Building	
  an	
  online	
  repository	
  of	
  teaching	
  resources	
  to	
  facilitate	
  
consistent	
  and	
  good	
 ...
Conclusions	
  
•  An	
  online	
  case	
  repository	
  of	
  teaching	
  
resources	
  supports	
  undergraduate	
  and	...
The	
  following	
  are	
  the	
  feedback	
  from	
  reviewers	
  with	
  regard	
  to	
  the	
  extended	
  abstract	
  ...
Why	
  this	
  iniFaFve	
  is	
  different?	
  
ThemaFc	
  
Experience	
  
Stroke	
  and	
  	
  
Mimics	
  
Use	
  of	
  repository,	
  impact	
  on	
  
learning	
  
Over	
  40,000	
  
Page	
  Views	
  
Over	
  2	
  Years	
  
Residents	
  Report	
  That	
  SystemaFc	
  Review/Deliberate	
  PracFce	
  
With	
  Theme	
  based	
  Cases	
  Significant...
What	
  next?	
  
CaseBasedLearning@NUHS	
  
Learning@NUHS	
  
CurriculumMapping@NUHS	
  
	
  
	
  
	
  
Mastery	
  Training	
  in	
  Radiology	
  –	
  Use	
  in	
  the	
  Diagnosis	
  and	
  
Management	
  of	
  Acute	
  Ischa...
Pre-­‐Test	
  (2	
  parts	
  –	
  diagnosis	
  and	
  management)	
  
1.  Acute	
  /	
  Hyperacute	
  Infarct	
  on	
  CT	...
References	
  
•  hgp://meded.ucsf.edu/radme/medical-­‐
educaFon-­‐expert-­‐william-­‐mcgaghie-­‐address-­‐
ucsf-­‐simulaF...
2013	
  AssociaFon	
  for	
  Medical	
  EducaFon	
  in	
  Europe	
  Annual	
  Conference,	
  Prague	
  	
  
PS	
  Goh.	
  ...
EducaFonal	
  Sefng	
  –	
  Radiology	
  Department,	
  Postgraduate	
  Training	
  
30	
  Consultants	
  –	
  30	
  Resid...
Current	
  Digital	
  /	
  Online	
  Teaching	
  	
  and	
  Learning	
  Case-­‐Based	
  Cases	
  
Online	
  Digital	
  Repository	
  and	
  Examples	
  of	
  Its	
  MulFple	
  Uses	
  
ThemaFc	
  
Experience	
  
Stroke	
  and	
  	
  
Mimics	
  
Short	
  Theme	
  Based	
  
InstrucFonal	
  Video	
  
PresenFng	
  Unknown	
  	
  
Cases	
  
or	
  
Cases	
  with	
  Annot...
Visual	
  ThemaFc	
  Index	
  –	
  Stroke	
  and	
  Mimics	
  à	
  So	
  you	
  teach,	
  have	
  designed	
  an	
  Evide...
Text	
  based	
  
Hyperlinked	
  	
  
Case	
  Index	
  
For	
  rare	
  condiFons	
  	
  
Hyperlinking	
  to	
  other	
  
Online	
  Repositories	
  
www.ajnr.org	
  
	
  
www.eurorad.org	
  
	
  
Not	
  just	
  confined	
  To	
  Radiology	
  Examples	
  
www.nejm.org	
  
	
  
Imagine	
  the	
  teaching	
  and	
  learning	
  possibiliFes	
  with	
  1000s	
  of	
  
cases	
  in	
  eBook	
  format	
 ...
More	
  examples	
  of	
  scholarship	
  potenFal	
  –	
  ThemaFc	
  eBook	
  Chapters	
  
Conclusions	
  
•  An	
  online	
  case	
  repository	
  of	
  teaching	
  
resources	
  supports	
  undergraduate	
  and	...
Advantages	
  of	
  online	
  case	
  repositories	
  
•  For	
  Tutors	
  
–  Online	
  repository	
  facilitates	
  acce...
Problems	
  Using	
  RLO	
  Approach	
  
