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e-Learning Unit
MAASTRO Clinic
         29.08..2012
2


Outline >> e-Learning

1.   What is e-Learning
2.   Why it might be valuable
3.   How it has been used for RT?
4.   MAASTRO’s plan
5.   Questions & Suggestions
4
e-Learning




             “Access wider audiences    “Borring
             Save resources and money   Lonely
             Easy to implement”         Takes a lot of time”
5




  e-Learning, definition
Use of ICT & devices to facilitate (online) learning

   Everywhere
                Location independent

   Every time
                Self-pace & time

    Everyone
                Widens access to everyone

                Reusable learning &
    Efficient
                Remote guidance
6




e-Learning is not about
• Copy-paste of traditional course
  materials in .pdf format
• Making available resources on the
  Web (e.g., videos) without clear
  learning goals, learning design
• Let students learn “by themselves”,
  without guidance or support
• “Just” to set up a platform
7




BUT e-Learning is

 A learning experience that
 o Makes the best use of technology to achieve
   learning goals and competence acquisition
 o Promotes dialogue (peer collaboration)
 o Help learners become involved
 o Guides the learner in the learning process,
   provides feedback & support
 o Considers different learner profiles
 o Integrates & profits from Web resources
   (materials, people, databases...)
9




e-Learning in Medical Education
• Makes possible to have access to specialists,
  medical professionals and students around the
  world
• Has the potential to enhance learning
 • Can improve the understanding of complex
   models: interactive simulations, computer
   diagrams or images
 • Offers quick, easy update & delivery of materials
 • Allows educators to become facilitators instead
   of content providers

                              Adapted from Tabakov (2008) & Ruiz et al.(2006)
10




e-Learning in Medical Education
• Can result in cost-savings
 • Publishing large numbers of images & cases is
   cheaper and potentially more effective

 • Instructor time, travel cost, labor cost
 • Reuse of learning material




                               Adapted from Tabakov(2008) & Ruiz et al.(2006)
11




Some considerations

• Development team must be multi-
  disciplinary
• Could be difficult and costly
• Efforts are often underestimated
13


e-resources                     Video
              Text                &             Webinar           Presen-
                                                                  tations
                                Audio


                                                            Anima-
                         Virtual                             tions
              Games
                        Patients            Reposi
                                            -tories

                                                          Blogs
                       Images



                                        Tests




                      e-activity         e-course         e-master
14


e-resources                     Video
              Text                &             Webinar           Presen-
                                                                  tations
                                Audio


                                                            Anima-
                         Virtual                             tions
              Games
                        Patients            Reposi
                                            -tories

                                                          Blogs
                       Images



                                        Tests




                      e-activity         e-course         e-master
16
e-resources

                 Animations
              • Exploring content in
                an interactive way
              • 3D visualizations
              • Mobile body atlas




  Blausen Human Atlas

 Video YouTube, http://www.youtube.com/watch?v=XpxFmlTn120
17


              Virtual
e-resources

              Patients
              • Practice clinical
                cases
              • Make diagnoses and
                recall key points
              • Mobile applications




  Prognosis App
e-resources
19
e-resources
              Webinars
              • Online web conferences
              • Access to experts
              • Interaction in a live event, participation of
                the audience
              • Can include chat interaction, slideshow
                whiteboard
              • Recorded and stored
              • With or without certification
              • Pay or free of charge
20
e-resources   American College of Radiology
              Webinars




 http://www.acr.org
e-resources   21
22


              Varian Webinars
e-resources




 https://my.varian.com/
23
e-resources

               Repositories
              • Collections of resources from different
                institutions in a single place
              • Categorized
              • Browsing and search facilities
              • Peer reviewed or “certified”
              • Can be integrated in different e-learning
                initiatives
24
e-resources

              Repositories




 https://www.medischonderwijs.nl
26


             Video
e-activity

             e-activities
             • Aim to keep knowledge updated
             • Video combined with assessments
             • Short pre-recorded e-activities
             • Evaluation
             • ACOE CME accredited (Accreditation Council of
               Oncology in Europe)
27


             Video
e-activity

             e-activities




 http://www.ecco-org.eu/oncovideos/
28
e-activity

             Virtual Worlds: Second Life
             • Simulations to teach clinical practice

