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WARM
WELCOME
SYSTEMS APPROACH
PRINCIPLES OF ADULT LEARNING
LEARNING PROCESS
DR ANITA RAMESH
PROFESSOR,
OBGY DEPARTMENT
VBMC “I NEVER TEACH MY PUPILS,I ONLY
PROVIDE THE CONDITIONS IN WHICH
THEY CAN LEARN”
--------Albert Einstein.
HUMAN BODY AS A SYSTEM
• Human body has many
systems(respiratory,cardiac,digestive,CNS &
excretory systems)
• Each system has multiple organs
• Each organ has multiple tissues
• Each tissue has multiple cells
• They all work in harmony for our sustenance.
HUMAN BODY AS A SYSTEMS APPROACH
INPUT PROCESS OUTPUT
Air Respiratory Energy
Water Digestive Carbon dioxide
Food Cardiovascular Urine
Excretory Faeces
GOAL…..HEALTHY LIFE
SYSTEM
WHAT IS THE SYSTEM?
A functional entity which consists of a number of
interdependent & interrelated components
which runs to achieve a goal.
A system has many SUB-SYSTEMS.
All the subsystems have to communicate with
each other to reach a common goal.
SYSTEMS APPROACH
Applications in……..
• Science
• Technology
• Education
• Industries
• Agriculture
• Health
SYSTEMS APPROACH IN MEDICAL
EDUCATION
GOAL OF THE SYSTEMS APPROACH
COMPETENT MEDICAL GRADUATE
TYPES OF A SYSTEM
• OPEN SYSTEM
• CLOSED SYSTEM
OPEN SYSTEM IS INFLUENCED BY THE
ENVIRONMENT
COMPONENTS OF A SYSTEM
INPUT PROCESS OUTPUT
OUTPUT
EXPECTED
ACTUAL
MEDICAL COLLEGE AS A SYSTEM
INPUT
•LEARNERS
• TEACHERS
• ADMINISTRATION & OTHER SUPPORTING
STAFF
• INFRASTRUCTURE RESOURCES
• LEARNING AND TEACHING RESOURCES
MEDICAL COLLEGE AS A SYSTEM
PROCESS
•AIMS AND OBJECTIVES
•CURRICULUM
• TEACHING AND LEARNING PROCESS
• ASSESSMENT METHODS
MEDICAL COLLEGE AS A SYSTEM
OUTPUT
CERTIFIED COMPETENT HEALTH
PROFESSIONAL
OUTPUT
• EFFICIENCY: COST, TIME & RESOURCES
SPENT
• EFFECTIVENESS: QUALITY OF OUTCOME
INSTRUCTIONAL DESIGN
TEACHER AS A SYSTEM SPECIALIST
CURRICULAR COMPONENTS
OBJECTIVES
PLANNING & ORGANISATION
MATERIAL
METHODS
EVALUATION
HOW TO MEASURE THE OUTCOME OF
THE SYSTEMS APPROACH IN MED ED?
Clinician
Communicator
Leader
Professional
Lifelong learner
Member of a
healthcare team
QUALIITY ASSURANCE
Quality assurance is PROCESS oriented and focusses
on DEFECT PREVENTION.
“GETTING THINGS RIGHT THE FIRST TIME,
EVERY TIME”
To do that a QUALITY ASSURANCE SYSTEM
should be in place that allows one to apply the
quality standards
QUALITY CONTROL
Each product of a manufacturing process is of
equivalent quality. so, inspection is made of
process and its product.
PRODUCT ORIENTED and focusses on DEFECT IDENTIFICATION
ADVANTAGES OF SYSTEMS APPROACH
• It is an approach which entails analysis of
problems and to come up with a blend of
solutions
• Keep priorities in mind & tackles it in an
advanced disciplinary manner
• Goal oriented
• Holistic view
• Utilises feedback to improve
• Rational problem solving method of analysis in
the educational process to make it more effective
DISADVANTAGES OF SYSTEMS
APPROACH
• Over conceptual
• Needs more hardwork
• Needs more faculty for implementation
• More finances
• Lack of understanding
• Resistance to change to newer systems approach
GROUP TASK
• You as member of the OBGY department has to
conduct a CME on GDM.Map the components of
a system
• Our institute is going to apply for increase in
seats in ANAESTHESIOLOGY.Map the
components of the system
• INPUT?PROCESS?OUTPUT?FEEDBACK?
PRINCIPLES OF ADULT
LEARNING
ARE WE TEACHING
CHILDREN
OR
ARE WE TEACHING
ADULTS ?????
MILLENIAL GENERATION
ADULT LEARNING
All forms of learning undertaken
by adults after having initial
education,however far this process
may have gone.
European commission of andragogy 2009,modified
in 2012)
ADULT LEARNING OR ANDRAGOGY?
