Why do I say the future is here? - I am experiencing many things that lead me to this conclusion and I will share some of my experiences with you over the next 20 minutes. As a nurse practicing in public health I am experiencing the nursing shortage, major budget cuts, and workforce development issues. Public health RN’s are needed to provide clinic services. In order to train nurses to provide these services, the public health dept. must send nurses out of the region to Columbia. This involves time away from work, travel and hotel expenses. Once the didactic portion of training is completed, the nurses must return to the region for the practicum experience and competency sign off. There is currently 1 NP available at the region level for the practicum / competency part of training So there are the time constraints and staff limitations. At the same time there is a demand from leadership and management around the state to convert the training to an on-line or distance education format. There is also learner demand -nurses do not want to be so far from home for extended periods of training. With regard to Pedagogy- some people question the value / quality of on line education and use of simulation for practice. are there on-line FP and STD modules available for purchase? Does the public health system need/ want to create their own? Should the public health system contract out the education/practicum training? We have the technology, we have the learner demand, the budget and pedagogy issues.
Dr. Bonk wrote a two part report in 2004. He described these 4 interdependent drivers that were going to impact the future of on-line learning. Technology was one of these interdependent drivers and simulation was included in this report.
In the report, Bonk described a 2003 survey in which college professors, instructional designers, administrators were asked what activities / tools / resources would most influence course websites: Highest response was 1/3 (33%) rated interactive simulation and 16% chose re-usable learning objects. This was their view of the future
This quote reflects what Dr. Bonk referred to as “learner demand” with regard to education in the future.
Fast forward to Aug 2008- Instructional Communication Systems Presentation. Dr. Curtis Bonk presented in Aug. 2008 at University of Wisconsin, Madison Campus. http://www.uwex.edu/ics/bonk_presentation/ The presentation can be downloaded and viewed. You can also download the power point presentation. Dr. Bonk described Teachers being overwhelmed with the technology back in the 1970’s and 1980’s –overhead projectors Tech Variety Model for on-line motivation and retention Simulation, Virtual tours, role playing, Just in time syllabus Read Reflect Display and Do Model -R2D2 model The display / do learner is like the kinesthetic learner and these learners enjoy learning with simulation, virtual worlds and realities.
Dr. Bonk used this Venn diagram to show graphically the interconnection of pedagogy, technology and people, society, culture, etc. Simulation is within the technology sphere and it’s future is linked with the other 2 circles as well.
The future of simulation in healthcare education includes an expansion of re-usable learning objects. Collaborative learning communities will be able to share and continuously refine / redesign / modify re-usable learning objects.
The future of simulation in health care education is virtual worlds. My daughter lives in Dover Delaware. She is in business. For recreation, she plays WOW. She was recently invited to join a guild. The members of the guild speak only French so while in the virtual world she is looking for translation from French to English to communicate with the members of her guild. She is learning French. My daughter in Dover Delaware and has play dates with my 14 year old daughter in SC in this virtual world. They are learning strategy, complicated mathematics, and how to work in teams and collaborate. Their geographic and physical boundaries are erased by this virtual world. My daughters are living the future now. Critical Thinking-
This is one example of a virtual world in second life. This is my avatar. I am a visitor at the Imperial College Hospital. If I were a student, I could sign in and interview and assess a patient. I also toured the surgery suites. Students can learn how to interact with the environment and the surgical team. Details like putting your mask on at the door and using hand sanitizer when entering the room.
This is another future for simulation in health care education that is here.
Mary Ann Clark (AKA: Max Chatnoir) Professor at Texas Wesleyan University is the architect of Genome Island. Why Mary Ann Clark created Genome Island Quote: “ Well, first, I teach genetics in RL. Second, because so much of genetics is quantitative, it’s easy to simulate genetics experiments in SL. Third, one of the problems with teaching online courses is creating meaningful laboratories. In Second Life you have an immersive environment in which students can actually “do” experiments that produce analyzable data.” The student can take a scavenger hunt upon arrival on the island. The scavanger hunt incorporates activities that are designed to help the student learn how to use the keyboard to move around and manipulate the virtual world environment and at the same time learn where the classes and laboraties are located and what the student will be working with in their Molecular Genetics classes. Virtual Field trip
This is a virtual field trip into a microscopic environment. During the scavenger hunt I had to look for a 3 dimensional Interactive sculpture of a living cell.
