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Online Medical Education

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Online Medical Education

  1. 1. Resuscitate Your Online Medical Education: 4 Vital Signs Presentation slides will be available at www.slideshare.net/enspirelearning/online-medical-education A recording of the webinar will be available at http://www.enspire.com/about/webinar_online_medical_education Please allow 24 hours for content to be posted. If you experience technical difficulties during the presentation, please send a message to the organizer through the “Questions” field at right. Please enter questions for the presenters through the “Questions.” These will be answered at the end of the webinar.
  2. 2. Introductions <ul><ul><li>Justine Medina </li></ul></ul><ul><ul><li>AACN </li></ul></ul><ul><ul><li>[email_address] </li></ul></ul><ul><ul><li>Jessica Shadoian </li></ul></ul><ul><ul><li>Enspire Learning </li></ul></ul><ul><ul><li>[email_address] </li></ul></ul><ul><ul><li>Jan Farquhar </li></ul></ul><ul><ul><li>Enspire Learning </li></ul></ul><ul><ul><li>[email_address] </li></ul></ul>
  3. 3. Agenda <ul><ul><li>Introductions </li></ul></ul><ul><ul><li>Case study: AACN e-learning in action </li></ul></ul><ul><ul><li>Best practices: Lessons from the pros </li></ul></ul><ul><ul><li>Q&A </li></ul></ul>
  4. 4. <ul><li>AACN: Our Experiment </li></ul>
  5. 5. World’s largest specialty nursing association 120,000+ members and non-member customers Only association for acute and critical care nurses in the United States AACN
  6. 6. What we seek to create <ul><li>A healthcare system driven by the needs of patients and families . . . </li></ul>. . . where acute and critical care nurses make their optimal contribution. AACN
  7. 7. What we seek to be AACN’s Operating Vision <ul><li>The undisputable and indispensable leader of acute and critical care nursing in the United States </li></ul>AACN
  8. 8. How we’ll get there AACN’s Mission As a leader in establishing work and care environments that are respectful, healing and humane. AACN
  9. 9. Patients and Families Acute and Critical Care Nurses Members Board of Directors Collaborating Organizations Committees Work Groups National Office AACN
  10. 10. <ul><li>Knowing your audience </li></ul><ul><li>Understanding their learning needs </li></ul>AACN
  11. 11. 73% ≥ 40 years old AACN
  12. 12. 52% more than 11 years experience AACN
  13. 13. More than 80% work in hospitals AACN
  14. 14. 62% give direct care AACN
  15. 15. To carry out our education mission, AACN: <ul><li>Sets standards </li></ul><ul><li>Use diverse delivery methods </li></ul><ul><li>Develops and diffuses knowledge </li></ul>AACN
  16. 16. Set standards AACN
  17. 17. Set standards AACN
  18. 18. Develop and diffuse knowledge AACN
  19. 19. Develop and diffuse knowledge AACN
  20. 20. Develop and diffuse knowledge AACN Preceptor Training Palliative Care and End of Life NEW
  21. 21. The 2 P’s The Preceptor Challenge The AACN Preceptor Development Program Promoting Excellence in Palliative & End-of-Life Care An Interactive Learning Experience from AACN AACN
  22. 22. P & P <ul><li>How long will it take to have a return on your </li></ul><ul><ul><li>investment? </li></ul></ul><ul><li>How fast can we get this to market? </li></ul><ul><li>How do you balance what we “could do” with </li></ul><ul><ul><li>cost, time, and what price would the market </li></ul></ul><ul><ul><li>support? </li></ul></ul>