PRINCIPLES OF ADULT LEARNING
ANDRAGOGY
• Informal
• Learners are
independent and self
directed
PEDAGOGY
• Formal
• Learners are
dependent on
teachers
PRINCIPLES OF ADULT LEARNING
• ANDRAGOGY
• Self assessment
• Learners are self
motivated
• PEDAGOGY
• Evaluation is external
• Learners are
externally motivated
(grades,prizes)
PRINCIPLES OF ADULT LEARNING
• ANDRAGOGY
• Learners come with
their own experience
• Learning is problem
centred
• PEDAGOGY
• Learners are
inexperienced
• Learning is subject
centred
TIPS FOR A GOOD FACILITATOR
• Be prepared
• Be a motivator
• Be energetic
• Reinforce the positive in students
• Be sensitive
• Embrace mistakes and limitations
• Use a variety of techniques,methods and
activities
• Encourage a more problem solving approach to
make them self directed learners
MAKE STUDENTS THE MASTER
• MOTIVATE THE MIND
• ACQUIRE INFORMATION
• SEARCH OUT MEANING
• TRIGGER THE MEMORY
• EXHIBIT WHAT IS KNOWN
• REFLECT ON WHAT WAS KNOWN
BARRIERS IN ADULT LEARNING
• Lack of time
• Lack of money
• Lack of interest
• Lack of information
• Problems in transportation
• Added responsibilities
HOW TO OVERCOME
BARRIERS?
HOW TO OVERCOME BARRIERS?
• Provision of licensing
• Providing promotion
• Better job &better salary
DEFINE LEARNING STYLE
PROCESS OF GATHERING KNOWLEDGE
AND USING IT IN LIFE
Learning process
TEACHING LEARNING
• Interaction between
student & teacher to
bring about expected
changes in students
behaviour
• Process in which the
students way of
thinking & learning is
modified
CONCEPT OF LEARNING
• The behaviour of an individual changes through
direct & indirect experiences.This change in
behaviour is learning.A new behaviour is
acquired or there is strengthening or weakening
of old behaviour.
• GOAL ORIENTED & PURPOSEFUL
• CONTINUOUS LIFE LONG PROCESS
• Gain knowledge
• Helps us to improve our skills
DOMAINS OF LEARNING
• COGNITIVE…knowledge
• PSYCHOMOTOR…work place based learning
• AFFECTIVE…experiential learning
PHASES OF LEARNING PROCESS
• Motivation phase
• Acquisition phase
• Remembering
• performing
PRINCIPLES OF LEARNING
• Active participation(motivated,good emotional
state)
• Goal oriented
• Repetition
• Relevant
• Transference(apply it in our daily practice)
• Appropriate environment
• Good role model
• Evaluation
• Feedback
CONCEPT OF LEARNING THEORIES
• To teach a concept
• To suggest where to look for solutions
• They do not not give us solutions but direct our
attention to those variables that r crucial in
finding solutions
• ‘’Its not about covering the syllabus,rather its
about uncovering the syllabus’’
LEARNING THEORIES
• Behaviourism…stimulus-response-associative
type
• Cognitivism
• Constructivism
• Sociocultural theory
• Critical theory
• Humanism
• Multiple Intelligencies
BEHAVIOURISM THEORY
• Change in behaviour in the desired direction
• It involves encouragement,repitition,feedback &
reinforcement
• SKILL & DRILL EXCERCISE
COGNITIVISM THEORY
• Learner uses insight,information processing &
memory to facilitate learning
• ACQUIRE,STORE & RETRIEVE MEMORY
• Learner develops capacity for SELF DIRECTED
LEARNING
• Teacher facilitates the learner….HOW TO
LEARN
• Classify,link concepts & organise
• Discussions,problem
solving,analogies,mnemonics
CONSTRUCTIVISM THEORY OF
LEARNING
Learners learn to change society by his own
experiences when he becomes involved in the
community
SOCIOCULTURAL(CONTEXTUAL)
LEARNING
• Learner as an apprentice or as a member in the
community
• Learning is in the context of the PEOPLE & the
ENVIRONMENT
REFLECTION :A WAY OF ADULT
LEARNING
REFLECTION:A WAY OF LEARNING
SEVEN PRINCIPLES OF GOOD
PRACTICES IN UNDERGRADUATE
EDUCATION
• Encourage contact between student & faculty
• Develop co-operation among students
• Use active learning techniques
• Emphasize time on task
• Give prompt feedback to communicate high
expectations
• To respect diverse talents & ways of learning
Let us all strive towards producing an
ideal medical graduate
SO HOW DO U ALL PICTURE OUR
FUTURE MEDICAL GRADUATES TO
BE?