One of the tasks in the scavenger hunt was to enter the cell and explore inside, then take a picture of yourself and e-mail to the instructor. Here is a picture of me next to a mitochondria floating by. In order to exit the cell, I had to find exocytotic vesicle or nuclear envelope. Exocytosis is the durable process by which a cell directs the contents of secretory vesicles out of the cell membrane . These membrane-bound vesicles contain soluble proteins to be secreted to the extracellular environment, as well as membrane proteins and lipids that are sent to become components of the cell membrane.
The first year over 1500 unique avatars Second year over 3800 unique avatars Financial Resources: This conference is free for avatars – sponsored by businesses, educational institutions. There are no travel expenses, people from around the world can attend and participate. My objective was to discuss the interconnected future of simulation to technology, pedagogy, people, society, and culture.
According to the Agency for Healthcare Research and Quality -17 year delay from experimental stage to practice. -Institute for Healthcare Improvement. Nursing’s Role in Transforming Healthcare. Healthcare Executive. Mar/Apr 2010 www.ache.org
Future Of Simulation In Healthcare Education
The Future is Here Carolyn Jenkins MSN, RN-BC Feb. 2010
<ul><li>Discuss the interconnected future of simulation with technology, pedagogy, people, society, and culture. </li></ul>
<ul><li>Emerging Technology </li></ul><ul><li>Enormous Learner Demand </li></ul><ul><li>Enhanced Pedagogy </li></ul><ul><li>Erased Budgets </li></ul>Bonk, C. (2004). The perfect e-storm emerging technology, enormous learner demand, enhanced pedagogy, and erased budgets. Part 1 and Part 2. The Observatory on Borderless Higher Education. Retrieved Jan. 24, 2010 from http://www.publicationshare.com/part1.pdf AND http://www.publicationshare.com/part2.pdf
<ul><li>“ Younger generations, in fact, will enter the on-line arena expecting interactivity, visual effects, and rapid access to information.” They will be ecstatic to find their electronic books, embedded with interactive simulation and scenarios to be played on demand.” </li></ul>Bonk, C. (2004). The perfect e-storm emerging technology, enormous learner demand, enhanced pedagogy, and erased budgets. Part 1 The Observatory on Borderless Higher Education . (pp. 17-18). Retrieved Jan. 24, 2010 from http://www.publicationshare.com/part1.pdf
<ul><li>Curtis J. Bonk, Professor, Indiana University </li></ul><ul><li>President, SurveyShare </li></ul><ul><li>[email_address] </li></ul><ul><li>http://www.uwex.edu/ics/bonk_presentation/ </li></ul>
Technology Pedagogy People, Society, Culture, etc. Bonk, C. (Aug. 2008). R2D2 to the Matrix: A Galaxy of Online Learning Style, Motivational, Blended Learning and Learner-Centered Examples. Recorded Instructional Communication Systems Presentation at Univ. of Wisconsin, Madison Campus. Retrieved Feb. 2010 from http://www.uwex.edu/ics/bonk_presentation/
<ul><li>Objective based </li></ul><ul><li>Combine content, media, and interactivity </li></ul><ul><li>Include simulation </li></ul><ul><li>Just in time training </li></ul><ul><li>Individualized to learner </li></ul>
<ul><li>New opportunities for learning, innovation, and collaboration. </li></ul><ul><li>Decreases the physical and geographic limitations. </li></ul><ul><li>Users can build content and create scripts. </li></ul><ul><li>Instructional applications-3-D modeling, real time collaboration, problem solving, independent inquiry, self directed learning. </li></ul>
<ul><li>travel back in time, visit outer space, </li></ul><ul><li>and enter into a microscopic environments and interact with different cultures. </li></ul>Educators and Students can:
<ul><li>192 presentations and close to 500 presenters. </li></ul><ul><li>Expect an attendance record of over 5000 unique avatars. </li></ul><ul><li>hope to increase continuous stream content from 8 hours to 48 hours from around the world. </li></ul>http://business.treet.tv/shows/bpeducation/episodes/bpeopening
