The following is Part 2 of a two-article series on facilitating cross-cultural online learning. For Part 1, please go here.

Last month, I shared my reflections on a March 20, 2020 virtual class (VC) session that SPICE facilitated for high school students in Japan and the United States to engage in a cross-cultural online exchange. This online discussion engaged my U.S.-based students of the 2020 Reischauer Scholars Program and Waka Brown’s Japan-based students of the Spring 2020 Stanford e-Japan Program in a Zoom session, during which they talked and learned with and from one another on a range of topics, including the impact of COVID-19 within their respective communities.

During the main portion of the session, the 45 students were divided into six small breakout rooms to engage in 40 minutes of discussion. Each group had a designated volunteer student moderator and a notetaker/reporter; the latter was asked to share the key points of discussion from his or her small group when we reconvened towards the end of the 90-minute VC. All discussions were conducted in English, with the exception of one group, which was designated as a bilingual space for students who felt comfortable conversing in both English and Japanese.

Since this was the 2020 students’ first opportunity to meet (another joint VC on comparative education took place on April 10), we felt it important to preface the session by setting a few ground rules for discussion. Communication styles and norms—particularly in group settings—tend to be quite different in Japan and the United States. We have found it helpful, for example, to address these differences up-front to alleviate potential cross-cultural misunderstandings.

For assessment purposes, we also asked students to send feedback on their experiences in the session. Some of their comments are included below as we turn to the student perspectives on what they experienced in this joint online discussion. More specific points from our observations and students’ feedback fall into five areas.

First, the session provided a platform for students to talk openly about the COVID-19 pandemic and also to learn about perspectives from another country. Risako of Stanford e-Japan reflected, “I could … learn about the way American students perceive political issues and coronavirus through an absorbing discussion and was surprised to discover that their perspectives were much more similar to Japanese students than I had expected.” Alika of the RSP noted, “It was really interesting to me to see how different countries are coping with the virus. I was pretty surprised to hear that many Japanese people still use public transport/eat out at restaurants and go on with their daily lives in the face of the global pandemic.” She continued, “I think some of the e-Japan students were also surprised to hear that California has a ‘6 feet apart’ rule and that many restaurants have closed as a precaution.” Yasuyuki from Japan added, “It’s not difficult to look up the news to find out about what’s going on in America, but living in Japan, you hardly ever get the chance to talk with people in America and hear from the horse’s mouth.”

Second, the session underscored the importance of empathy at times like this. Kristie from the RSP commented, “I always enjoy finding commonalities between me and others, and I think our shared experiences with the coronavirus really allowed us to connect and understand one another. I think the most important thing I will take away from this experience is that youth in Japan and America are really no different—despite our varied experiences and interests we were able to communicate about issues facing our countries and relate to one another on a deeper level.” Similarly, Yuna of Stanford e-Japan noted, “Since I have had only [a] few opportunities to interact with American high schoolers, it was a precious time for me. It was wonderful especially because we both were interested in each other. Talking ... with them made me realize how [thin] the border between our minds actually are. We were, after all, just friends.”

Third, the session prompted students to reexamine their own culture. For example, Hiromu of Stanford e-Japan noted, “I feel very pleased to have such a wonderful opportunity to teach them [the RSP students about Japanese language] and, simultaneously, however, recognized how I lack information about Japanese culture. I think this integrated meeting is vital in that it provides us opportunities for looking back on our culture and broaden[ing] our narrow-minded thoughts.” Jin of the RSP added, “What’s more, they [the Stanford e-Japan students] all spoke fluent English. This made me reflect on the world languages education in the U.S. I think the U.S. should incorporate more global studies (both language and culture) in the education system. America-centric curriculum will cause the younger generation to lose a global vision, and become unaware of Japan as a major political and economic ally in East Asia.”

Fourth, the session shed light upon how diverse both countries are. Jin of the RSP noted, “I’ve always thought that Japan has a rather homogeneous population, but talking to e-Japan students has given me a new perspective on Japanese society. I encountered a student from Myanmar who is living in Japan currently, a Japanese student who used to live in NYC for four years, and a student from Singapore who has been studying abroad in Europe for a couple years.” Rinako of Stanford e-Japan reflected, “Up until now, even when I had the chance to communicate with people outside of Japan, it was usually done in English. However, this time, all three of the Reischauer Scholar students [in her small group] spoke fluent Japanese which made me very happy as we were able to use both English and Japanese.”

