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E-Learning in Newborn Health A paradigm shift in continuing professional development of doctors & nurses

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Dr Anu Thukral
dranuthukral@gmail.com
Department of Pediatrics , All India Institute of Medical Sciences
WHO-CC for Training & Research in Newborn Care

Published in: Health & Medicine
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E-Learning in Newborn Health A paradigm shift in continuing professional development of doctors & nurses

  1. 1. A paradigm shift in continuing professional development of doctors & nurses Dr Anu Thukral dranuthukral@gmail.com Department of Pediatrics , All India Institute of Medical Sciences WHO-CC for Training & Research in Newborn Care
  2. 2. Challenge in Asia Needs  Numbers to be educated  Standardized uniform education  Limited number of faculty  How to quickly disseminate evidence based practices Solutions Use of IT  Online – interactive platform  Offline – smart phones  Mixed learning WHO CC AIIMS
  3. 3. Outline  Initiatives on education by AIIMS  E- learning Hard work of our Team for 20 years - Used by our Professional organizations
  4. 4. NICU A NICU B
  5. 5. www.newbornwhocc.org
  6. 6. Online Learning –Advantages - High Quality of resources - Ensures forced / monitored adult interactive learning - Learning at leisure time - Teacher can be at remote places - Skill learning can be at partnering institutions
  7. 7. Barriers & challenges  IT connection availability  Lack of IT literacy  Slow streaming  Lack of time  Drop outs  Dwindling logs  Keeping participants motivated
  8. 8. ONTOP Platform
  9. 9. Log in with user id and password
  10. 10. Enrolment by invitation Interactive learning platform
  11. 11. Platform: User friendly
  12. 12. Available courses
  13. 13. Countries covered 1 2 3 4 5 6 7 8 Online mentors- Melbourne ,Sydney, Halifax, London, Dubai & 8 countries
  14. 14. Sick newborn course
  15. 15. Upcoming events, Recent Activity Multiple cohorts
  16. 16. Multiple cohorts in one course! Click on your cohort!
  17. 17. Week-wise lessons
  18. 18. Typical week lesson followed by case studies
  19. 19. Case studies for DF
  20. 20. Discussion forum ongoing
  21. 21. Additional resource material.....
  22. 22. Latest News-New Evidence
  23. 23. Online chat  Synchronous interaction  Master Chatter: Key discussant (chat plan)  Mentors and students  Live interaction
  24. 24. Typical chat session Master chatter Toronto; Other Faculty Goa , Pune , Kakinada , Delhi , Nepal
  25. 25. Activities on this platform Online  Latest News  Hot topics forum  Case study in discussion forum  Chat sessions  MCQ  Weekly online webinars Offline  Reading material  Videos  Webinars
  26. 26. Assessment methodology  Multiple choice question scores  50% weightage  Single attempt  Pass percentage 70%  Discussion forum posts: 25% weightage.  Participation in online chats and online webinars (25% weightage)
  27. 27. Multiple choice questions (online)
  28. 28. Multiple choice questions........
  29. 29. How do we check? Log in reports, Exam scores
  30. 30. Exam scores
  31. 31. Evaluation of Online Learning
  32. 32. Pre and post MCQ’s assessment Centre Pre MCQ (25) Mean (SD) Post MCQ(25 ) Mean (SD) P Value A 17.8(3.0) 21.4(2.6) 0.006 B 15.4 (2.2) 20.3(2.5) 0.00002 C 15.75(1.7) 24.2(0.6) 0.00001 D 15.7(1.8) 20.2(1.5) 0.0001 E 10.7(2.9) 21.9(2.9) 0.00001 F 15.5(2.2) 21.7(2.7) 0.00001 G 14.1(3.1) 20.8 (2.7) 0.00002 Journal of Tropical Pediatrics 2012Dec;58(6):486–90
  33. 33. Pre and post OSCE assessment Centre Pre OSCE (100) Mean (SD) Post OSCE (100) Mean (SD) P value A 65.6(2.7) 88.0 (4.3) 0.001 B 65.6 (12.6) 83.4(10.7) 0.001 C 65.6 (12.6) 93.1(2.7) 0.002 D 81.5 (8.4) 78.7 (3.4) 0.45 E 60.5 (10.1) 86.8 (8.5) 0.003 F 74.04 (6.8) 92.5 (2.7) 0.002 G 72.7(15.01) 87.4 (3.2) 0.001 Journal of Tropical Pediatrics 2012Dec;58(6):486–90
  34. 34. Participants’ satisfaction on a five point Likert’s scale Parameter assessed Scoring [median (range)] You would recommend the similar activity for the benefit of your colleagues 5 (5-5) This session will help to put the knowledge gained in to practice 5 (5-5) Your overall satisfaction from the course 5 (5-5) The time pace of loading the modules was optimum with desired time frame 5 (5-5) Is this learning material exhaustive and time consuming 1 (1-1) Journal of Tropical Pediatrics 2012Dec;58(6):486–90
  35. 35. Participants’ satisfaction on a five point Likert’s scale Parameter assessed Scoring [median (range)] Chat Session was useful for clearing doubts 5 (4-5) Discussion Forum was useful 5 (5-5) Would you like to continue if given an opportunity again on new modules 5 (5-5) Who gave you the first information regarding this online learning? Online tutors Did you know the use of computer before the enrolment? 22% did not know Did you know the use of internet before the enrolment? 22% did not know Name 2 sessions of sessions conducted which you felt were the most informative and helpful? 40% Hypothermia; 48% Resuscitation Mention the two sessions which you felt needed more improvement? 30% Newborn Health; 36% Routine Care Journal of Tropical Pediatrics 2012Dec;58(6):486–90
  36. 36. ONTOP crossing boundaries escalating enrollments with time!
  37. 37. Key messages  Students learn but teachers too on interactive platform.  Best hospital practices are shared  Cross cultural exchange of ideas and desire to do better among participants  Once established –This is easy , cost effective tool for Gen X
  38. 38. ONTOP Asia Team-only few can come in the frame!

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