<ul><li>Learner Demand for On-line learning will continue to increase. </li></ul><ul><li>Partnerships and collaborative arrangements will decrease the financial burden and increase the use of the interdisciplinary training model. </li></ul><ul><li>Schools / Businesses will increase their use of re-usable learning objects and virtual worlds. </li></ul><ul><li>Healthcare professionals will embrace life long learning to thrive in a health care system that integrates simulation. </li></ul><ul><li>The future of simulation in health care education is going to be shaped by the interconnected drivers - technology, pedagogy, people, culture, and societies. </li></ul>
<ul><li>What is your vision of the future of simulation for healthcare education? </li></ul>
<ul><li>Barritt, C. & Alderman, F.L. (2004). Introducing reusable learning objects. In Creating a Reusable Learning Objects Strategy. Leveraging Information and Learning in a Knowledge Economy. (pp. 5-25) SanFrancisco, CA: Pfeiffer. Retrieved from http://media.wiley.com/product_data/excerpt/56/07879649/0787964956.pdf </li></ul><ul><li> </li></ul><ul><li>Beard, L., Wilson, K., Morra, D., & Keelan, J. (2009). A survey of health-related activities in second life. Journal of Medical Internet Research. Retrieved Jan. 23, 2010 from http://www.jmir.org/2009/2/e17/ </li></ul><ul><li> </li></ul><ul><li>Bonk, C. (2004). The perfect e-storm emerging technology, enormous learner demand, enhanced pedagogy, and erased budgets. Part 1 and Part 2. The Observatory on Borderless Higher Education. Retrieved Jan. 24, 2010 from http://www.publicationshare.com/part1.pdf </li></ul><ul><li>And http://www.publicationshare.com/part2.pdf </li></ul><ul><li>Bonk, C. (Aug. 2008). R2D2 to the Matrix: A Galaxy of Online Learning Style, Motivational, Blended Learning and Learner-Centered Examples. Recorded Instructional Communication Systems Presentation at Univ. of Wisconsin, Madison Campus. Retrieved Feb. 2010 from http://www.uwex.edu/ics/bonk_presentation/ </li></ul><ul><li>Clark, M. A. (Sept./Oct.2008). Genome Island. Educause Review. Retrieved Feb. 21, 2010 from http://www.educause.edu/EDUCAUSE+Review/EDUCAUSEReviewMagazineVolume43/GenomeIsland/163176 </li></ul><ul><li> </li></ul><ul><li>Cooper, K. (2009). Go with the flow: Engagement and learning in second life. Interservice/Industry Training. Simulation, and Education Conference (I/ITSEC) 2009. Retrieved Feb. 10, 2010 from http://www.iitsec.org/documents/9346_2009BPnomECIT_Paper.pdf </li></ul><ul><li> </li></ul><ul><li>Educational simulations. Electronic learning and Teaching Exchange (ELATE) Wiki. Retrieved Feb. 10, 2010 from http://elatewiki.org/index.php/Educational_Simulations </li></ul><ul><li>Gaba, D.M. (2004). The future vision of simulation in health care. Quality and Safety in Health Care. 13 (Suppl 1). Retrieved Feb. 10, 2010 from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1765792/pdf/v013p000i2.pdf </li></ul>
<ul><li>Mesk’o, B. (2007). Top ten virtual medical sites in second Life. Science Roll. A doctors journey through genetics PhD and Medicine through Web 2. Retrieved Feb. 12, 2010 from http://scienceroll.com/2007/06/17/top-10-virtual-medical-sites-in-second-life/ </li></ul><ul><li>Second Life. Electronic learning and Teaching Exchange (ELATE) Wiki. Retrieved Feb. 13, 2010 from http://elatewiki.org/index.php/Second_Life </li></ul><ul><li> </li></ul><ul><li>Smith, M., & Berge, Z. (2009). Social learning theory in second life. MERLOT Journal of Online Learning and Teaching. Retrieved Jan. 23, 2010 from http://jolt.merlot.org/vol5no2/berge_0609.htm </li></ul><ul><li> </li></ul><ul><li>Taylor, L. (2004). Education theories and instructional design models. Their place in simulation. Simulation Industry Association of Australia Health and Medical Symposium. Retrieved from www.siaa.asn.au/get/2396672209.pdf </li></ul><ul><li> </li></ul><ul><li> </li></ul><ul><li>Treet.TV Business. (March 29, 2009). Best practices in education: Opening presentation. [video]. C onference chairs Phelan Corrimal and Zana Kohime plus remarks from Pathfinder Linden. Retrieved on Feb. 21, 2010 from http://business.treet.tv/shows/bpeducation/episodes/bpeopening </li></ul><ul><li> </li></ul><ul><li>What is second life. Retrieved Feb. 13, 2010 from http://secondlife.com/whatis/ </li></ul>
<ul><li> Ga mes and Simulation for Healthcare. “Portal and Network to meet the needs of clinicians, researchers, and educators in the health care community who want to integrate games and simulation into their scholarship and patient care strategy.” University of Wisconsin. Madison Ebling Library. Available at http://projects.hsl.wisc.edu/healthcaregames/ </li></ul>