Fifth, we came to realize how invaluable international and cross-cultural dialog—especially during times of crisis—can be for students. Having a session during such an unprecedented time seemed to add special significance to the experience. Brandon of the RSP noted, “Overall, it was an extremely memorable discussion, and I hope that we can continue this kind of online cross-cultural connection throughout the rest of the program.” Many Stanford e-Japan students like Fuka also reflected upon the opportunity to discuss critical topics like the coronavirus at this time. She noted, “It gave me a chance to think about familiar issues not just with people of my own country but with people from all kinds of backgrounds.”

Students are among those most acutely experiencing the direct impact of this global pandemic. As they look into the future with confusion and uncertainty about their educational prospects and options, our students seemed to find comfort in this opportunity to connect with their like-minded peers across the Pacific. As they reflected upon their differences, they deepened their understanding of one another and forged what I hope become lasting friendships.

For more information about the Reischauer Scholars Program or the Stanford e-Japan Program, please visit our programs’ webpages at reischauerscholars.org and stanfordejapan.org. SPICE also offers other online courses to U.S. high school students on China (China Scholars Program) and Korea (Sejong Korea Scholars Program), and an online course to Chinese high school students on the United States (Stanford e-China Program).

To stay informed of SPICE news, join our email list and follow us on Facebook, Twitter, and Instagram.

Related articles:

• Bridging “Social Distancing” Across the Pacific: 6 Tips for Facilitating Cross-Cultural Online Learning
• SPICE’s Stanford e-Japan Instructor Waka Takahashi Brown Honored with the Elgin Heinz Outstanding Teacher Award
• Stanford e-Japan: My Window to the Wider World
• Honoring High School Students from Japan and the United States: A Glow for Global Peace
• The RSP: A Stepping Stone in My Journey with Japan
• Yanai Tadashi Foundation and SPICE/Stanford University

A team of SHP faculty and researchers, together with Stanford Medicine graduate and medical students and in collaboration with colleagues at CIDE in Mexico, have launched a modeling framework to investigate the epidemiology of COVID-19 and to support pro-active resource planning and policy evaluations for diverse populations and geographies — including California, Mexico and India.

The Stanford-CIDE Coronavirus Simulation Model — or SC-COSMO — incorporates realistic demography and patterns of contacts sufficient for transmission of the virus that has infected more than 2 million people worldwide and claimed more than 125,600 lives, according to the widely used Johns Hopkins COVID-19 map which is updated several times a day.

The SC-COSMO model also incorporates non-pharmaceutical interventions, such as social distancing, timing and effects on reductions in contacts which may differ by demography.

Jeremy Goldhaber-Fiebert, an associate professor of medicine at Stanford Health Policy, is the principal investigator of the project, along with Fernando Alarid-Escudero, an assistant professor at the Center for Research and Teaching in Economics (CIDE) in Mexico and Jason Andrews, an assistant professor of medicine (infectious diseases) at Stanford Medicine. Other SHP faculty among the 20 investigators and staff members who are working on the project are Joshua Salomon and David Studdert, both professors of medicine.

The SC-COSMO team is a multi-disciplinary, multi-institutional team including expertise and experience in infectious disease, epidemiology, mathematical modeling and simulation, statistics, decision science, health policy, health law and health economics.

“As COVID-19 transmission occurs throughout the world’s diverse populations, it is critical to efficiently model and forecast its future spread between and within these populations and to appropriately reflect uncertainty in modeled outcomes,” Goldhaber-Fiebert said. “Doing so supports timely resource planning and decision making between potentially appropriate and effective interventions that balance the trade-offs they embody.”

The team is currently working on three projects:

1. The researchers are providing California with county-level COVID-19 estimates for such things as the number of infections, detected cases and projections of future needs for hospital and ICU beds, personal protective equipment (PPE) and ventilators.
2. The project is working on potential strategies to mitigate the COVID-19 pandemic in Mexico by focusing on three specific objectives: collecting, synthesizing and openly sharing the most relevant and useful data; accelerating the development of the SC-COSMO model and its adaptation to the Mexican situation; and identifying a set of mitigation strategies, comparing the health and economic consequences in the population in the medium and long term.
3. They are developing forecast models of the COVID-19 epidemic in India with the Wadhwani Institute of Artificial Intelligence and its Indian government partners, providing a rapid response to urgent needs for planning and resource allocation.

The novel coronavirus (COVID-19) is a global public health disaster of almost biblical proportions. It is a once-in-a-century occurrence that threatens to destroy countless lives, ruin economies, and stress national and international institutions to their breaking point. And, even after the virus recedes, the geopolitical wreckage it leaves in its wake could be profound.

