Workshop on Learning Portfolios and Educational Social Networks - Tools for Medical Apprentice Learners


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Workshop given at IAMSE 2013 meeting in St. Andrews

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Workshop on Learning Portfolios and Educational Social Networks - Tools for Medical Apprentice Learners

  1. 1. Workshop / Focus Session on
Learning Portfolios and Educational Social Networks - 
Tools for Medical Apprentice Learners"Donna M. DAlessandro, M.D.""Michael P. DAlessandro, M.D.""Educational Informatics"""Departments of Pediatrics and Radiology"University of Iowa College of Medicine / University of Iowa Childrens Hospital"
  2. 2. Disclosures"•  Nothing to disclose"
  3. 3. Some Questions"•  Where are you from and what do you do?"•  What is a question you want answered from thisworkshop?"
  4. 4. Goal"•  Demonstrate how learning portfolios andeducational social networks can be used inmedical education"
  5. 5. Workshop Outline"•  Define"•  Learning portfolio and educational socialnetwork"•  Demonstrate examples"•"•  Pediatric Commons"•  PediaLink"•  Define best practices interactively throughdiscussion"
  6. 6. The Learning Continuum"Data -> Information -> Knowledge - > Wisdom / Mastery"[acquired + organized] [reflected] [shared] "Personal learning environment -> Social learning network"[focus on individual] [focus on group]"
  7. 7. Definitions"•  Learning portfolio (LP)"•  Repository of interesting cases and other professional experiencesand what you have learned from them"•  Coupling of reflective practice along with the creation of LPs playsa key role in the learning continuum"•  Educational construct: Adult learning theory = Learning situated inpractice"•  Schons theory of clinical problem solving / model of reflectivepractice / learning cycle"•  For each case: Question ~ Story ~ Answer ~ Impact on Practice ~Resources Used"•  Educational social network (ESN)"•  Interacting on a regular basis with a group of people who sharetheir passion about a topic can deepen ones understanding,mastery and wisdom about the topic"•  Can be easily done by sharing LPs on ESNs"
  8. 8. Example Learning Portfolios"•  For each case: Question ~ Story ~ Answer ~ Impact on Practice ~ Resources Used"
  9. 9. Example of My Learning Portfolio -"•  A pediatricians clinical experiencescoupled with reflection"•  5 elements for each case"•  Evaluation shows unstructured curriculumunfolding in practice over 5 years (234 cases)"•  Covers 100% of age ranges (n=9)"•  100% of specialties (n=42)"•  98% of symptoms (n=127)"•  55% of diseases (n=707 [50-60% are pediatric])"•  90% of topics in 3 national pediatric curricula"•  20 hours of CME / year"•  "My reading is now focused on my patients""- DAlessandro DM, DAlessandro MP. Formative Evaluation of aPediatric Digital Librarys Educational Content and Comparison toNational Curricular Standards. Medical Teacher. 2008;30(9-10) 880-6."•  Learner taking control of and assumingresponsibility for their own learning bytying their learning to practice + receivingCME + MOC for it"•  Learning portfolio documents what youhave learned"•  Assessment by examination documents whatyou dont know"
  10. 10. Example of Sharing Learning Portfolios
Pediatric Commons --"•  A community of pediatric learning,teaching, sharing + collaboration"•  Goal - build a pediatric learning communityaround content, conversations and connectionsfor the purpose of improving childrens health"•  Place to come learn pediatrics every day"•  Enter cases into your learning portfolio"•  Store your experience, reflection, knowledge,wisdom"•  Participate in your community of practice"•  Contribute content, Engage in conversations,Make connections"•  Enables peer-to-peer and master-to-apprenticeteaching"
  11. 11. Pediatric Commons"•  For each case: Question ~ Story ~ Answer ~ Impact on Practice ~ Resources Used"•  Permissions ~ Tag Cloud (discipline, anatomy, disease, institution, level)"•  Aggregated learning portfolios"
  12. 12. Integration Into The Educational Social Workflow
Web site / Blog vs. Ning Network vs. Facebook page vs. Twitter"Members: " 1 700 3,300 " " 216 Followers"Subscribers: 200 RSS/Email "19 RSS " " 3,300 " " 216 Followers"Visitors/month: 31,000 " 600 1,800 (Reach) " " N/A"Pages/month: 41,000 1,500 Unknown " " N/A"Cases/month: " 4 " 5 " " " 5 " " " 4"Comments/case: 0 0-1 0-1 0 Comments/Retweets"