Systems approach,Principles of Adult learning & Learning process in Medical Education
Systems approach,Principles of Adult learning & Learning process in Medical Education
Systems approach,Principles of Adult learning & Learning process in Medical Education

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Systems approach,Principles of Adult learning & Learning process in Medical Education

  • 2. SYSTEMS APPROACH PRINCIPLES OF ADULT LEARNING LEARNING PROCESS DR ANITA RAMESH PROFESSOR, OBGY DEPARTMENT VBMC “I NEVER TEACH MY PUPILS,I ONLY PROVIDE THE CONDITIONS IN WHICH THEY CAN LEARN” --------Albert Einstein.
  • 3.
  • 4. HUMAN BODY AS A SYSTEM • Human body has many systems(respiratory,cardiac,digestive,CNS & excretory systems) • Each system has multiple organs • Each organ has multiple tissues • Each tissue has multiple cells • They all work in harmony for our sustenance.
  • 5. HUMAN BODY AS A SYSTEMS APPROACH INPUT PROCESS OUTPUT Air Respiratory Energy Water Digestive Carbon dioxide Food Cardiovascular Urine Excretory Faeces GOAL…..HEALTHY LIFE
  • 6. SYSTEM WHAT IS THE SYSTEM? A functional entity which consists of a number of interdependent & interrelated components which runs to achieve a goal. A system has many SUB-SYSTEMS. All the subsystems have to communicate with each other to reach a common goal.
  • 7. SYSTEMS APPROACH Applications in…….. • Science • Technology • Education • Industries • Agriculture • Health
  • 8. SYSTEMS APPROACH IN MEDICAL EDUCATION
  • 9. GOAL OF THE SYSTEMS APPROACH COMPETENT MEDICAL GRADUATE
  • 10. TYPES OF A SYSTEM • OPEN SYSTEM • CLOSED SYSTEM OPEN SYSTEM IS INFLUENCED BY THE ENVIRONMENT
  • 11.
  • 12. COMPONENTS OF A SYSTEM INPUT PROCESS OUTPUT OUTPUT EXPECTED ACTUAL
  • 13. MEDICAL COLLEGE AS A SYSTEM INPUT •LEARNERS • TEACHERS • ADMINISTRATION & OTHER SUPPORTING STAFF • INFRASTRUCTURE RESOURCES • LEARNING AND TEACHING RESOURCES
  • 14. MEDICAL COLLEGE AS A SYSTEM PROCESS •AIMS AND OBJECTIVES •CURRICULUM • TEACHING AND LEARNING PROCESS • ASSESSMENT METHODS
  • 15. MEDICAL COLLEGE AS A SYSTEM OUTPUT CERTIFIED COMPETENT HEALTH PROFESSIONAL
  • 16. OUTPUT • EFFICIENCY: COST, TIME & RESOURCES SPENT • EFFECTIVENESS: QUALITY OF OUTCOME
  • 17.
  • 19. TEACHER AS A SYSTEM SPECIALIST
  • 20.
  • 21. CURRICULAR COMPONENTS OBJECTIVES PLANNING & ORGANISATION MATERIAL METHODS EVALUATION
  • 22. HOW TO MEASURE THE OUTCOME OF THE SYSTEMS APPROACH IN MED ED? Clinician Communicator Leader Professional Lifelong learner Member of a healthcare team
  • 23. QUALIITY ASSURANCE Quality assurance is PROCESS oriented and focusses on DEFECT PREVENTION. “GETTING THINGS RIGHT THE FIRST TIME, EVERY TIME” To do that a QUALITY ASSURANCE SYSTEM should be in place that allows one to apply the quality standards
  • 24. QUALITY CONTROL Each product of a manufacturing process is of equivalent quality. so, inspection is made of process and its product. PRODUCT ORIENTED and focusses on DEFECT IDENTIFICATION
  • 25. ADVANTAGES OF SYSTEMS APPROACH • It is an approach which entails analysis of problems and to come up with a blend of solutions • Keep priorities in mind & tackles it in an advanced disciplinary manner • Goal oriented • Holistic view • Utilises feedback to improve • Rational problem solving method of analysis in the educational process to make it more effective
  • 26. DISADVANTAGES OF SYSTEMS APPROACH • Over conceptual • Needs more hardwork • Needs more faculty for implementation • More finances • Lack of understanding • Resistance to change to newer systems approach
  • 27. GROUP TASK • You as member of the OBGY department has to conduct a CME on GDM.Map the components of a system • Our institute is going to apply for increase in seats in ANAESTHESIOLOGY.Map the components of the system • INPUT?PROCESS?OUTPUT?FEEDBACK?
  • 29. ARE WE TEACHING CHILDREN OR ARE WE TEACHING ADULTS ?????
