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Clinical Experience Recorder
HEA STEM sponsored workshop
University of Bristol, February 28th 2014
Organisers:
Phil Langton (Bristol), Kay Yeoman (UEA)
Chris Bailey and Simon Price
Institute for Learning and Research Technology
IT Services R&D / ILRT
Background
• Collaboration between;
• Vet School
• Medical School
• ILRT
• Goals:
• Encourage reflective and shared learning
• Move away from Word documents...
• ...towards online formative and summative assessment
• Crowdsourced body of clinical cases as an educational resource
• Ran from 2005 until 2012
IT Services R&D / ILRT
Dental programme drivers
• Move towards flexible student-centred learning
• Emphasis on life-long learning
• Competency based assessment
• Emphasis on reflective practice
IT Services R&D / ILRT
Recording clinical cases
IT Services R&D / ILRT
IT Services R&D / ILRT
IT Services R&D / ILRT
IT Services R&D / ILRT
Features
• Multiple review phases
• Students working individually or in groups
• Multiple reviewers with restrictive editing rights
• Simple notification & signoff support
• Monitoring student progress
• and the following...
IT Services R&D / ILRT
Assessment & inline feedback
IT Services R&D / ILRT
Customisable workflows
IT Services R&D / ILRT
Repository of 'exemplar' clinical cases
IT Services R&D / ILRT
Evaluation
Trail 1:
Vets (CER)
Trial 2:
Dentists (CER)
Trial 3:
Dentists (ePortfolio)
Spring 2007 Autumn 2008 Spring 2008
200 students 60 students 60 students
230 cases completed
and assessed
complex workflow:
- resubmission loops
- mentors as well as
tutors
- record student
competences
- reflexive feedback on
own progress
- reviewed by clinician
and unit organiser
IT Services R&D / ILRT
Feedback
• Student feedback
• Most reports have pictures, videos, x-rays and scans ("...some from mobile
phones!" – remember this was pre-iPhone)
• Students not on pilot asked, “when system would be available for all?”
• Majority of students found system “relatively easy to use” or better
• 88% thought it would be useful to have their own portfolio
• 100% thought online library of exemplars was a useful learning resource
• Staff feedback
• Majority reported a perceivable increase in quality of reports submitted by
students
• Recognised that “online reporting was becoming essential”
• Largely positive feedback from tutors (but increased workload!)
IT Services R&D / ILRT
eLearning Tutorials
• Content sourced from
case repository
• Resources already
consent cleared
• Developed by recent
graduates (over 6
months)
IT Services R&D / ILRT
IT Services R&D / ILRT
Lessons learnt
• Model customisable to a range of disciplines / settings
• Tutors surprised at student engagement
• Exemplar cases relatively easy to adapt from real cases
• eLearning tutorials were resource intensive to create
• Pilot (accidentally) became production system
without required investment in development

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Clinical Experience Recorder

  • 1. Clinical Experience Recorder HEA STEM sponsored workshop University of Bristol, February 28th 2014 Organisers: Phil Langton (Bristol), Kay Yeoman (UEA) Chris Bailey and Simon Price Institute for Learning and Research Technology
  • 2. IT Services R&D / ILRT Background • Collaboration between; • Vet School • Medical School • ILRT • Goals: • Encourage reflective and shared learning • Move away from Word documents... • ...towards online formative and summative assessment • Crowdsourced body of clinical cases as an educational resource • Ran from 2005 until 2012
  • 3. IT Services R&D / ILRT Dental programme drivers • Move towards flexible student-centred learning • Emphasis on life-long learning • Competency based assessment • Emphasis on reflective practice
  • 4. IT Services R&D / ILRT Recording clinical cases
  • 8. IT Services R&D / ILRT Features • Multiple review phases • Students working individually or in groups • Multiple reviewers with restrictive editing rights • Simple notification & signoff support • Monitoring student progress • and the following...
  • 9. IT Services R&D / ILRT Assessment & inline feedback
  • 10. IT Services R&D / ILRT Customisable workflows
  • 11. IT Services R&D / ILRT Repository of 'exemplar' clinical cases
  • 12. IT Services R&D / ILRT Evaluation Trail 1: Vets (CER) Trial 2: Dentists (CER) Trial 3: Dentists (ePortfolio) Spring 2007 Autumn 2008 Spring 2008 200 students 60 students 60 students 230 cases completed and assessed complex workflow: - resubmission loops - mentors as well as tutors - record student competences - reflexive feedback on own progress - reviewed by clinician and unit organiser
  • 13. IT Services R&D / ILRT Feedback • Student feedback • Most reports have pictures, videos, x-rays and scans ("...some from mobile phones!" – remember this was pre-iPhone) • Students not on pilot asked, “when system would be available for all?” • Majority of students found system “relatively easy to use” or better • 88% thought it would be useful to have their own portfolio • 100% thought online library of exemplars was a useful learning resource • Staff feedback • Majority reported a perceivable increase in quality of reports submitted by students • Recognised that “online reporting was becoming essential” • Largely positive feedback from tutors (but increased workload!)
  • 14. IT Services R&D / ILRT eLearning Tutorials • Content sourced from case repository • Resources already consent cleared • Developed by recent graduates (over 6 months)
  • 15. IT Services R&D / ILRT
  • 16. IT Services R&D / ILRT Lessons learnt • Model customisable to a range of disciplines / settings • Tutors surprised at student engagement • Exemplar cases relatively easy to adapt from real cases • eLearning tutorials were resource intensive to create • Pilot (accidentally) became production system without required investment in development