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The use of Web 2.0 in teaching Medical Informatics to postgraduate medical students: first experiences [4 Cr3 1530 Bamidis]
 

The use of Web 2.0 in teaching Medical Informatics to postgraduate medical students: first experiences [4 Cr3 1530 Bamidis]

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The use of Web 2.0 in teaching Medical Informatics to postgraduate medical students: first experiences [4 Cr3 1530 Bamidis] The use of Web 2.0 in teaching Medical Informatics to postgraduate medical students: first experiences [4 Cr3 1530 Bamidis] Presentation Transcript

  • Bamidis, P. et al.: The use of Web 2.0 in teaching Medical Informatics to postgraduate medical students: first experiences
    • This slideshow, presented at Medicine 2.0’08 , Sept 4/5 th , 2008, in Toronto, was uploaded on behalf of the presenter by the Medicine 2.0 team
    • Do not miss the next Medicine 2.0 congress on 17/18th Sept 2009 ( www.medicine20congress.com )
    • Order Audio Recordings (mp3) of Medicine 2.0’08 presentations at http://www.medicine20congress.com/mp3.php
  • Panos Bamidis , Stathis Konstantinidis, Eleni Kaldoudi,, Nicos Maglaveras, Costas Pappas Medicine 2.0: Social Networking and Web 2.0 Applications in Medicine and Health, 200 8 The use of Web 2.0 in teaching Medical Informatics to postgraduate medical students: first experiences Toronto , Canada September 4-5 , 200 8 ARISTOTLE UNIVERSITY OF THESSALONIKI Medical School, Lab of Medical Informatics DEMOCRITUS UNIVERSITY OF THRACE Medical School, Lab of Medical Physics GREECE
  • Outline
    • Motivation and Aim
    • Background info on e-learning, standards and Web2.0
    • Technical settings for the development of online courses
    • Example on Medical Informatics / Electronic Health Records
    • Course evaluation elements - focus on web collaboration
    • Discussion – current/future work
    Toronto 4-5 Sept. 2008 Medicine 2.0 Conference
  • Motivation
    • During the last decade:
      • … an enormous expansion of available knowledge
      • … a clear demand for new techniques to enhance educational procedures
    • ICTs are facilitating the use of e-learning environments and standards.
    • Programs and courses designed back in 1998 need to be revisited to follow developments in:
      • online learning
      • continuing medical education
      • global education
      • social computing (Web 2.0)
      • sharing teaching material etc
    Toronto 4-5 Sept. 2008 Medicine 2.0 Conference
  • A im of th e paper
    • to show the approach we have followed in properly shaping our courses i n Medical Informatics by using :
      • open e-learning platforms/environments
      • educational standards
      • enriched student interaction and participation through Web2.0 technologies
    • To demonstrate an example of a module on Electronic Health Records (EHR) offered to postgraduate medical students at AUTH
    Toronto 4-5 Sept. 2008 Medicine 2.0 Conference
  • Background Toronto 4-5 Sept. 2008 Medicine 2.0 Conference
  • Education Process – Course Development Toronto 4-5 Sept. 2008 Medicine 2.0 Conference Evaluation (learning outcome, Teacher, students) Support through ICT Content Development Teaching Methods Module/course design
  • Technical conditions for the development of web-based courses
    • Various educational platforms support web-based courses and perform as Learning Management Systems (LMS) that enable the management of e-learning courses
    • LMS standards are used to ensure interoperability and transfer of courses between platforms.
    • The Sharable Content Object Reference Model (SCORM) by ADL is a standard that adopts specific requirements to enable interoperability, accessibility, reusability, sequencing between learning objects.