  • 31. ADULT LEARNING All forms of learning undertaken by adults after having initial education,however far this process may have gone. European commission of andragogy 2009,modified in 2012)
  • 32. ADULT LEARNING OR ANDRAGOGY?
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  • 37. PRINCIPLES OF ADULT LEARNING ANDRAGOGY • Informal • Learners are independent and self directed PEDAGOGY • Formal • Learners are dependent on teachers
  • 38. PRINCIPLES OF ADULT LEARNING • ANDRAGOGY • Self assessment • Learners are self motivated • PEDAGOGY • Evaluation is external • Learners are externally motivated (grades,prizes)
  • 39. PRINCIPLES OF ADULT LEARNING • ANDRAGOGY • Learners come with their own experience • Learning is problem centred • PEDAGOGY • Learners are inexperienced • Learning is subject centred
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  • 45. TIPS FOR A GOOD FACILITATOR • Be prepared • Be a motivator • Be energetic • Reinforce the positive in students • Be sensitive • Embrace mistakes and limitations • Use a variety of techniques,methods and activities • Encourage a more problem solving approach to make them self directed learners
  • 46. MAKE STUDENTS THE MASTER • MOTIVATE THE MIND • ACQUIRE INFORMATION • SEARCH OUT MEANING • TRIGGER THE MEMORY • EXHIBIT WHAT IS KNOWN • REFLECT ON WHAT WAS KNOWN
  • 47. BARRIERS IN ADULT LEARNING • Lack of time • Lack of money • Lack of interest • Lack of information • Problems in transportation • Added responsibilities
  • 49. HOW TO OVERCOME BARRIERS? • Provision of licensing • Providing promotion • Better job &better salary
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  • 51. DEFINE LEARNING STYLE PROCESS OF GATHERING KNOWLEDGE AND USING IT IN LIFE
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  • 55. Learning process TEACHING LEARNING • Interaction between student & teacher to bring about expected changes in students behaviour • Process in which the students way of thinking & learning is modified
  • 56. CONCEPT OF LEARNING • The behaviour of an individual changes through direct & indirect experiences.This change in behaviour is learning.A new behaviour is acquired or there is strengthening or weakening of old behaviour. • GOAL ORIENTED & PURPOSEFUL • CONTINUOUS LIFE LONG PROCESS • Gain knowledge • Helps us to improve our skills
  • 57. DOMAINS OF LEARNING • COGNITIVE…knowledge • PSYCHOMOTOR…work place based learning • AFFECTIVE…experiential learning
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  • 59. PHASES OF LEARNING PROCESS • Motivation phase • Acquisition phase • Remembering • performing
  • 60. PRINCIPLES OF LEARNING • Active participation(motivated,good emotional state) • Goal oriented • Repetition • Relevant • Transference(apply it in our daily practice) • Appropriate environment • Good role model • Evaluation • Feedback
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  • 62. CONCEPT OF LEARNING THEORIES • To teach a concept • To suggest where to look for solutions • They do not not give us solutions but direct our attention to those variables that r crucial in finding solutions • ‘’Its not about covering the syllabus,rather its about uncovering the syllabus’’
  • 63. LEARNING THEORIES • Behaviourism…stimulus-response-associative type • Cognitivism • Constructivism • Sociocultural theory • Critical theory • Humanism • Multiple Intelligencies
  • 64. BEHAVIOURISM THEORY • Change in behaviour in the desired direction • It involves encouragement,repitition,feedback & reinforcement • SKILL & DRILL EXCERCISE
  • 65. COGNITIVISM THEORY • Learner uses insight,information processing & memory to facilitate learning • ACQUIRE,STORE & RETRIEVE MEMORY • Learner develops capacity for SELF DIRECTED LEARNING • Teacher facilitates the learner….HOW TO LEARN • Classify,link concepts & organise • Discussions,problem solving,analogies,mnemonics
  • 66. CONSTRUCTIVISM THEORY OF LEARNING Learners learn to change society by his own experiences when he becomes involved in the community
  • 67. SOCIOCULTURAL(CONTEXTUAL) LEARNING • Learner as an apprentice or as a member in the community • Learning is in the context of the PEOPLE & the ENVIRONMENT
  • 68. REFLECTION :A WAY OF ADULT LEARNING
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  • 71. SEVEN PRINCIPLES OF GOOD PRACTICES IN UNDERGRADUATE EDUCATION • Encourage contact between student & faculty • Develop co-operation among students • Use active learning techniques • Emphasize time on task • Give prompt feedback to communicate high expectations • To respect diverse talents & ways of learning
  • 72. Let us all strive towards producing an ideal medical graduate
  • 73. SO HOW DO U ALL PICTURE OUR FUTURE MEDICAL GRADUATES TO BE?