/hkmj2514455 |
| PMID: | 42596670 |
| Βάση Δεδομένων: | MEDLINE |
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