  13. 13. Other Educational Social Networks"Members: " "14,000 " "170,000 " " "130,000 " ""Subscribers: "14,000 " "N/A " " "N/A"Visitors/month: "Unknown " "Unknown " " "Unknown"Pages/month: "N/A " "Unknown " " "Unknown"Cases/month: "1 " "8 " " "30 ""Comments/case: "5-30 " "5-10 " " "5-50"Mescape and Sermo are anonymous + have low signal to noise ratio ~ Sermo business model unsavory"
  14. 14. Other Educational Social Networks"Members: " "Potentially 60,000 members of AAP, true number unknown"Subscribers: "N/A"Visitors/month: "Unknown"Pages/month: "Unknown"Cases/month: "12"Comments/case: "0"
  15. 15. Time To Reflect…"•  How many people have a learning portfolio?"•  If so, what is in it?"•  How many people participate in aneducational social network?"•  If so, which ones?"
  16. 16. Defining Best Practices For 
Learning Portfolios"•  What should they contain?"•  What is already available to implement them?"•  Organization based"•  Examples - Pivio (AAMC+NBME), ACGME, institutions, specialty societies"•  Pros / Cons - All users in one place / Technologically behind the curve, focus onwhat youve done rather than what youve learned, they own your data, non-interoperable data silos"•  Individual based"•  Pros / Cons - Technologically ahead of the curve, focus on what youve learnedrather than what youve done, you own your data, interoperable / Users arescattered + not connected"•  What is the best way to implement them?"•  Hardware"•  Laptop vs. mobile"•  Software"•  Device based office suite / database"•  Cloud based office suite / database (Google Docs, Evernote) "•  Blog"
  17. 17. Defining Best Practices For EducationalSocial Networks"•  What is already available to implement them?"•  Organization-based"•  Examples - Specialty societies - PediaLink"•  Pros / Cons - All users in one place / Technologically behind the curve,non-interoperable data silos"•  Affinity-based non-profit"•  Examples - Pediatric Commons"•  Pros / Cons - Technologically ahead of curve, interoperable / Fewusers, sustainability"•  Affinity-based for-profit"•  Examples - Medscape, Sermo"•  Pros / Cons - Technologically at curve / Non-interoperable data silos,business models unsavory"•  Should you create dedicated ESNs or use pre-existing ones? "•  Do you make them come to you or do you go where they already are?"•  What role can Facebook and Twitter play?"•  Which tools are the most powerful and most useful for creating them?"•  BBS vs. BuddyPress vs. Elgg vs. Ning"
  18. 18. Defining Best Practices For LearningPortfolios and Educational Social Networks"•  Your data and information"•  How do you maintain control of it?"•  Who owns your data?"•  How do you keep it secure?"•  Physically"•  Electronically (encryption)"•  Professionally"•  How do you keep it backed up?"•  How do you ensure its interoperability? "•  How do you migrate it to future hardware and softwareplatforms?"•  - Or - How do you own your data and keep it in a formatthat can be reused throughout your professional life?"
  19. 19. Defining Best Practices For LearningPortfolios and Educational Social Networks"•  Professionalism"•  How do learners respect confidentiality and utilize ESNs in aprofessional manner?"•  Am I allowed to use Social media / Dropbox / Evernote / GoogleDocs / etc. by the institution? Or are they filtered?"•  If not, am I forced to do my work at home rather than at the institution?"•  Posting of even non-Protected Health Information may not beallowed by institution"•  Should I go back to paper for Protected Health Information?"•  Facebook and Twitter - what role can they play?"•  Personal life vs. professional life – where do you draw the lines?"•  Some dont think your professional life should be on Facebook orTwitter"•  Should I not use Social Media because of what my colleagues willthink?"•  Are Learning Portfolios and Educational Social Networksan institutional concern or an individual concern?"
  20. 20. Conclusion / Call For Action"•  You are now armed with the knowledgenecessary to successfully advocate for thecreation of learning portfolios andeducational social networks at yourinstitutions"•  Your plan of action"•  Will you create or refine a learning portfolio oreducational social network?"•  What are / is your first steps?"•  When will have your first step done?"•  Put this by your computer…"
  21. 21. References"•  Cheston CC, Flickinger TE, Chisolm MS. SocialMedia Use in Medical Education: A SystematicReview. Acad Med 2013: 88:1-9."•  Mayo Clinic Center For Social Media"•"