•  Formalizing	
  System	
  and	
  Procedures	
  for	
  Regular	
  
SystemaFc	
  ...
Take	
  Advantage	
  of	
  Regular	
  Clinical	
  
AcFviFes	
  as	
  Source	
  of	
  RLOs	
  
•  Day	
  to	
  day	
  work	...
Thank	
  you	
  
Building an online repository of teaching resources to facilitate consistent and good quality teaching of postgraduates an...
Building an online repository of teaching resources to facilitate consistent and good quality teaching of postgraduates an...
Building an online repository of teaching resources to facilitate consistent and good quality teaching of postgraduates an...
Building an online repository of teaching resources to facilitate consistent and good quality teaching of postgraduates an...
Building an online repository of teaching resources to facilitate consistent and good quality teaching of postgraduates an...
Building an online repository of teaching resources to facilitate consistent and good quality teaching of postgraduates an...
Building an online repository of teaching resources to facilitate consistent and good quality teaching of postgraduates an...
Building an online repository of teaching resources to facilitate consistent and good quality teaching of postgraduates an...
Upcoming SlideShare
Loading in …5
×

Building an online repository of teaching resources to facilitate consistent and good quality teaching of postgraduates and undergraduates in medicine – a preliminary report

597 views

Published on

Slidedeck for presentation at NUS CDTL TEL2013 symposium, Oct 7, 2013
http://cdtl.nus.edu.sg/tel2013/

Published in: Education, Health & Medicine
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total views
597
On SlideShare
0
From Embeds
0
Number of Embeds
6
Actions
Shares
0
Downloads
2
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide

Building an online repository of teaching resources to facilitate consistent and good quality teaching of postgraduates and undergraduates in medicine – a preliminary report