  23. 23. P & P <ul><li>Success in elearning allowed us to experiment </li></ul><ul><li>Our goal with these courses, especially the Palliative Care course was to change BEHAVIOR </li></ul><ul><li>Address skills and competency validation using </li></ul><ul><ul><ul><li>interactive technology, </li></ul></ul></ul><ul><ul><ul><li>focusing on communication, </li></ul></ul></ul><ul><ul><ul><li>decision-making, </li></ul></ul></ul><ul><ul><ul><li>knowledge validation </li></ul></ul></ul>AACN
  24. 24. P & P <ul><li>Focus on key practice issues </li></ul><ul><ul><li>Palliative Care is for everyone, not just </li></ul></ul><ul><ul><li>an End-of-life concept </li></ul></ul><ul><ul><li>Moral Distress </li></ul></ul><ul><ul><li>Not just “critical care” </li></ul></ul>AACN
  25. 25. AACN’s Reputation <ul><li>Benchmark </li></ul><ul><li>Excellent customer care </li></ul><ul><li>Best practice and innovation in education </li></ul>AACN
  26. 26. <ul><li>[email_address] </li></ul><ul><li>[email_address] </li></ul><ul><li>www.aacn.org/elearning </li></ul>AACN
  27. 27. Overview <ul><ul><li>Four/five vital signs standard in medical settings: </li></ul></ul><ul><ul><li>1. Body temperature </li></ul></ul><ul><ul><li>2. Pulse rate (heart rate) </li></ul></ul><ul><ul><li>3. Blood pressure </li></ul></ul><ul><ul><li>4. Respiratory rate </li></ul></ul><ul><ul><li>(Pain – the 5 th vital sign) </li></ul></ul>
  28. 28. Overview <ul><ul><li>Four/five vital signs for continuing medical education: </li></ul></ul><ul><ul><li>1. ? </li></ul></ul><ul><ul><li>2. ? </li></ul></ul><ul><ul><li>3. ? </li></ul></ul><ul><ul><li>4. ? </li></ul></ul><ul><ul><li>5. ? </li></ul></ul>
  29. 29. Overview <ul><ul><li>Four/five vital signs for continuing medical education: </li></ul></ul><ul><ul><li>1. Comprehensive analysis and design </li></ul></ul><ul><ul><li>2. Engaging storyline and scenarios </li></ul></ul><ul><ul><li>3. Purposeful interactivities </li></ul></ul><ul><ul><li>4. Intentional use of media </li></ul></ul><ul><ul><li>5. Effective Partnership </li></ul></ul>
  30. 30. Vital Sign 1 <ul><ul><li>Comprehensive Analysis and Design </li></ul></ul>
  31. 31. Vital Sign 1: Comprehensive Analysis and Design <ul><li>Our job is to design: </li></ul><ul><li>Information? </li></ul><ul><li>Instruction? </li></ul><ul><li>Experience! </li></ul><ul><li>(Cathy Moore) </li></ul>
  32. 32. Vital Sign 1: Comprehensive Analysis and Design | Risks <ul><li>Risks: </li></ul><ul><li>Not enough time up front </li></ul><ul><li>SMEs: Know the content, </li></ul><ul><ul><li>lose sight of the experience </li></ul></ul><ul><li>IDs: Know the principles </li></ul><ul><ul><li>but not the audience </li></ul></ul>
  33. 33. Vital Sign 1: Comprehensive Analysis and Design | Resuscitate <ul><li>How did we resuscitate? </li></ul>
  34. 34. Vital Sign 1: Comprehensive Analysis and Design | Design workshop <ul><li>Two-day design workshop to discover: </li></ul><ul><ul><ul><ul><li>Who is the learner? </li></ul></ul></ul></ul><ul><ul><ul><ul><li>What are we teaching? </li></ul></ul></ul></ul><ul><ul><ul><ul><li>How to motivate the learner? </li></ul></ul></ul></ul><ul><ul><ul><ul><li>How to make it interactive? </li></ul></ul></ul></ul>
  35. 35. Vital Sign 1: Comprehensive Analysis and Design | Target audience
  36. 36. Vital Sign 1: Comprehensive Analysis and Design | Virtual hospital
  37. 37. Vital Sign 1: Comprehensive Analysis and Design | Mentor
  38. 38. Vital Sign 1: Comprehensive Analysis and Design | Mentor
  39. 39. Vital Sign 1: Comprehensive Analysis and Design |Self-care meter