             • Student needs to solve a case & justify
              decision

             • Feedback is provided while interacting

             • Chatbots for interactions
29


             Virtual Worlds: Imperial College
e-activity

             London




 http://www1.imperial.ac.uk/medicine/teaching/elearning/
 Video CNN, http://edition.cnn.com/2009/TECH/03/30/doctors.second.life/#cnnSTCVideo
31




   e-courses
• Online courses
• Include
  • A set of e-activities
  • Different e-resources
  • Interactive tools
• Can give credit points
• Pay or for free
• Open or close access
Rectal Cancer delineation      32



            ESTRO
e-courses


            • Webinars
            • Task assigment per week
            •   Collaborative work
            •   Use of interactive tools
            •   4 weeks
            •   Fee




 www.estro.org
33
e-courses

                Radiotherap-e
            •   e-Learning for advanced radiotherapy techniques
            •   NHS UK project
            •   Free for UK medical students and professionals
            •   Different types of assessment and feedback
            •   Include animations, videos, etc.
            •   Tools
            •      A contouring tool
            •      An image registration tool
            •      A drawing tool
            •      Calculation spreadsheets
34
e-courses

            Radiotherap-e




www.e-lfh.org.uk/projects/radiotherap-e
Tools: http://www.e-lfh.org.uk/projects/radiotherap-e/splay0.html (10)
35
e-courses

                   ORTELLO
            • Onderlinge RadioTherapeutische ELectronische
              LeerOmgeving
            • e-Learning platform for RT technicians
            • Project of Dutch Medical Universities, Institutes
               •   Nederlands Kanker Instituut , NKI
               •   Academisch Medisch Centrum Amsterdam, AMC
               •   Universitair Medisch Centrum Utrecht, UMC
               •   Leids Universitair Medisch Centrum, LUMC
            • Each partner has developed its own e-course
            • Integration of e-activities and resources
            • Some are free after registration, for others the institution
              should provide credentials
36
e-courses

            ORTELLO
37


            ORTELLO e-activity
e-courses




 http://www.boerhaavextern.nl/ortello/
38


            ORTELLO Game- Kabouterkracht
e-courses




 http://www.boerhaavextern.nl/ortello/
39
e-courses

                Open e-courses
            •   Free online courses
            •   No fee, no cost for participants
            •   Free access to content
            •   With or without
                 • Content structure
                 • Collaboration
                 • Guidance
                 • Assessment
                 • Certification
40
e-courses   OpenCourseWare - Johns Hopkins
            Bloomberg School of Public Health




 http://ocw.jhsph.edu/
 http://ocw.jhsph.edu/index.cfm/go/viewCourse/course/fundonc/coursePage/index/
41


            Massive Open Online Course (MOOC)
e-courses




  Gamification: https://class.coursera.org/gamification-2012-001/class/index
  Machine Learning: https://class.coursera.org/ml-2012-002/lecture/index
43

           Advanced Physical Methods in Radiotherapy
e-master
           U. Heidelberg




http://masteronline.ukhd.de/
44

           Advanced Physical Methods in Radiotherapy
e-master
           U. Heidelberg

            Cancer treatment techniques such as IMRT, IGRT and
             proton and heavy ion therapy

            Master (4 semesters) or post-graduate certification (2 or
             3 semesters)

            80% online, 20% face to face, assessment is face to face

            5 Modules + Internship (7-14 days) + Thesis

            ECTS-Credit

            Fee: €16,426 (MSc), €2,500 (individual module)
45




And...?
 Different ways of implementing e-learning initiatives
   Fancy, simple, complex, free, close, technological
    oriented, expensive...

 BUT the focus should be
   Needs of the learners
   Learning goals
   Activities promote competence acquisition
   More cost-efficient technology and resources
   Participatory design --- involving the learners on the
    design process (not only at the end!)
e-Learning Unit
           MAASTRO
www.scoop.it/t/e-learning-radiation-oncology


 adriana.berlanga@maastro.nl
 adrianaberlanga
49




e-Learning 2.0
 Integrate Web 2.0 technologies and tools into
  educational and institutional practices
   Blog, wikis, twitter, social networks, Google tools, etc.