Many have understandably drawn comparisons to the influenza pandemic of 1918 and 1919. That pandemic, which began in the final months of World War I, may have infected 500 million people and killed 50 million people around the globe. As the grim toll of COVID-19 mounts, it remains to be seen if that comparison will prove apt in terms of the human cost.

But, if we want to understand the even darker direction in which the world may be headed, leaders and policymakers ought to pay more attention to the two decades after the influenza pandemic swept the globe. This period, often referred to as the interwar years, was characterized by rising nationalism and xenophobia, the grinding halt of globalization in favor of beggar-thy-neighbor policies, and the collapse of the world economy in the Great Depression. Revolution, civil war, and political instability rocked important nations. The world’s reigning liberal hegemon — Great Britain — struggled and other democracies buckled while rising authoritarian states sought to aggressively reshape the international order in accordance with their interests and values. Arms races, imperial competition, and territorial aggression ensued, culminating in World War II — the greatest calamity in modern times.

In the United States, the interwar years also saw the emergence of the “America First” movement. Hundreds of thousands rallied to the cause of the America First Committee, pressing U.S. leaders to seek the false security of isolationism as the world burned around them. President Franklin Delano Roosevelt pushed back, arguing that rising global interdependence meant no nation — not even one as powerful and geographically distant as the United States — could wall itself off from growing dangers overseas. His warning proved prescient. The war eventually came to America’s shores in the form of the attack on Pearl Harbor.

Even before COVID-19, shadows of the interwar years were beginning to re-emerge. The virus, however, has brought these dynamics into sharper relief. And the pandemic seems likely to greatly amplify them as economic and political upheaval follows, great-power rivalry deepens, institutions meant to encourage international cooperation fail, and American leadership falters. In this respect, as Richard Haas notes, the COVID-19 pandemic and the aftershocks it will produce seem poised to “accelerate history,” returning the world to a much more dangerous time.

However, history is not destiny. While COVID-19 worsens or sets in motion events that may increasingly resemble this harrowing past, we are not fated to repeat it. Humans have agency. Our leaders have real choices. The United States remains the world’s most powerful democracy. It has a proud legacy of transformational leaps in human progress, including advances that have eradicated infectious diseases. It is still capable of taking urgent steps to ensure the health, prosperity, and security of millions of Americans while also leading the world to navigate this crisis and build something better in its aftermath. America can fight for a better future. Doing so effectively, however, requires understanding the full scope of the challenges it is likely to face.

Read the rest at War on the Rocks

The following is Part 1 of a two-article series on facilitating cross-cultural online learning.

COVID-19 has now extended into most communities around the world, and we are only just beginning to understand the depth and breadth of its impact. Here at SPICE, our hearts and minds are especially focused on the effects that this global pandemic is having upon students. School closures and remote learning are becoming the norm as people are being asked—and in many cases, required—to maintain “social distancing” in order to prevent an even more rapid spread of the disease.

Every day there are more resources becoming available for teaching and learning online in the COVID-19 era. Many educators are struggling with how to adapt their teaching to the digital environment, while also striving to take full advantage of their new online context. We would like to share a few tips that we have learned from our own experiences with leveraging online teaching to forge international student connections, in hopes of encouraging others to develop similar cross-cultural online experiences for students on a global scale.

First, let me describe our own context for teaching online at SPICE. SPICE has been engaging high school students in the United States in online learning since 2004, when our first cohort of the Reischauer Scholars Program (RSP) began its intensive study of Japan and U.S.–Japan relations. When we launched a counterpart to the RSP in 2015—the Stanford e-Japan Program, an online course on U.S. society and culture and U.S.–Japan relations taught to high school students in Japan—we began to explore ways in which these two cohorts of students could come together and learn directly from and with one another. Just as the RSP students are spread across the United States, the Stanford e-Japan students are distributed across the islands of Japan. The diversity of perspectives, backgrounds, and experiences that these students bring to their cohorts is one of the richest and most valued aspects of SPICE’s online teaching initiatives.

We wanted to give our RSP and Stanford e-Japan students an opportunity to come together and discuss their shared experiences, concerns, and anxieties within the contexts of their new realities. How is the COVID-19 pandemic impacting daily life in their respective societies and communities? What are the local and national government responses to this crisis? How are their schools managing the closures, and how is it impacting their future education plans and prospects? These were among the many topics discussed by students across the Pacific at a recent virtual event.

