Como Scenarios:
Mobile learning @ RVC
Niall Winters and Yishay Mor,
London Knowledge Lab
http://www.lkl.ac.uk/como

Introduction
Task: Enhance collaborative learning at the
●
RVC using camera phones and participatory
media.
Initial scenarios reviewed at the LKL, 14 Nov.
–
Initial user consultation at the RVC, 10 Dec
–
Analysis of feedback => new scenarios
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Student perspective
Highly motivated and dedicated to the profession. Seeking
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ways to improve their learning.
Concerned about the responsibility they will face as novice
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clinicians.
Need to master detailed procedural knowledge for a very
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broad spectrum of situations.
Not confident in their knowledge and their peers. Seek
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authority.
High study load. Very little free time during rotations (but a
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lot of dead time).
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Teacher perspective
More concerned about students' meta-skills:
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observation,
–
diagnosis,
–
analysis
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Want to promote reflective practice and
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collaborative learning.
Keeping in touch with students on rotation is a
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challenge
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Scenario I: Hospital Rotations
Students in groups of 4-10
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One / Two week terms.
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Meet with tutor for morning and evening ward
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rounds.
Rounds are ~30min, either going from patient
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to patient, or in a seminar room.
At morning round, tutor notes issues to monitor,
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and these are discussed in the evening.
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Scenario I: technical assumptions
Students need to maintain case records on the CRIS
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system.
Part of clinical practice.
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Legal requirement.
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Used for evaluation.
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CRIS case number is an anonymised UID.
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No problem with using camera phones / WiFi in
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hospital.
Can hold evening rounds in seminar room with
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projector if useful.
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Scenario I: Outline
During morning round teacher assigns tasks.
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Students perform tasks throughout the day,
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using mobile to log data. Captured images are
tagged with case id.
Students can also use this data to support case
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records.
In evening rounds, students present their
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findings on the whiteboard.
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Scenario I (i)
Morning rounds:
“See how that bone
is jutting out? I want
you to keep track
for swelling and
discolouring.”
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Scenario I (ii)
Student takes
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pictures throughout
the day.
Uploads them to blog.
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Tags them with:
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caseID, dog, fracture,
swelling
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Scenario I (iii)
Students uses a quiet
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moment to add
details to the blog
postings.
At the same time
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uses these as a
memory anchor for
updating the case
record.
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Scenario I (iv)
Evening rounds:
Student presents
case progress using
the blog posts and a
projector. Group
reviews the
diagnosis and
actions taken.
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Scenario II: Cows in Spring
Large variety of medical conditions to consider.
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Long rotation (4 weeks), away from staff.
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Might not encounter all the conditions which will
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need to deal with in first years of practice.
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Scenario II: outline
Teachers prepare skeletal “handbook” as a wiki.
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Students collect case data and fill in the
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handbook.
Teachers verify and edit the handbook at the
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end of term.
Students can download the handbook for
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reference during early years.
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Scenario II (i)
Teachers create
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handbook skeleton on
the wiki.
A structured outline of
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the issues related to
cows in spring.
Mark slots for “insert
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X here”
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Scenario II (ii)
Students
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capture data as
they go about
work.
Upload it to their
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personal blog,
and tag it for
location, topics,
issues of
interest.
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Scenario II (iii)
In the evening /
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weekend, students
reorganize the data
they captured.
Fill in the blanks in
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the Wiki using
observations and
media from their
blog.
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Scenario II (iv)
Other students
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add their notes /
edit / comment on
existing entries.
Different students
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have different
experiences, the
wiki is an
aggregator.
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Scenario II (v)
Teachers annotate,
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edit and validate the
wiki.
At the end of year,
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freeze an
“authoritative”
version.
This version is the
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starting point for next
year's effort.
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Scenario II (vi)
Students / young
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practitioners can
offload handbook
to their mobile
device to use it as
a field reference.
Cannot edit the
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official content
Can comment /
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add queries.
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Questions
Do these scenarios hold water?
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Where do they fail / squeak?
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How would you change / enhance them?
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Any other suggestions?
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http://www.lkl.ac.uk/como / yishaym@gmail.com
(hat tip:
http://openclipart.org/media/files/johnny_automatic/ )
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