  40. 40. Vital Sign 1: Comprehensive Analysis and Design | Mockup from design workshop
  41. 41. Vital Sign 1: Comprehensive Analysis and Design | Mockup from design workshop
  42. 42. Vital Sign 1: Comprehensive Analysis and Design | Course outline <ul><li>Course Outline </li></ul><ul><li>Introduction </li></ul><ul><ul><ul><li>Program Overview </li></ul></ul></ul><ul><li>Module 1 - Symptom Management and Comfort Care </li></ul><ul><ul><li>Focuses on the technical skills of assessing and intervening. User visits five patient's rooms, assessing and intervening for the patient's symptoms. </li></ul></ul><ul><li>Module 2 - Communication and Conflict Resolution </li></ul><ul><ul><li>User revisits three of the five rooms again, this time making decisions about family care. </li></ul></ul><ul><li>Module 3 - Withdrawing and Withholding Life Support </li></ul><ul><ul><li>User revists two of the five patients and their family members and is presented with the challenges in decision-making at end-of-life. </li></ul></ul><ul><li>Conclusion </li></ul><ul><ul><ul><li>Assessment </li></ul></ul></ul>
  43. 43. Vital Sign 2: Engaging Storyline and Scenarios <ul><ul><li>Engaging Storyline and Scenarios </li></ul></ul>
  44. 44. Vital Sign 2: Engaging Storyline and Scenarios <ul><li>Want dull, unmemorable online CME? </li></ul><ul><li>Merely push information at people. </li></ul><ul><li>Read, click. Read, click. </li></ul>
  45. 45. Engaging Storyline and Scenarios – Start with evidence-based protocols Author(s): Medina, Justine; Puntillo, Kathleen
  46. 46. Vital Sign 2: Engaging Storyline and Scenarios – Real life patients
  47. 47. Vital Sign 2: Engaging Storyline and Scenarios – Families
  48. 48. Vital Sign 2: Engaging Storyline and Scenarios – Narrative Arc
  49. 49. Vital Sign 2: Engaging Storyline and Scenarios – Decision points
  50. 50. Vital Sign 2: Engaging Storyline and Scenarios – Real emotions
  51. 51. Vital Sign 2: Storyline and Scenarios – Varied issues
  52. 52. Vital Sign 3 <ul><ul><li>Purposeful Interactivities </li></ul></ul>
  53. 53. Vital Sign 3: Purposeful Interactivities | Risks <ul><li>Risks: </li></ul><ul><ul><li>Traditional elearning: point, point, point. Quiz! </li></ul></ul><ul><ul><li>Too simple: “ Not another multiple choice! ” </li></ul></ul><ul><ul><li>Skip to end to get my 80% passing. </li></ul></ul>
  54. 54. Vital Sign 3: Purposeful Interactivities | Resuscitate <ul><li>How did we resuscitate? </li></ul>
  55. 55. Vital Sign 3: Purposeful Interactivities | Resuscitate Our job is to help people: Learn? Solve problems? Solve problems in the real world! (Cathy Moore)
  56. 56. Vital Sign 3: Purposeful Interactivities | Resuscitate <ul><li>Rooted in the real: </li></ul><ul><ul><li>Create narrative that resonates </li></ul></ul><ul><ul><li>Make it personal </li></ul></ul><ul><ul><li>Make it realistic </li></ul></ul><ul><ul><li>Make it useful (good practice) </li></ul></ul>
  57. 57. Vital Sign 3: Purposeful Interactivities | Keep it real <ul><li>Patients and people: </li></ul><ul><li>Pass? </li></ul><ul><li>Are taken? </li></ul><ul><li>Cease? </li></ul><ul><li>Depart? </li></ul><ul><li>Expire? </li></ul><ul><li>Become “lost”? </li></ul><ul><li>Cross over? </li></ul>
  58. 58. Vital Sign 3: Purposeful Interactivities | Keep it real <ul><li>Patients and people: </li></ul><ul><li>Pass? </li></ul><ul><li>Are taken? </li></ul><ul><li>Cease? </li></ul><ul><li>Depart? </li></ul><ul><li>Expire? </li></ul><ul><li>Become “lost”? </li></ul><ul><li>Cross over? </li></ul>Die.
