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Enhancing clinical learning through interactive cases

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eDoctoring. Enhancing clinical learning through interactive cases. Background to eDoctoring. Collaboration between Universities of California and Newcastle Tackles issues surrounding clinical practice Uses linear case-based scenarios Online delivery of learning

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Presentation Transcript
background to edoctoring
Background to eDoctoring
  • Collaboration between Universities of California and Newcastle
  • Tackles issues surrounding clinical practice
  • Uses linear case-based scenarios
  • Online delivery of learning
    • Interactive graphical environment
    • Videos
    • Audio
    • Tutorials
integrating edoctoring and csim
Integrating eDoctoring and CSIM
  • HEFCE Windfall Project
  • Newcastle’s CSIM course
    • revisiting academic information in a clinical scenario
    • group based working
    • support available (clinical, technical)
  • Integrating eDoctoring
    • did not change the method of learning
    • did change way student worked through material
    • staged process of introduction
staged production process
Staged production process
  • Traditional text format
    • LSE case delivery engine (including timed release of content)
    • text only with access to resource images
staged production process5
Staged production process
  • Traditional format with video embedded
    • used existing LSE case delivery engine
    • videos embedded in case
    • video production was unscripted (roleplayers)
staged production process6
Staged production process
  • Full eDoctoring format
    • linear highly visual case with narration
    • access to resources and questions
    • video production fully scripted (roleplayers and clinicians)
learner reaction to cases
Learner reaction to cases
  • CSIM evaluation
    • 700+ medical students over 2 years
    • standard MBBS evaluation (quantitative and qualitative)
    • data from 2006/7 evaluation (350 learners responses)
  • US learner evaluation
    • 550 residents over 18 months
    • evaluation data collected as part of post test
    • data from 2006/7 evaluation (237 learner responses)
suggestions for improvement
Suggestions for improvement
  • 65 respondents gave free text comments
  • Main issue was the decision not to allow progression past case questions
  • Linear nature of navigation was also an issue
  • Content and realism raised both positive and negative comments
suggestions for improvement9
Suggestions for improvement
  • 65 respondents gave free text comments (US - 87)
  • Main issue was the decision not to allow progression past case questions
  • Linear nature of navigation was also an issue
  • Content and realism raised both positive and negative comments
positive comments
Positive comments
  • 44 respondents gave free text comments
  • Realism and the idea that this made the case more memorable
  • Interactivity and fun cropped up often in the comments
  • Video featured in the realism comments but also in relation to viewing consultations etc
positive comments11
Positive comments
  • 44 respondents gave free text comments (US - 87)
  • Realism and the idea that this made the case more memorable
  • Interactivity and fun cropped up often in the comments
  • Video featured in the realism comments but also in relation to viewing consultations etc
questions for educational design
Questions for educational design
  • Interpreting and responding to feedback
    • moving students out of their “comfort zone”
    • engaging with material in a linear manner
    • feedback clearly reflected this
  • New cases incorporating feedback
    • access to questions and resources open
    • answers to questions still required
    • video production fully scripted (actor and clinicians)
future of edoctoring in csim
Future of eDoctoring in CSIM
  • eDoctoring
    • new subject areas
    • system improvements
  • Future materials CSIM
    • is an immersive environment appropriate to CSIM?
    • focus on procedures and approaches
    • scripted vignettes (actors and clinicians)
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