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Table 1 Summary of main themes and identified affordances and constraints related to ERT

From: Designing for digital transformation of residency education – a post-pandemic pedagogical response

Themes (data-based)

Sub-themes (theory-based)

Affordances

Constraints

Promoting strategies for socialization and inclusiveness

Relates to social relationships and community building through features for communication and collaboration

• New ways of building and maintaining social relationships and a sense of community (digital ice breakers, getting-to-know-each-other, walk and talk, zoom-coffee)

• Increased engagement, social interaction and participation in breakout room discussions

• Enhanced collaboration, co-creation of ideas and shared learning within the course leader team (e.g., coworking as Zoom moderators)

• Reduced opportunities for social and informal communication and collaboration in Zoom

• Less room for spontaneous questions and reflections (typically posed during breaks)

• Harder to obtain informal networking and, subsequently, to foster a culture of mutual trust and openness

• Inhibiting the extended tacit purpose of building a foundation for continuous learning and collaboration

Creating an interactive learning environment

Relates to cognitive abilities such as mindset, focus, motivation, and concentration

• More diverse teaching strategies include mixing lectures, group discussions, individual reflection, and interactive polls and quiz

• More focused discussions, easier to moderate breakout rooms

• Facilitates course planning, structure and time management

• Increased flexibility to record and provide course material before, during and after the courses

• Harder to “get a sense” of group dynamics and course participants

• Limits the use of body language and nonverbal communication

• Increased cognitive load of video meetings, challenge to stay focused (Zoom fatigue)

• Risk for distractions and multitasking (e.g., notifications)

• Language barriers reinforced

• Harder to notice participants who zone out and do not engage in discussions

Building the plane while flying it

Relates to technological readiness, such as IT infrastructure, training and support

• Increased development of digital competence and skills through learning by doing

• Enhanced teaching methods through problem-solving strategies arising from the urgent need to adapt the course design to the digital format

• Potential for hybrid teaching and integration of features for digital teaching to enhance onsite courses

• The possibility of teaching from home per se: no risk of infection, less traveling, external guest lecturers and participants

• The technology is offered but without sufficient preconditions to learn it properly

• Lack of time and training in digital pedagogy

• IT-related frustration due to technical problems (internet, video and sound)

• Stressful not being able to trust/control the technology

• Legal aspects, security and confidentiality issues

• Mandatory IT adds complexity due to many systems, and constant changes to the digital environment