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Changing practice at Warwick Medical School

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Student partnerships - student digital experience tracker

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Changing practice at Warwick Medical School

  1. 1. Changing practice iPads in Medical Education Cath Fenn, Senior Academic Technologist, MB ChB, Warwick Medical School c.a.fenn@warwick.ac.uk
  2. 2. • Established in 2000, Warwick Medical School (WMS) is home to the UK's largest graduate-entry MB ChB programme. • Our four year MB ChB (Bachelor of Medicine and Surgery - Medicinae Baccalaureus, Baccalaureus Chirurgiae) is a challenging programme designed to help students become highly competent and strongly motivated doctors. About Warwick Medical School
  3. 3. Preparing students for foundation training Image: https://www.gmc-uk.org/education/27007.asp “Medical education responds continually to changes in the health of the population and healthcare systems. And it has to keep up with developments in the technologies used to diagnose, treat and manage illness. Medical education must also adapt to the needs of society and be appropriately responsive to patients and the public.” Outcomes for Graduates 2018, General Medical Council
  4. 4. Interesting idea, what do our students think about this? How could iPads impact on their educational experience? What we need to do is provide iPads for our students. Senior Management Team Senior Academic Technologist
  5. 5. • WMS accepts student applications from Arts and Sciences graduates. • Richly diverse backgrounds with varied life experience. • Age range 21 to 51 years old. About our students
  6. 6. Health, metabolism and homeostasis Blood lungs and heart Brain and behaviour Locomotion Reproduction and child health Advanced cases 1 Core clinical education Specialist clinical placements Advanced cases 2 Instructional support Learner autonomy Assistantship Time=4Years Student to FY1 doctor in 4 years Student selected component 1 Student selected component 2 Elective Academic Days
  7. 7. Clinical placements a major component of MedEd
  8. 8. • Anatomical connections • Multiple Illnesses in one patient • Illnesses that affect multiple systems • Multidisciplinary teams • Connecting theory with practice Medical Education : Clinical Education patient practical hospital community physical illness mental illness theory
  9. 9. https://www.jisc.ac.uk/rd/projects/building-digital-capability
  10. 10. SSLC and beyond… • Exploring the use of mini-iPads in Medical Education – starting with a small scale investment • Student digital experience tracker tool questions – updating and developing our evidence base Student partnerships
  11. 11. Listening to our students Phase 1 of the iPad Project - November 2017 to March 2018 Loaning out iPads to student volunteers distributed over all phases of the course enabled me to build relationships with a range of students. Embedded into this I invited all students involved in the pilot to complete a student digital experience survey. Yes, this was based on the JISC tracker question set with some minor adaptations in language used and additional questions to fit our local situation.
  12. 12. Student owned devices Student owned devices used to support learning: 14% desktop computer 96% laptop 50% tablet/iPad 86% smartphone 60% printer
  13. 13. 80% agree digital skills are important in their chosen career.​ 70% would like digital technologies to be used more in MB ChB. When digital technologies are used on the MB ChB​ 64% understand things better 72% enjoy learning more 83% are more independent in their learning 81% can fit learning into life more easily Student views Note; remember this is a self selecting group of iPad user volunteers
  14. 14. 71%say the university supports them to use their own devices. 70%rate the quality of university digital provision good/excellent. 64%say teaching rooms are well designed for the technologies we use. What are we doing well?
  15. 15. What could we do better? At the University 46% felt they were not made aware before starting the course what digital skills they would need. 50% felt they were not told how their personal data is stored and used. At the Trust and Community sites 80% reported never using a polling device or online quiz to give answers. 83% reported never using an educational game or simulation for learning.
  16. 16. Ideas, concerns and expectations I am concerned about losing it!! My concerns are that tablets are not pocket sized so may be more difficult to carry around the hospital all day. I’m hoping the iPads will help with clinical learning as I can carry round the BMJ, BNF, etc. in what is basically a pocket sized device that takes up little room. When we are on clinical placement, the ability to look up our notes, check drugs in the BNF and complete ePortfolio tickets using just one portable device could be really useful. I expect for the iPad to enhance clinical work, and to look more professional on the wards than using my iPhone for the same thing. I feel the main utility of the iPad is being able to use it in clinical areas whilst still appearing professional in contrast to using my mobile phone to look information up or look at eBooks.
  17. 17. Changes in practice as a result of using iPads Has improved my commute from Birmingham, allowing me to make more use of my time on the train. So far, the iPad has been really useful, I have often avoided taking my laptop into hospital or uni as it is too large to carry around and needs to be connected to power. The iPad has made this much more convenient and is also good for use in clinics to make notes which can then be shared easily with my clinical partner (when previously we would have to send each other photos of our written notes). I have found the iPad really useful because I can have the whole oxford handbook, BNF, and BMJ best practice for instant access without carrying around all of my textbooks. So far I've found the iPad really useful for taking notes during patient encounters during our GP extended patient visits, as it means all (anonymised) confidential info is not on paper and doesn't need to be destroyed. The ease of being able to write up and sync notes has been a positive as it means that I don't have massive amounts of paper lying around at home that is useless and destined for the bin.
  18. 18. “I have to say that the iPad has completely changed the way I operate since we received them a week ago. The apps that are preinstalled gave me an insight in how to approach studying in CCE. BMJ BestPractice is an awesome resource that I usually set up next to my laptop when I go over things so I can quickly reference learning outcomes. iPad is a lot more portable than my computer and I can easily take it around without carrying too many books anymore. I have even started not printing power points since I can more easily access them. The battery is very sturdy and I only charged it once in the past week.” Phase II student Transformative changes
  19. 19. “I think the iPad have been an excellent addition to our learning on the wards so far. My consultants and their teams have also been impressed. We have mainly been in theatres and have been able to use the iPad in theatres to aid our learning. Before the patient comes in we can have a brief overview of the procedure and look up anything that we may be unsure on and we can look at the drugs they are on and the medical conditions they are suffering from very quickly and succinctly. In fact a patient the other day had a condition the anaesthetist had not been privy to before and thanks to the iPad we were able to look it up for him so he could be sure there were no anaesthetic complications, this saved a lot of time and delay in the operating room.” Phase II student Working with clinical teams
  20. 20. Phase 2 of iPad project Extending the loan period and increasing the number of devices available to loan. Focusing on students beyond year one who are spending most of their time in the clinical environment. What next?
  21. 21. Any Questions? Thank you, if there are any areas that took your interest and you would like to chat further please do get in touch. Cath Fenn, Senior Academic Technologist c.a.fenn@warwick.ac.uk Pecha Kucha presentation for JISC Digital Experience Insights CoP 14/11/18

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