Learning On The Fly
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  • 1. Learning on the Fly Christian Veillette M.D., M.Sc., FRCSC Assistant Professor, University of Toronto Shoulder & Elbow Reconstructive Surgery Toronto Western Hospital University Health Network Email: orthonet@gmail.com
  • 2. Everything Changes By 10 years out of residency 80% of procedures used different technique Lifelong Learning
  • 3. The Reality
    • Surgeons increasingly work within fast-paced, time-consuming & demanding practice settings
    • No matter how committed to lifelong learning
    • Do not feel they realistically have time to devote to learning or their CPD
  • 4. How to keep up?
    • Read the journals
      • Which ones? Which articles?
    • Traditional medical education
      • Conferences
      • Courses
      • Seminars/Journal Clubs
    • Commercial/Industry resources
    • Learning on the fly
  • 5. Journals
    • 112 Orthopaedic, Hand Surgery & Sports Medicine journals listed in Medline
    • Assume 8 issues/year, 20 articles, 5 mins to skim one article
    • 1493 hours [62 (24 hour) days] continuous reading
    • Must be selective of journals
      • Reject a (large) percentage of the Literature
  • 6. Learning stimulated by practice
    • Unintentional/Opportunistic
      • learning occurs without a previously identified need
    • Intentional/Planned
      • learning is motivated by an identified need
    • Learning occurs on a regular basis throughout residents/surgeons’ work routines
      • Office
      • Operating room/Scrub sink
      • Emergency room
      • Surgeon lounge
      • Locker room
  • 7. How adults learn
    • Learning on the fly is a prime example of how adults learn
      • identify and formulate ideas/questions that reflect their need to solve problems
      • determine how and in what order learning will occur
      • determine how learning contributes to their knowledge, skills, competence, performance
    How to practically implement learning on the fly?
  • 8. Strategies for Learning on the Fly
    • Four strategies
    • Capture ideas and questions as they happen
    • Determine what questions to pursue
    • Share learning on the fly experiences
    • Use learning on the fly to improve practice
    Royal College Outlook, Fall 2006 http://rcpsc.medical.org/publications/outlook/fall2006/index.php
  • 9. Internet & Learning on the Fly
    • Fast
    • Readily available
    • Cheap
    • Multiple resources
    • Interactive
    • Not routine
    • Lack of search strategies
    • Unfamiliar resources
    • Uncertain quality
      • Commercial bias
    Difficult to find high level orthopaedic information
  • 10. Using Google Notebook for Learning on the Fly
  • 11. http://www.google.com/notebook
  • 12. Thank you The Orthopaedic Internet: A Collaborative Resource