  1. 1. Building  an  online  repository  of  teaching  resources  to  facilitate   consistent  and  good  quality  teaching  of  postgraduates  and   undergraduates  in  medicine  –  a  preliminary  report     Dr  Goh  Poh  Sun   MB,BS(Melb),  FRCR,  FAMS,  MHPE(Maastricht)   Associate  Professor  and  Senior  Consultant   Department  of  DiagnosFc  Radiology   NaFonal  University  Hospital   NaFonal  University  Health  System   Singapore  
  2. 2. Conclusions   •  An  online  case  repository  of  teaching   resources  supports  undergraduate  and   postgraduate  teaching  and  learning  in   radiology.     •  A  new  iniFaFve  to  build  an  insFtuFon  wide   case  repository  has  the  potenFal  to  have  a   wider  significant  impact  in  medical  educaFon.  
  3. 3. The  following  are  the  feedback  from  reviewers  with  regard  to  the  extended  abstract   (ID:  063):     •              Abstract  needs  to  focus  why  this  is  different  from  other  online  medical   repositories  which  might  be  FREE.   •              What  next  for  this  repository?  What  are  the  unique  features  of  this  repository   other  than  the  contents?   •              It  would  be  good  if  some  findings  on  the  use  of  the  repository  be  shared  –  e.g.   how  the  repository  has  impacted  students’  learning.  
  4. 4. Why  this  iniFaFve  is  different?  
  5. 5. ThemaFc   Experience   Stroke  and     Mimics  
  6. 6. Use  of  repository,  impact  on   learning  
  7. 7. Over  40,000   Page  Views   Over  2  Years  
  8. 8. Residents  Report  That  SystemaFc  Review/Deliberate  PracFce   With  Theme  based  Cases  Significantly  Increases  Their     Confidence  in  both  EMD,  and  day  to  day  Neuroradiology   ReporFng     This  is  Supported  by  Actual  Day  to  Day  Clinical  Performance   Assessment  by  Supervising  Radiologists     (paper  in  dra`  revision)  
  9. 9. What  next?   CaseBasedLearning@NUHS   Learning@NUHS   CurriculumMapping@NUHS        
  10. 10. Mastery  Training  in  Radiology  –  Use  in  the  Diagnosis  and   Management  of  Acute  Ischaemic  Stroke  on  CT  Scan     Dr  Goh  Poh  Sun   MBBS(Melb),  FRCR,  FAMS,  MHPE(Maastricht)   Department  of  DiagnosFc  Radiology   NaFonal  University  Hospital   NaFonal  University  Health  System   Singapore  
  11. 11. Pre-­‐Test  (2  parts  –  diagnosis  and  management)   1.  Acute  /  Hyperacute  Infarct  on  CT  (range  of  cases),  admit/thrombolyse   2.  Look-­‐alikes  of  acute  CVA  eg.  Tumour,  EncephaliFs,  admit/treat   3.  Subacute/Chronic  Infarct,  consider  outpaFent  follow  up   Learning,  followed  by  Deliberate  PracFce   +  Feedback   Fail   Pass   Post-­‐Test  (2  parts  –  diagnosis  and  management)   1.  Acute  /  Hyperacute  Infarct  on  CT  (range  of  cases),  admit/thrombolyse   2.  Look-­‐alikes  of  acute  CVA  eg.  Tumour,  EncephaliFs,  admit/treat   3.  Subacute/Chronic  Infarct,  consider  outpaFent  follow  up   Standard  sefng  by  panel  of  radiologists,  and  neurologists  using  online  repository  
  12. 12. References   •  hgp://meded.ucsf.edu/radme/medical-­‐ educaFon-­‐expert-­‐william-­‐mcgaghie-­‐address-­‐ ucsf-­‐simulaFon-­‐based-­‐medical-­‐educaFon   •  hgp://www.royalcollege.ca/portal/page/ portal/rc/common/documents/events/icre/ 2012proceedings/ competency_based_residency_educaFon/ mastery_learning_of_clinical_skills.pdf  
  13. 13. 2013  AssociaFon  for  Medical  EducaFon  in  Europe  Annual  Conference,  Prague     PS  Goh.  An  online  case  repository  facilitates  radiology  residency  training  and  evaluaFon  of  educaFon   theory,  can  potenFally  shorten  duraFon  of  training,  and  aid  mastery  training  -­‐  a  follow  up  report   2012  AssociaFon  for  Medical  EducaFon  in  Europe  Annual  Conference,  Lyon   PS  Goh.  An  online  repository  facilitates  radiology  residency  training  and  evaluaFon  of  educaFon  theory   2011  AssociaFon  for  Medical  EducaFon  in  Europe  Annual  Conference,  Vienna   PS  Goh,  G  Sundar,  C  Tan,  ME  Nga,  TP  Thamboo,  S  Amrith.  CreaFon  and  Use  of  An  Online  MulFspecialty   Case  Repository  and  Its  MulFple  Uses  for  Specialist  Training.   2009  AssociaFon  for  Medical  EducaFon  in  Europe  Annual  Conference,  Malaga   PS  Goh,  J  Tam.  Deliberate  distributed  pracFce  with  paired  and  mixed  examples  is  an  efficient  and   effecFve  method  to  learn  key  abnormaliFes  on  the  CXR   2010  7th  Asia  Pacific  Medical  EducaFon  Conference,  Singapore   PS  Goh,  J  Tam.  