On Friday, March 20 at 7:00pm PDT (which was 11:00am on Saturday, March 21 in Japan), 45 students from across Japan and the United States came together in a Zoom virtual classroom (VC) session to meet, chat, share, learn, and listen. Below are a few best practices that we implemented in this recent session, and that we hope will be helpful for others when considering pedagogical strategies for engaging students in international and cross-cultural online discussions.

1. Prepare students in advance

To make for a rich and productive session, it is crucial that students come to the session well prepared and ready to engage actively. Prior to the session, all students were sent an agenda and asked to prepare at least two questions for small-group discussion. We also asked for student volunteers from each course to serve as small-group discussion leaders; half from RSP, half from Stanford e-Japan. Simple guidelines for moderating the discussion were sent to the discussion leaders in advance, including the following:

• Begin by identifying yourself as the small-group discussion leader.
• Facilitate self-introductions.
• Be mindful of encouraging all students to participate and voice their opinions and perspectives.
• Remind everyone of the agenda and the time allotted for small-group discussion.

2. Set basic ground rules for discussion

For online discussions in general—and especially for discussions in a cross-cultural setting—it is important for students to know what to expect and understand what is expected of them. In our case, because communication styles and norms—particularly in group settings—tend to be quite different in Japan and the United States, we have found it helpful to address these differences up-front to alleviate potential cross-cultural misunderstandings. Following brief introductions by the RSP and Stanford e-Japan course instructors, we began the session by taking a few minutes to highlight key differences in cross-cultural communication styles. For example, students in the United States tend to be less comfortable and/or familiar with silence or pauses in conversation, while students in Japan are often used to allowing for more time and space to think before speaking up.

3. Divide students into small groups

While student discussions can certainly be facilitated in one large group, we highly recommend dividing students into smaller groups if your software allows. (In Zoom, use the “Breakout Rooms” feature to do this.) In our experience, small groups create an environment that fosters dialogue that is more student-centered, dynamic, and inclusive—and therefore more meaningful to students. We have found that group sizes of five to eight work well. With 45 students in attendance at our recent session, we decided to divide students into six small breakout rooms in Zoom, each with a mix of students from the United States and Japan. All groups held their discussions in English, with the exception of one bilingual group comprised of American students fluent in Japanese and Japanese students fluent in English. With about seven or eight students in each group, each student had ample opportunity to actively engage in discussion and share his or her perspectives and experiences with one another. Each group was preassigned a topic/theme for discussion: COVID-19 (two groups), U.S.–Japan politics and economy, Japanese pop culture, Japanese language, and education.

4. Assign roles

In addition to the discussion leader role, students were also asked to assign a notetaker/reporter in each small group. For groups with an RSP student leader, a Stanford e-Japan student was asked to report back to the main group at the end of the session, and vice versa for groups with a Stanford e-Japan leader.

5. Support student discussion

Once students’ discussions are underway, periodically check in on each group and provide support as needed. We use Zoom for our virtual class platform, which allows for the host to hop between the breakout rooms throughout the duration of the session. While we prefer to allow for the small-group discussions to remain student-centered and student-led, there are times when a teacher might jump into a small group and either notice that a particular student is dominating the discussion, or that there are extended silences. It would be appropriate here for a teacher to send a private message to the discussion leader with some guidance and support as needed.

6. Debrief as a class

Save time at the end of class to reconvene students as a large group and share out to each other. In our case, the notetaker/reporter for each small group presented a short summary of his or her group’s discussion and some time was allowed for comments from the whole group following each presentation. While there were five different topics assigned to the six groups, it was interesting to see that all of the groups ended up discussing the impact of the COVID-19 situation at some point during their time together. Dedicating time to this whole-group debrief enabled students to learn about different perspectives and varied comparative responses to COVID-19, and it created a valuable opportunity for students to forge a cohesive virtual community of their own.

Concerns about the COVID-19 pandemic, of course, hovered above all of us during the session and one of the big “take-aways” for the students was how interdependent and interconnected the world is. The anxieties of suddenly transitioning to online learning, being separated from friends and classmates, and not knowing how this pandemic might impact their prospects for higher education are shared by high school students everywhere. With many students transitioning to some form of remote learning, this could be an ideal time for young people to reach out across cultural and societal boundaries and deepen their international and cross-cultural awareness and understanding, and for schools to consider offering opportunities for these virtual connections to be made.