 Social learning, collaborative and participatory culture

 Learners are placed in the center of the learning process

 Learners become also content & support providers

 Teachers become facilitators

 Learning Networks for professionalization
Future of e-learning?
 The discussion about e-learning focuses on new ways
  to deliver instruction, through online videos and
  online courses. (.. )

 But, e-Learning has the potential to go further &
  open opportunities for people to create,
  collaborate, experiment, and express themselves.
  CONECTING WITH
      Ideas
      Interests
      Physical world
      People
                                  Adapted from Mitch Resnick
51

     Augmented reality: Mirror for Medical
     Data Visualization – Tech Univ. Munich




http://www.youtube.com/watch?v=Oske0c1sOVE&feature=plcp/
52

     Augmented Reality, Mobile App




http://www.youtube.com/watch?v=T4mboj-GbEA&feature=fvwrel

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e-Learning for Radiation Oncology: What, Why & How?

  • 2. 2 Outline >> e-Learning 1. What is e-Learning 2. Why it might be valuable 3. How it has been used for RT? 4. MAASTRO’s plan 5. Questions & Suggestions
  • 3.
  • 4. 4 e-Learning “Access wider audiences “Borring Save resources and money Lonely Easy to implement” Takes a lot of time”
  • 5. 5 e-Learning, definition Use of ICT & devices to facilitate (online) learning Everywhere Location independent Every time Self-pace & time Everyone Widens access to everyone Reusable learning & Efficient Remote guidance
  • 6. 6 e-Learning is not about • Copy-paste of traditional course materials in .pdf format • Making available resources on the Web (e.g., videos) without clear learning goals, learning design • Let students learn “by themselves”, without guidance or support • “Just” to set up a platform
  • 7. 7 BUT e-Learning is  A learning experience that o Makes the best use of technology to achieve learning goals and competence acquisition o Promotes dialogue (peer collaboration) o Help learners become involved o Guides the learner in the learning process, provides feedback & support o Considers different learner profiles o Integrates & profits from Web resources (materials, people, databases...)
  • 8.
  • 9. 9 e-Learning in Medical Education • Makes possible to have access to specialists, medical professionals and students around the world • Has the potential to enhance learning • Can improve the understanding of complex models: interactive simulations, computer diagrams or images • Offers quick, easy update & delivery of materials • Allows educators to become facilitators instead of content providers Adapted from Tabakov (2008) & Ruiz et al.(2006)
  • 10. 10 e-Learning in Medical Education • Can result in cost-savings • Publishing large numbers of images & cases is cheaper and potentially more effective • Instructor time, travel cost, labor cost • Reuse of learning material Adapted from Tabakov(2008) & Ruiz et al.(2006)
  • 11. 11 Some considerations • Development team must be multi- disciplinary • Could be difficult and costly • Efforts are often underestimated
  • 12.
  • 13. 13 e-resources Video Text & Webinar Presen- tations Audio Anima- Virtual tions Games Patients Reposi -tories Blogs Images Tests e-activity e-course e-master
  • 14. 14 e-resources Video Text & Webinar Presen- tations Audio Anima- Virtual tions Games Patients Reposi -tories Blogs Images Tests e-activity e-course e-master
  • 15.
  • 16. 16 e-resources Animations • Exploring content in an interactive way • 3D visualizations • Mobile body atlas Blausen Human Atlas Video YouTube, http://www.youtube.com/watch?v=XpxFmlTn120
  • 17. 17 Virtual e-resources Patients • Practice clinical cases • Make diagnoses and recall key points • Mobile applications Prognosis App
  • 19. 19 e-resources Webinars • Online web conferences • Access to experts • Interaction in a live event, participation of the audience • Can include chat interaction, slideshow whiteboard • Recorded and stored • With or without certification • Pay or free of charge
  • 20. 20 e-resources American College of Radiology Webinars http://www.acr.org
  • 22. 22 Varian Webinars e-resources https://my.varian.com/
  • 23. 23 e-resources Repositories • Collections of resources from different institutions in a single place • Categorized • Browsing and search facilities • Peer reviewed or “certified” • Can be integrated in different e-learning initiatives
  • 24. 24 e-resources Repositories https://www.medischonderwijs.nl
  • 25.
  • 26. 26 Video e-activity e-activities • Aim to keep knowledge updated • Video combined with assessments • Short pre-recorded e-activities • Evaluation • ACOE CME accredited (Accreditation Council of Oncology in Europe)
