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       ROUNDTABLE DISCUSSION: PAIN EDUCATION




ABSTRACT                                                                   KEYWORDS
The roundtable discussion activity (RTD) can be used in any                Roundtable; Consensus building; Health
situation involving a group of stakeholders who are meeting to discuss     Sciences; Situational Learning; Clinical practice
a ‘real life’ issue, with the aim of reaching consensus about the best     CONTACT
course of action. To date, the RTD has been used in two separate           Elizabeth Devonshire, University of Sydney,
learning contexts: 1) Physical Geography, with undergraduate               l.devonshire@med.usyd.edu.au
students using blended delivery approach and 2) Health Sciences, with
postgraduate students studying at a distance/online. The details below
outline the application of the RTD in the health context.



                                                                         DESCRIPTION
                                                                         The RTD role play is built around the
                                                                         interactions of a multidisciplinary team, (4
                                                                         health professionals), who are meeting
                                                                         regarding the management of a complex
                                                                         patient case. Each team member is
                                                                         represented by a small group of participants.
                                                                         These small ‘consultant’ groups prepare a
                                                                         position statement about the case. Then, one
                                                                         player from each group participates in the
                                                                         (online) team meeting, with external
                                                                         support/advice from their ‘consultant’ group.
                                                                         The team meeting enables exploration of the
                                                                         clinical decision making process within an
                                                                         inter-professional team context.




AUDIENCE/GROUP SIZE
Groups from 12 to about 24 work well. Students are divided into ‘consultant’ groups and allocated 1 out of the 4
stakeholder roles to play. Smaller numbers may necessitate removal of 1 stakeholder role, whereas larger
numbers may require the formation of “parallel meetings” of approximately equal size.


LEARNING OPPORTUNITIES
The activity provides opportunities for the development of specific and generic outcomes:
 Gain appreciation of the intricacies of (clinical) decision making
 Gain insights into the perspectives of other stakeholders
 Develop collaboration and negotiation skills
 Integrate and synthesise a range of information resources
 Appreciate the importance of a (multidisciplinary) team approach
TIME AND SETTING
Conducted over a 6 week timeframe in the 4th core unit of study the students undertake. All aspects of the role
play (briefing, ‘in role’ participant interaction, debriefing) occur in an online context.

RESOURCES
Online environment with capacity for asynchronous/synchronous group discussion (open/private).
Student resources include a role play briefing document; role descriptors; scenario; role-play tips; role play
resources (patient history/initial readings).
Facilitator resources include an activity briefing and a debriefing guide.

ASSESSMENT
Individual Written Assessment: The assessment task provides a debriefing opportunity as students are required
to re/consider the situation under consideration in the RTD, given some changed circumstances, and complete
an individual reflection about the insights they have gained as a result of the activity.


LEARNING ACTIVITIES
STAGE 1                 Roundtable Discussion BRIEFING
                         Activity Briefing                                                                                            Week 1
                         Stakeholder Role Discussion


STAGE 2                 Roundtable Discussion ACTION
                         Developing Professional Interpretation                                                                       Week 2-3
                         Reviewing Professional Interpretations
                         Multidisciplinary Team (MDT) Meeting                                                                         Week 4
                         Preparation of MDT Recommendations


STAGE 3                 Roundtable Discussion DEBRIEFING
                         Review                                                                                                       Week 5
                         Debrief                                                                                                      Week 6



Task 1: Role play
Stage 1 – Briefing (RTD structure/expectations, role allocation/role brief, case presentation)
Stage 2 – Action (development of stakeholder position, team meeting to determine course of action)
Stage 3 – Debrief
Task 2: Individual Written Assessment

1-2 weeks are allocated for debriefing activity online, using framework outlined in facilitator guide.

REUSABILITY
The roundtable discussion activity (RTD) is reusable in a variety of learning contexts involving consensus
decision making.

REFERENCES
   Devonshire, E. (2006). Re-purposing an online role play activity: Exploring the institutional and pedagogical challenges. In L. Markauskaite, P.
    Goodyear, & P. Reimann (Eds.) Proceedings of the 23rd Annual Conference of the Australasian Society for Computers in Learning in Tertiary Education: Who’s
    Learning? Whose Technology? (pp. 205–208). Sydney: Sydney University Press. Retrieved 22 Jan 2007 from
    http://www.ascilite.org.au/conferences/sydney06/proceeding/pdf_papers/p36.pdf
   Devonshire, E. and Wozniak, H. (2006). Working together: Developing eLearning activities to promote interprofessional learning. Synergy. 23.
    Retrieved Dec 2006, from the Institute for Teaching and Learning WebSite: http://www.nettl.usyd.edu.au/synergy/article.cfm?articleID=279
   Brierley, G., Hillman, M., Devonshire, E. & Funnell, L. (2002). Description of Round Table Exercise: Environmental Decision-Making about Water Resources in
    Physical Geography. Retrieved Nov 22, 2004, from Learning Designs Web site:
    http://www.learningdesigns.uow.edu.au/exemplars/info/LD26/index.html
   Brierley, G., Hillman, M., & Devonshire, E. (2002b). Learning to Participate: Responding to Changes in Australian Land and Water Management
    Policy and Practice. Australian Journal of Environmental Education. 18: 7-13.