For more information about the Reischauer Scholars Program or the Stanford e-Japan Program, please visit our programs’ webpages at reischauerscholars.org and stanfordejapan.org. SPICE also offers other online courses to U.S. high school students on China (China Scholars Program) and Korea (Sejong Korea Scholars Program), and an online course to Chinese high school students on the United States (Stanford e-China Program).

To stay informed of SPICE news, join our email list and follow us on Facebook, Twitter, and Instagram.

Related articles:

• SPICE’s Stanford e-Japan Instructor Waka Takahashi Brown Honored with the Elgin Heinz Outstanding Teacher Award
• Stanford e-Japan: My Window to the Wider World
• Honoring High School Students from Japan and the United States: A Glow for Global Peace
• The RSP: A Stepping Stone in My Journey with Japan
• Yanai Tadashi Foundation and SPICE/Stanford University

Half of the medical students in the United States are women, as are two-thirds of the health-care workers taking care of patients in hospitals, clinics and residential communities.

And the majority of the nurses on the frontlines of the COVID-19 pandemic? Women.

Yet gender bias and workplace harassment continue to plague women who have dedicated their careers to taking care of others.

A classic example given by Michelle Mello in a Perspective published in this week’s New England Journal of Medicine goes like this: A female attending physician and a male resident respond to a call to the emergency department. The ED staff direct questions about medical decisions to the man, addressing the logistics to the woman.

“The resident looks awkwardly at the attending but says nothing,” Mello writes. “Gesturing at the attending, the patient says he hopes `the hot new nurse is going to be mine.’ Everyone ignores the comment.”

Sexual harassment and gender bias remain highly prevalent in medicine, ranging from the banal comments by the patient in the scenario above to aggressive misconduct that can damage female health professionals’ well-being, careers and quality of care.

Healthcare organizations have formal processes in place to respond to complaints of workplace discrimination, but these processes “are insufficient to transform cultures,” writes Mello, a professor of medicine with Stanford Health Policy and a professor of law with Stanford Law, and her co-author Reshma Jagsi, director of the Center for Bioethics and Social Sciences at the University of Michigan.

Health-care professionals of both genders must speak up.

“We believe health professionals have a moral duty to practice `upstanding’ — intervening as bystanders — in response to sexual harassment and general bias and that this obligation should be described in codes of medical professional ethics and supported within institutional training,” the authors write.

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While many medical professional societies now mention sexual harassment in their ethical codes, these guidelines fall short in that they do not encourage professionals to respond to the behaviors and intervene when they become aware of discrimination or harassment. The only large specialty society whose guidelines contain “aspirational advice” to stop sexual harassment in its tracks is the American Association of Orthopaedic Surgeons.

The American Medical Association (AMA) Code of Ethics Opinion 9.1.3 requires only that physicians “promote and adhere to strict sexual harassment policies in medical workplaces.” Mello and Jagsi note a striking contrast to the AMA’s approach to physicians who appear to be impaired (for example, due to substance use or mental health problems): Opinion 9.3.2. requires that physicians “intervene in a timely manner” to ensure that impaired colleagues stop practicing and get help.

“Absent stronger exhortation from within the profession, the norm will continue to be that clinicians are lauded when they stand up to harassment or bias but do not feel obligated — and they are not trained and equipped — to do so,” the authors write.

They recommend formal training in bystander intervention and peer-to-peer coaching, using tip sheets describing various courses of action, like this one adapted from Mary Rowe, an adjunct professor of negotiation and management at MIT Sloan.

(This is excerpted from a story from The Mercury News.)

Long motorcades of volunteers converged at three Stanford University research sites this week, donating blood for a new test that identifies the prevalence of coronavirus in our community – and could help reveal the full scope of Santa Clara County’s epidemic.

The 2,500 test slots on Friday and Saturday filled up within hours, as news of the project — the first large scale study of its type in the U.S. — spread quickly through the county, according to this Mercury News story.

The test detects protective antibodies to the virus rather than the virus itself. This gives scientists a snapshot of how many people in the county have already been infected, but weren’t seriously sick and didn’t realize it. And it tells residents whether they carry potentially protective antibodies – so may be immune to future infection.

“This is critical information,” said principal investigator Eran Bendavid, an infectious disease specialist and associate professor of medicine with Stanford Health Policy. “We will show the country what to do and how to do it,” he said.

The project, coordinated with the Santa Clara County Department of Health, was applauded by Gov. Gavin Newsom during a Saturday press conference in Sacramento, who called it “the first home-grown serum test in the state of California.”

Read The Mercury News Story