  • 27. 27 Video e-activity e-activities http://www.ecco-org.eu/oncovideos/
  • 28. 28 e-activity Virtual Worlds: Second Life • Simulations to teach clinical practice • Student needs to solve a case & justify decision • Feedback is provided while interacting • Chatbots for interactions
  • 29. 29 Virtual Worlds: Imperial College e-activity London http://www1.imperial.ac.uk/medicine/teaching/elearning/ Video CNN, http://edition.cnn.com/2009/TECH/03/30/doctors.second.life/#cnnSTCVideo
  • 30.
  • 31. 31 e-courses • Online courses • Include • A set of e-activities • Different e-resources • Interactive tools • Can give credit points • Pay or for free • Open or close access
  • 32. Rectal Cancer delineation 32 ESTRO e-courses • Webinars • Task assigment per week • Collaborative work • Use of interactive tools • 4 weeks • Fee www.estro.org
  • 33. 33 e-courses Radiotherap-e • e-Learning for advanced radiotherapy techniques • NHS UK project • Free for UK medical students and professionals • Different types of assessment and feedback • Include animations, videos, etc. • Tools • A contouring tool • An image registration tool • A drawing tool • Calculation spreadsheets
  • 34. 34 e-courses Radiotherap-e www.e-lfh.org.uk/projects/radiotherap-e Tools: http://www.e-lfh.org.uk/projects/radiotherap-e/splay0.html (10)
  • 35. 35 e-courses ORTELLO • Onderlinge RadioTherapeutische ELectronische LeerOmgeving • e-Learning platform for RT technicians • Project of Dutch Medical Universities, Institutes • Nederlands Kanker Instituut , NKI • Academisch Medisch Centrum Amsterdam, AMC • Universitair Medisch Centrum Utrecht, UMC • Leids Universitair Medisch Centrum, LUMC • Each partner has developed its own e-course • Integration of e-activities and resources • Some are free after registration, for others the institution should provide credentials
  • 36. 36 e-courses ORTELLO
  • 37. 37 ORTELLO e-activity e-courses http://www.boerhaavextern.nl/ortello/
  • 38. 38 ORTELLO Game- Kabouterkracht e-courses http://www.boerhaavextern.nl/ortello/
  • 39. 39 e-courses Open e-courses • Free online courses • No fee, no cost for participants • Free access to content • With or without • Content structure • Collaboration • Guidance • Assessment • Certification
  • 40. 40 e-courses OpenCourseWare - Johns Hopkins Bloomberg School of Public Health http://ocw.jhsph.edu/ http://ocw.jhsph.edu/index.cfm/go/viewCourse/course/fundonc/coursePage/index/
  • 41. 41 Massive Open Online Course (MOOC) e-courses Gamification: https://class.coursera.org/gamification-2012-001/class/index Machine Learning: https://class.coursera.org/ml-2012-002/lecture/index
  • 42.
  • 43. 43 Advanced Physical Methods in Radiotherapy e-master U. Heidelberg http://masteronline.ukhd.de/
  • 44. 44 Advanced Physical Methods in Radiotherapy e-master U. Heidelberg  Cancer treatment techniques such as IMRT, IGRT and proton and heavy ion therapy  Master (4 semesters) or post-graduate certification (2 or 3 semesters)  80% online, 20% face to face, assessment is face to face  5 Modules + Internship (7-14 days) + Thesis  ECTS-Credit  Fee: €16,426 (MSc), €2,500 (individual module)
  • 45. 45 And...?  Different ways of implementing e-learning initiatives  Fancy, simple, complex, free, close, technological oriented, expensive...  BUT the focus should be  Needs of the learners  Learning goals  Activities promote competence acquisition  More cost-efficient technology and resources  Participatory design --- involving the learners on the design process (not only at the end!)
  • 46. e-Learning Unit MAASTRO
  • 48.
  • 49. 49 e-Learning 2.0  Integrate Web 2.0 technologies and tools into educational and institutional practices  Blog, wikis, twitter, social networks, Google tools, etc.  Social learning, collaborative and participatory culture  Learners are placed in the center of the learning process  Learners become also content & support providers  Teachers become facilitators  Learning Networks for professionalization
  • 50. Future of e-learning?  The discussion about e-learning focuses on new ways to deliver instruction, through online videos and online courses. (.. )  But, e-Learning has the potential to go further & open opportunities for people to create, collaborate, experiment, and express themselves.  CONECTING WITH  Ideas  Interests  Physical world  People Adapted from Mitch Resnick
  • 51. 51 Augmented reality: Mirror for Medical Data Visualization – Tech Univ. Munich http://www.youtube.com/watch?v=Oske0c1sOVE&feature=plcp/
  • 52. 52 Augmented Reality, Mobile App http://www.youtube.com/watch?v=T4mboj-GbEA&feature=fvwrel