    • SCORM is embraced by a large number of institutions and corporations
    • Several studies propose extensions to SCORM metadata to enhance sequencing rules, usability, adaptability, assessment metadata
    Toronto 4-5 Sept. 2008 Medicine 2.0 Conference
  • Toronto 4-5 Sept. 2008 Medicine 2.0 Conference Modular Object-Oriented Dynamic Learning Environment 21 st Century Schools Social Software and e-Learning
  • The use of Standards – Description of the procedure Toronto 4-5 Sept. 2008 Medicine 2.0 Conference
  • SCORM ( Sharable Content Object Reference Model )
    • Consists of small, distributable learning entities ( Sharable Content Objects ( SCOs ))
    • SCO’s are
      • Small in size
      • Reusable
      • Provide solid autonomous learning material but also in combination with others
    • The combination of SCO’s leads to:
      • An educational unit
      • A complete course
      • A training field
    Toronto 4-5 Sept. 2008 Medicine 2.0 Conference
  • SCORM Sharable Content Object Reference Model
    • Package in one object ( ZIP file )
    • immanifest.xml
      • Detailed description of the structure of the content
      • Metadata
      • Navigation data
      • for navigation between learning objects and sequencing of content objects
      • Special data for communication with Run environment
    Toronto 4-5 Sept. 2008 Medicine 2.0 Conference
  • Our approach
    • Overall roadmap in describing a module using Healthcare SCORM, and SCORM editors (eXe in our case) and E-learning environments (Moodle in our case)
    Toronto 4-5 Sept. 2008 Medicine 2.0 Conference
  • Web 2.0 Toronto 4-5 Sept. 2008 Medicine 2.0 Conference
  • Our use of Web 2.0 tools
    • Web2.0 approaches collaborative learning…
    • … in principle enhances the efficiency of learning
    • Tools we have used
      • a combination of
        • discussion forums
        • wikis (topic/tag marked)
        • personal blogs
        • Within/outside a specific Case/Problem (Problem Based Learning (PBL))
    Toronto 4-5 Sept. 2008 Medicine 2.0 Conference
  • Post-graduate Medical Informatics Course Toronto 4-5 Sept. 2008 Medicine 2.0 Conference
  • Course elements I
    • Module in Medical Informatics
    • offered to Medical graduates attending the Postgraduate Medical Research Methodology (MSc) Program
    • Basic Thematic Areas:
      • Hospital Information Systems (HIS)
      • Electronic Health Records (EHR)
      • Medical Knowledge & EHRs
      • Quality of Health Information on the web
      • Bioinformatics
      • Biosensors & signals
    Toronto 4-5 Sept. 2008 Medicine 2.0 Conference
  • Course elements II
    • Classic lectures (2h / week);
    • Material in Moodle
    • Some lectures combine hands-on practice (2x2h lab sessions)
    • “ EHR-HIS” Coursework / homework (30%)
      • Read a short article on EHR benefits; answer short questions ( on-line from next year )
      • Study a paper; participate in an on-line discussion forum re “Hospital Information Systems” (HIS – element I)
      • CBL/PBL component: study a case/problem
        • Create personal blogs (tagged)
        • Work in personal blogs re understanding/answering the EHR case
        • Get assistance from relevant discussion forum
        • Once finished, place things in class wiki
        • Repeat for 3 times…
    • “ Web information quality” Coursework / homework (10%)
    • “ Bioinformatics” Coursework / homework (10%)
    • On-line exam (50%)
    Toronto 4-5 Sept. 2008 Medicine 2.0 Conference
  • Toronto 4-5 Sept. 2008 Medicine 2.0 Conference
  • Toronto 4-5 Sept. 2008 Medicine 2.0 Conference
  • Toronto 4-5 Sept. 2008 Medicine 2.0 Conference
  • Toronto 4-5 Sept. 2008 Medicine 2.0 Conference
  • Toronto 4-5 Sept. 2008 Medicine 2.0 Conference
  • Discussion Forums – HIS Element I Toronto 4-5 Sept. 2008 Medicine 2.0 Conference
    • split into groups of 5;
    • individual commenting on a hospital information systems paper;
    • Educator assesses responses
  • HIS – EHR – Element 2
    • Case/problem based
      • Set the scenario
      • Get assistance from forum
      • Use personal blog
      • Update wiki
    Toronto 4-5 Sept. 2008 Medicine 2.0 Conference
  • Toronto 4-5 Sept. 2008 Medicine 2.0 Conference
  • Toronto 4-5 Sept. 2008 Medicine 2.0 Conference
  • Toronto 4-5 Sept. 2008 Medicine 2.0 Conference
  • Toronto 4-5 Sept. 2008 Medicine 2.0 Conference
  • HIS – EHR – Element 2
    • Case/problem based
      • Set the scenario
      • Get assistance from forum
      • Use personal blog
      • Update wiki
    Toronto 4-5 Sept. 2008 Medicine 2.0 Conference
  • Toronto 4-5 Sept. 2008 Medicine 2.0 Conference
  • HIS – EHR – Element 2
    • Case/problem based
      • Set the scenario
      • Get assistance from forum
      • Use personal blog
      • Update wiki
    Toronto 4-5 Sept. 2008 Medicine 2.0 Conference
  • Personal Blogs Toronto 4-5 Sept. 2008 Medicine 2.0 Conference Special Tags used for personal blogs; These were combined with the PBL steps
  • Toronto 4-5 Sept. 2008 Medicine 2.0 Conference
  • Toronto 4-5 Sept. 2008 Medicine 2.0 Conference
  • Toronto 4-5 Sept. 2008 Medicine 2.0 Conference
  • HIS – EHR – Element 2
    • Case/problem based
      • Set the scenario
      • Get assistance from forum
      • Use personal blog
      • Update wiki
    Toronto 4-5 Sept. 2008 Medicine 2.0 Conference
  • Easy wiki update Toronto 4-5 Sept. 2008 Medicine 2.0 Conference
  • Wiki statistics
    • 245 versions ! Some 20 were made by educators
    • 767 changes made! Some 60 were made by educators
    • Difficult to handle…
    Toronto 4-5 Sept. 2008 Medicine 2.0 Conference
  • Evaluation steps
    • Students’ evaluation in two stages.
    • 1 st Phase:
      • students were asked to complete an anonymous questionnaire emphasising merely on the use of Web 2.0 tools.
