The Virtual Cardiology Rotation: Situated Cognition and the Signature Pedagogy in Medicine


Background:  Corona Virus 2019 (COVID-19) challenged the delivery of medical education and training, especially to the 4th year medical students. Medicine's signature pedagogy, the ward rounds in the hospital, was put on hold in compliance with safety precautions during this pandemic and the Commission on Higher Education’s (CHED) suspension of face-to-face classes in all levels.  How the University of Santo Tomas Faculty of Medicine & Surgery (UST FMS) Cardiology Rotation was delivered despite these restrictions is described.

Using Google Classroom, Blackboard Collaborate, and Zoom, a 7-day online Cardiology Clerkship rotation was delivered to UST FMS 4th year students (clerks) using the synchronous and asynchronous mode of delivery.  It consisted of the following: 1) Cardiovascular (CV) Ward Rotation with 3 cases using Google Classroom's adaptive release to create a vicarious experience of taking care of a patient and doing all the tasks that a clerk is supposed to do; 2) Virtual Ward Rounds by a consultant; 3) Outpatient Department (OPD) / Ambulatory Care Services (ACS) case discussions with a consultant and a 4) Heart Station Rotation for training in electrocardiogram (ECG) interpretation.

Conclusion:  The advances in technology and software provided just-in-time resources that made possible the creative delivery of Medicine's signature pedagogy. 

Key words:  virtual cardiology rotation, clerkship, signature pedagogy

  1. Shulman LS. Signature pedagogies in the professions. Daedalus [Internet]. 2005;134(3):52–9. Available from: 
  2. Jiang Z, Wu H, Cheng H, Wang W, Xie A, Fitzgerald SR. Twelve tips for teaching medical students online under COVID 19. Med Educ Online [Internet]. 2021;26(1):1854066. Available from: 2020.1854066 
  3. Moretti-Pires RO, Campos DA de, Tesser Junior ZC, Oliveira Junior JB de, Turatti B de O, Oliveira DC de. Pedagogical strategies in medical education to the challenges of Covid-19: scoping review. Rev Bras Educ Med [Internet]. 2021;45(1). Available from: http://dx.doi. org/10.1590/ 
  4. Sukumar S, Zakaria A, Lai CJ, Sakumoto M, Khanna R, Choi N. Designing and implementing a novel virtual rounds curriculum for medical students’ internal medicine clerkship during the COVID-19 pandemic. MedEdPORTAL [Internet]. 2021;17(1):11106. Available from: http://dx.doi. org/10.15766/mep_2374-8265.11106 
  5. Kasai H, Shikino K, Saito G, Tsukamoto T, Takahashi Y, Kuriyama A, et al. Alternative approaches for clinical clerkship during the COVID-19 pandemic: online simulated clinical practice for inpatients and outpatients-A mixed method. BMC Med Educ [Internet]. 2021;21(1):149. Available from: 

Articles related to the one you are viewing

There are currently no results to show, please try again later

Open Access This article is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License, which permits use, share — copy and redistribute the material in any medium or format, adapt — remix, transform, and build upon the material, as long as you give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use. You may not use the material for commercial purposes. If you remix, transform, or build upon the material, you must distribute your contributions under the same license as the original. You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit