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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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Edoctoring l.jpg

eDoctoring

Enhancing clinical learning through interactive cases


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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


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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


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Staged production process

  • Traditional text format

    • LSE case delivery engine (including timed release of content)

    • text only with access to resource images


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Staged production process

  • Traditional format with video embedded

    • used existing LSE case delivery engine

    • videos embedded in case

    • video production was unscripted (roleplayers)


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Staged production process

  • Full eDoctoring format

    • linear highly visual case with narration

    • access to resources and questions

    • video production fully scripted (roleplayers and clinicians)


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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)


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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


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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


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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


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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


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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)


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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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