      • The Moodle system lead the logged-in students to an external web site powered by another open source source survey tool, namely, “PhP Surveyor”, so as to maintain anonymity.
    • 2 nd stage:
      • students were asked to evaluate the whole course
      • using a dedicated, home made, evaluation software, specifically developed for course evaluation purposes within the postgraduate program of the Medical School at AUTH.
    Toronto 4-5 Sept. 2008 Medicine 2.0 Conference
  • Gross Evaluation results I
    • 1 st Phase:
      • Evaluation of the results indicates that students were quite satisfied by this approach, and were happy with the collaboration opportunities offered to them.
      • Most of them admitted that they were tempted to “read what others have contributed in their own personal blogs” (which by the way were given public access to the enrolled students).
      • they believed that they found the student collaboration opportunities offered by the system tools quite useful and enhancing the overall learning process.
    Toronto 4-5 Sept. 2008 Medicine 2.0 Conference
  • Evaluation questionnaire (and system) Toronto 4-5 Sept. 2008 Medicine 2.0 Conference
  • Evaluation Results I
    • The approach has been evaluated within our post-graduate Medical Informatics course to medical students.
    • Active student involvement is sought through participating in discussion forums and wikis/blogs, thereby fulfilling some of the learning outcomes set by the educators.
    Toronto 4-5 Sept. 2008 Medicine 2.0 Conference
  • Evaluation Results II
    • How much the e-learning environment helps the educational process?
    Toronto 4-5 Sept. 2008 Medicine 2.0 Conference
  • Evaluation Results III
    • Web2.0 ease of use…
    Toronto 4-5 Sept. 2008 Medicine 2.0 Conference
  • Student collaboration I
    • Did you consult your fellow students’ blogs before completing yours?
    Toronto 4-5 Sept. 2008 Medicine 2.0 Conference
  • Student collaboration II
    • Did you read the other wiki entries before inputting yours?
    Toronto 4-5 Sept. 2008 Medicine 2.0 Conference
  • Student collaboration III
    • Do you think that being able to look into other’s replies/entries helped you understand the educational content better? How helpful do you think this facility was?
    Toronto 4-5 Sept. 2008 Medicine 2.0 Conference
  • Student collaboration IV
    • How helpful do you think the forums were upon completing course tasks and understanding educational contents?
    Toronto 4-5 Sept. 2008 Medicine 2.0 Conference
  • Discussion Forum Participations Toronto 4-5 Sept. 2008 Medicine 2.0 Conference Participations Educator entries Student entries Forum 1: EHR wiki 8 3 5 Forum 2: EHR-DB design 18 3 15 Forum 3: EHR knowledge base 10 2 8
  • Final exam practice
    • Very limited participation on “Exam Forum”
    • A “test-quiz” was put on-line prior to exam
    • 164 viewings for 37 students!
    • 314 total actions; around 280 of these due to students attempts
    Toronto 4-5 Sept. 2008 Medicine 2.0 Conference
  • Discussion I
    • Increased student liking for the course…
    • Increased interaction and participation
    • Educator may control activities through Moodle
    • Care must be taken in separate activities:
      • Need small groups of people
      • Many blog existences may confude students
      • Need structured blogs
      • Wiki updates may confuse people
      • Need semantic wikis
    Toronto 4-5 Sept. 2008 Medicine 2.0 Conference
  • Discussion II
    • Learning Objects, as independent units of educational material targeting to specific training needs, constitute one of the main research topics in the e-learning community.
    • Many research initiatives in the field concern the issue of LOs’ reusability, but not within the Medical Informatics community.
    • It is only recently that such efforts have appeared, geared by MedBiquitous dedicated to advancing healthcare education through technology standards.
    • mEducator proposal
    Toronto 4-5 Sept. 2008 Medicine 2.0 Conference
  • The Future… Toronto 4-5 Sept. 2008 Medicine 2.0 Conference
  • Podcasts and m-Learning (Mobile Learning)
    • “ Podcasting’s essence is about creating content (audio or video— vodcasts ) for an audience that wants to listen when they want, where they want, and how they want.”*
    • Advantages:
      • Listen on your computer or download to portable MP3 players and listen on the move/anywhere (perfect for the busy health professional). But audio and video files can be large in size; users must have sufficient bandwidth to download them.
      • Support for auditory learners (it is claimed that the primary learning style in at least 30% of learners is auditory).
      • * http:// en.wikipedia.org /wiki/Podcast
    Toronto 4-5 Sept. 2008 Medicine 2.0 Conference
  • Toronto 4-5 Sept. 2008 Medicine 2.0 Conference
  • Toronto 4-5 Sept. 2008 Medicine 2.0 Conference Thank you _________________________________________________________________________________________ This work has been benefited from an INTERREG IIIA Greece - Bulgaria (Decision 300531/YD4388 01/11/2005; CrossBorderHealth project), as well as, from an INTERREG IIIA/ARCHIMED grand (Contract Number A.1.087; IntraMEDnet project) fund by the European Union and the Greek Government Contact: [email_address]