Applying  deliberate  pracFce  to  chest  radiology  teaching  –  further  work  with   undergraduates  and  experience  with  postgraduates   8th  Asia  Pacific  Medical  EducaFon  Conference,  Singapore   PS  Goh.  Deliberate  PracFce  Using  Paired  and  Mixed  Examples  of  Imaging  AbnormaliFes  on  the  CXR  is   more  effecFve  and  efficient  for  postgraduate  training  compared  with  tradiFonal  methods   6th  Asia  Pacific  Medical  EducaFon  Conference,  Singapore     PS  Goh,  J  Tam.  ApplicaFon  of  EducaFonal  Theory  Regarding  Teaching  for  Skill  Transference  for  Chest   Radiograph  InterpretaFon  in  Undergraduate  EducaFon  and  Training   2008  AssociaFon  for  Medical  EducaFon  in  Europe  Annual  Conference,  Prague   PS  Goh   EvaluaFon  of  a  Radiology  eLearning  program  –  key  factors  contribuFng  to  success  
  14. 14. EducaFonal  Sefng  –  Radiology  Department,  Postgraduate  Training   30  Consultants  –  30  Residents  in  Training  
  15. 15. Current  Digital  /  Online  Teaching    and  Learning  Case-­‐Based  Cases  
  16. 16. Online  Digital  Repository  and  Examples  of  Its  MulFple  Uses  
  17. 17. ThemaFc   Experience   Stroke  and     Mimics  
  18. 18. Short  Theme  Based   InstrucFonal  Video   PresenFng  Unknown     Cases   or   Cases  with  AnnotaFons   and  Answers  
  19. 19. Visual  ThemaFc  Index  –  Stroke  and  Mimics  à  So  you  teach,  have  designed  an  Evidence   Based/Literature  Supported  Curriculum  and  ProgrammaFc  Assessment  Strategy  …     Now  show  me  what  you  actually  teach  “with”,  and  what  you  assess  “on”  …   Range  …  Breadth  and  Depth  
  20. 20. Text  based   Hyperlinked     Case  Index  
  21. 21. For  rare  condiFons     Hyperlinking  to  other   Online  Repositories   www.ajnr.org    
  22. 22. www.eurorad.org    
  23. 23. Not  just  confined  To  Radiology  Examples   www.nejm.org    
  24. 24. Imagine  the  teaching  and  learning  possibiliFes  with  1000s  of   cases  in  eBook  format  on  (internet  enabled)  tablets  /   smartphones     Imagine  if  the  cases  can  be  selected,  grouped  and  reordered  to   fit  any  learning  or  teaching  purpose   IllustraFon  examples  from  “Apple”  and  “Samsung”  Company  websites    
  25. 25. More  examples  of  scholarship  potenFal  –  ThemaFc  eBook  Chapters  
  26. 26. Conclusions   •  An  online  case  repository  of  teaching   resources  supports  undergraduate  and   postgraduate  teaching  and  learning  in   radiology.     •  A  new  iniFaFve  to  build  an  insFtuFon  wide   case  repository  has  the  potenFal  to  have  a   wider  significant  impact  in  medical  educaFon.  
  27. 27. Advantages  of  online  case  repositories   •  For  Tutors   –  Online  repository  facilitates  access   –  Unannotated  case  images  give  greatest  flexibility  for   repurposing  and  different  educaFonal  usage   –  URL  linkage  for  each  case  allows  easy  incorporaFon  of   case  material  on  websites,  blogs  etc.  (this  addresses  the   issue  of  copyright  à  use  a  hyperlink,  similar  to  a  citaFon   in  tradiFonal  academic  publicaFon)   •  For  Residents   –  Online  case  repositories  can  be  an  efficient  method  for   reviewing  many  cases   –  Facilitates  personalized,  customized  self-­‐directed  or   guided  learning  
  28. 28. Problems  Using  RLO  Approach   •  Formalizing  System  and  Procedures  for  Regular   SystemaFc  CollecFon  of  RLOs   •  Quality  control  and  peer  review   •  Metadata,  tagging,  labeling  and  finding  resources,  and   ensuring  paFent  confidenFality/anonymity   •  Lack  of  awareness  in  academic  culture  –  uFlizaFon  and   sharing   •  Reluctance  to  make  unpublished  teaching  material   publicly  available   •  Lack  of  reward  systems  and  recogniFon   –  Koppi,  Bogle  &  Bogle,  2005  
  29. 29. Take  Advantage  of  Regular  Clinical   AcFviFes  as  Source  of  RLOs   •  Day  to  day  work  à  SystemaFc  Case  collecFon   (annotated  in  PACS,  or  use  of  mobile  phone   camera  and  online  repositories)   •  Weekly  clinical  case  audits  (5%)  à  Good   examples  of  normal  and  discrepancies  used   for  teaching  and  self  directed  learning   •  Weekly  clinical-­‐radiology-­‐pathology  rounds  à   case  material  reused  for  residency  self   directed  learning  or  assessment    
  30. 30. Thank  you  

×