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Pain education roundtable

  • 1. This role play description is licensed under a Creative Commons Attribution-Noncommercial-Share Alike 2.5 Australia License ROUNDTABLE DISCUSSION: PAIN EDUCATION ABSTRACT KEYWORDS The roundtable discussion activity (RTD) can be used in any Roundtable; Consensus building; Health situation involving a group of stakeholders who are meeting to discuss Sciences; Situational Learning; Clinical practice a ‘real life’ issue, with the aim of reaching consensus about the best CONTACT course of action. To date, the RTD has been used in two separate Elizabeth Devonshire, University of Sydney, learning contexts: 1) Physical Geography, with undergraduate l.devonshire@med.usyd.edu.au students using blended delivery approach and 2) Health Sciences, with postgraduate students studying at a distance/online. The details below outline the application of the RTD in the health context. DESCRIPTION The RTD role play is built around the interactions of a multidisciplinary team, (4 health professionals), who are meeting regarding the management of a complex patient case. Each team member is represented by a small group of participants. These small ‘consultant’ groups prepare a position statement about the case. Then, one player from each group participates in the (online) team meeting, with external support/advice from their ‘consultant’ group. The team meeting enables exploration of the clinical decision making process within an inter-professional team context. AUDIENCE/GROUP SIZE Groups from 12 to about 24 work well. Students are divided into ‘consultant’ groups and allocated 1 out of the 4 stakeholder roles to play. Smaller numbers may necessitate removal of 1 stakeholder role, whereas larger numbers may require the formation of “parallel meetings” of approximately equal size. LEARNING OPPORTUNITIES The activity provides opportunities for the development of specific and generic outcomes:  Gain appreciation of the intricacies of (clinical) decision making  Gain insights into the perspectives of other stakeholders  Develop collaboration and negotiation skills  Integrate and synthesise a range of information resources  Appreciate the importance of a (multidisciplinary) team approach
  • 2. TIME AND SETTING Conducted over a 6 week timeframe in the 4th core unit of study the students undertake. All aspects of the role play (briefing, ‘in role’ participant interaction, debriefing) occur in an online context. RESOURCES Online environment with capacity for asynchronous/synchronous group discussion (open/private). Student resources include a role play briefing document; role descriptors; scenario; role-play tips; role play resources (patient history/initial readings). Facilitator resources include an activity briefing and a debriefing guide. ASSESSMENT Individual Written Assessment: The assessment task provides a debriefing opportunity as students are required to re/consider the situation under consideration in the RTD, given some changed circumstances, and complete an individual reflection about the insights they have gained as a result of the activity. LEARNING ACTIVITIES STAGE 1 Roundtable Discussion BRIEFING  Activity Briefing Week 1  Stakeholder Role Discussion STAGE 2 Roundtable Discussion ACTION  Developing Professional Interpretation Week 2-3  Reviewing Professional Interpretations  Multidisciplinary Team (MDT) Meeting Week 4  Preparation of MDT Recommendations STAGE 3 Roundtable Discussion DEBRIEFING  Review Week 5  Debrief Week 6 Task 1: Role play Stage 1 – Briefing (RTD structure/expectations, role allocation/role brief, case presentation) Stage 2 – Action (development of stakeholder position, team meeting to determine course of action) Stage 3 – Debrief Task 2: Individual Written Assessment 1-2 weeks are allocated for debriefing activity online, using framework outlined in facilitator guide. REUSABILITY The roundtable discussion activity (RTD) is reusable in a variety of learning contexts involving consensus decision making. REFERENCES  Devonshire, E. (2006). Re-purposing an online role play activity: Exploring the institutional and pedagogical challenges. In L. Markauskaite, P. Goodyear, & P. Reimann (Eds.) Proceedings of the 23rd Annual Conference of the Australasian Society for Computers in Learning in Tertiary Education: Who’s Learning? Whose Technology? (pp. 205–208). Sydney: Sydney University Press. Retrieved 22 Jan 2007 from http://www.ascilite.org.au/conferences/sydney06/proceeding/pdf_papers/p36.pdf  Devonshire, E. and Wozniak, H. (2006). Working together: Developing eLearning activities to promote interprofessional learning. Synergy. 23. Retrieved Dec 2006, from the Institute for Teaching and Learning WebSite: http://www.nettl.usyd.edu.au/synergy/article.cfm?articleID=279  Brierley, G., Hillman, M., Devonshire, E. & Funnell, L. (2002). Description of Round Table Exercise: Environmental Decision-Making about Water Resources in Physical Geography. Retrieved Nov 22, 2004, from Learning Designs Web site: http://www.learningdesigns.uow.edu.au/exemplars/info/LD26/index.html  Brierley, G., Hillman, M., & Devonshire, E. (2002b). Learning to Participate: Responding to Changes in Australian Land and Water Management Policy and Practice. Australian Journal of Environmental Education. 18: 7-13.