discipline of paediatrics & child health sydney medical school mobile case-based learning in...
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Discipline of Paediatrics & Child Health Sydney Medical School
Mobile case-based learning in Paediatrics
Dr Karen Scott
Lecturer, Education
Discipline of Paediatrics and Child Health
The Children’s Hospital at Westmead Clinical School
Discipline of Paediatrics & Child Health Sydney Medical School
Context: Paediatrics
• Problem-based learning - years 1 & 2• 8 week term – year 3/4:
– 85 students x 4– 2 lecture weeks + 5 clinical weeks– Tutorials: medical bedside, clinical reasoning,
surgical – Exam week: all paediatric content
Discipline of Paediatrics & Child Health Sydney Medical School
Background: Medical Program
• 2007-8 Sydney Medical Program review:– Change in structure of Year 1– 3 Paediatric problem-based learning cases moved– Existing web-based cases: open questions– 2 paediatric self-directed cases
Discipline of Paediatrics & Child Health Sydney Medical School
• 2008 research - online formative assessment:– Open vs closed questions– Self-directed learning– Engaged enquiry / “Professional learners”
MacLean et al. (2011)
Background: Self-directed learning
Discipline of Paediatrics & Child Health Sydney Medical School
• 2008-9 research - student expectations &
experience: – Clinical attachments– Ways of learning
Scott et al. (in press)
Background: Clinical attachments
Discipline of Paediatrics & Child Health Sydney Medical School
Discipline of Paediatrics & Child Health Sydney Medical School
Mobile learning
“Learning that used to be delivered ‘just-in-case’ can now be delivered ‘just-in-time’, ‘just enough’ and ‘just-for-me’. [The focus is ] finding information rather than possessing it or knowing it”.
Traxler 2007
Discipline of Paediatrics & Child Health Sydney Medical School
Challenge: Privacy
• Camera• Web-enabled• Social media
Discipline of Paediatrics & Child Health Sydney Medical School
Aim
Mobile case-based learning scenarios:– Engage– Flexible access– Resources for learning at the patient bedside
Discipline of Paediatrics & Child Health Sydney Medical School
Development process
• Stage 1, 2008-9:– Pilot case (anorexia nervosa) + evaluation
• Stage 2, 2010: – Review + 2 cases (rubella; in-born error of metabolism)
+ evaluation in 2011
• Stage 3, 2012–13:– Review + 2 cases (pyloric stenosis; febrile seizures)
+ 7 emergency medicine modules
Discipline of Paediatrics & Child Health Sydney Medical School
Project team
• Paediatrics & Child Health:– Dianne Campbell, Meg Phelps, Anne Morris,
Hasantha Gunasekera & Karen Scott
• Sydney Medical School:– Daniel Burn
• Sydney eLearning:– Marianna Koulias, Sharon Kitching, Jo Lockwood &
Pamela Bramas
Discipline of Paediatrics & Child Health Sydney Medical School
Format: Clinical reasoning
Discipline of Paediatrics & Child Health Sydney Medical School
Discipline of Paediatrics & Child Health Sydney Medical School
Integrated resources
Discipline of Paediatrics & Child Health Sydney Medical School
Formative assessment
Discipline of Paediatrics & Child Health Sydney Medical School
Introductory quiz
Discipline of Paediatrics & Child Health Sydney Medical School
Scoring
Discipline of Paediatrics & Child Health Sydney Medical School
Evaluation
• 111 students - semester 1, 2011• 97% response rate• Survey - quantitative & qualitative
Koulias et al (2012)
Scott et al (2010)
Discipline of Paediatrics & Child Health Sydney Medical School
Answered questions, read explanations
Discipline of Paediatrics & Child Health Sydney Medical School
Used on clinical attachments
Discipline of Paediatrics & Child Health Sydney Medical School
“I just wanted to say thank you-- I have been doing the self-directed cases all weekend and they're WONDERFUL. Would that every other block could be taught like paediatrics! I even did some cases while out camping thanks to the mobile cases”.
Discipline of Paediatrics & Child Health Sydney Medical School
Following steps
• Use of mobile devices in hospital settings• Learning & teaching • Ethics, etiquette, technology & security• Culture of clinical teaching environment
Discipline of Paediatrics & Child Health Sydney Medical School
References
Koulias M, Leahy G, Scott KM, Phelps M & Campbell D (2012) "Wherever, whenever" learning in Medicine: Evaluation of an interactive mobile case-based project. Proceedings, Future Challenges | Sustainable Futures Australian Society for Computers in Learning in Tertiary Education (ascilite) conference, 25th – 28th November 2012, Wellington, New Zealand.
Scott KM, Kitching S, Burn D, Koulias M, Campbell D & Phelps M (2010) Wherever, whenever learning in medicine. In C. Steel, M.J. Keppell & P. Gerbic, (Eds.) Curriculum, technology & transformation for an unknown future. Proceedings, ascilite conference, 6 – 7
December Sydney 2010.
MacLean JE, Scott KM, Marshall T & Van Asperen P (2011) Evaluation of an elearning teaching resource: What is the medical student perspective? Focus on Health Professional Education: A Multi-disciplinary Journal, 13, 2: 53-64.
Scott KM, Barrett J, Cheetham V, McCallum Z, Barzi F & Phelps M. (in press) Mismatch between medical student expectations and experiences: Student over-entitlement or medical programs needing reform? Focus on Health Professional Education: A Multi-disciplinary Journal .
Traxler, J (2007) Defining, Discussing and Evaluating Mobile Learning: The moving finger writes and having writ. The International Review of Research in Open and Distance
Learning, 8.
Discipline of Paediatrics & Child Health Sydney Medical School
Acknowledgements
Sydney eLearning
A/Prof Sandra West
Dr Jo Lander
Melinda Lewis
Apple
Discipline of Paediatrics & Child Health Sydney Medical School
Thank you
Questions?