  59. 59. Vital Sign 3: Purposeful Interactivities | Types of interactivites <ul><li>Types of interactivities: </li></ul><ul><ul><ul><li>Self reflection: How do I feel about this? </li></ul></ul></ul><ul><ul><ul><li>Ordering: Not right or wrong, but making it custom/personal </li></ul></ul></ul><ul><ul><ul><li>Exploratory: “Sandbox-style” </li></ul></ul></ul><ul><ul><ul><li>Course as resource: Revisit for “brush-up” </li></ul></ul></ul><ul><ul><ul><li>Other resources: Centralization of tools </li></ul></ul></ul>
  60. 60. Vital Sign 3: Purposeful Interactivities | Patient selection
  61. 61. Vital Sign 3: Purposeful Interactivities | Relevant, realistic decisions
  62. 62. Vital Sign 3: Purposeful Interactivities | Stay in the environment
  63. 63. Vital Sign 3: Purposeful Interactivities: Self-Care Meter
  64. 64. Vital Sign 3: Purposeful Interactivities: Self-Care Meter
  65. 65. Vital Sign 4 <ul><ul><li>Intentional Use of Media </li></ul></ul>
  66. 66. Intentional Use of Media – Flashy media but no real learning?
  67. 67. Intentional Use of Media – Art style decisions
  68. 68. Intentional Use of Media – Chose photography for realism
  69. 69. Vital Sign 4: Intentional Use of Media – Art style comparison
  70. 70. Vital Sign 4: Intentional Use of Media – Importance of medical detail and accuracy
  71. 71. Vital Sign 4: Intentional Use of Media – Custom shoot vs. stock photos
  72. 72. Vital Sign 4: Intentional Use of Media – Production
  73. 73. Vital Sign 4: Intentional Use of Media – Production
  74. 74. Vital Sign 4: Intentional Use of Media – Continuity challenges
  75. 75. Vital Signs for Continuing Medical Education Comprehensive analysis and design Engaging storylines and scenarios Purposeful interactivities Intentional use of media
  76. 76. Vital Sign 5 <ul><ul><li>Effective Partnership </li></ul></ul>
  77. 77. Vital Sign 5 | What the learners said <ul><ul><li>How was it received? </li></ul></ul><ul><ul><li>What the learners </li></ul></ul><ul><ul><li>said. . . </li></ul></ul>
  78. 78. Review <ul><ul><li>Four vital signs for continuing medical education: </li></ul></ul><ul><ul><li>1. Comprehensive analysis and design </li></ul></ul><ul><ul><li>2. Engaging storyline and scenarios </li></ul></ul><ul><ul><li>3. Purposeful interactivities </li></ul></ul><ul><ul><li>4. Intentional use of media </li></ul></ul><ul><ul><li>5. Effective partnership </li></ul></ul>
  79. 79. Q&A <ul><ul><li>Questions? </li></ul></ul><ul><ul><li>Contact Us: </li></ul></ul><ul><ul><li>Justine Medina, AACN: [email_address] </li></ul></ul><ul><ul><li>Jan Farquhar, Enspire Learning: [email_address] </li></ul></ul><ul><ul><li>Jessica Shadoian, Enspire Learning: [email_address] </li></ul></ul>Links: Presentation slides will be available at www.slideshare.net/enspirelearning/online-medical-education A recording of the webinar will be available at http://www.enspire.com/about/webinar_online_medical_education Please allow 24 hours for content to be posted.

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