Learning On The Fly

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Learning On The Fly

  1. 1. Learning on the Fly Christian Veillette M.D., M.Sc., FRCSC Assistant Professor, University of Toronto Shoulder & Elbow Reconstructive Surgery Toronto Western Hospital University Health Network Email: orthonet@gmail.com
  2. 2. Everything Changes By 10 years out of residency 80% of procedures used different technique Lifelong Learning
  3. 3. The Reality <ul><li>Surgeons increasingly work within fast-paced, time-consuming & demanding practice settings </li></ul><ul><li>No matter how committed to lifelong learning </li></ul><ul><li>Do not feel they realistically have time to devote to learning or their CPD </li></ul>
  4. 4. How to keep up? <ul><li>Read the journals </li></ul><ul><ul><li>Which ones? Which articles? </li></ul></ul><ul><li>Traditional medical education </li></ul><ul><ul><li>Conferences </li></ul></ul><ul><ul><li>Courses </li></ul></ul><ul><ul><li>Seminars/Journal Clubs </li></ul></ul><ul><li>Commercial/Industry resources </li></ul><ul><li>Learning on the fly </li></ul>
  5. 5. Journals <ul><li>112 Orthopaedic, Hand Surgery & Sports Medicine journals listed in Medline </li></ul><ul><li>Assume 8 issues/year, 20 articles, 5 mins to skim one article </li></ul><ul><li>1493 hours [62 (24 hour) days] continuous reading </li></ul><ul><li>Must be selective of journals </li></ul><ul><ul><li>Reject a (large) percentage of the Literature </li></ul></ul>
  6. 6. Learning stimulated by practice <ul><li>Unintentional/Opportunistic </li></ul><ul><ul><li>learning occurs without a previously identified need </li></ul></ul><ul><li>Intentional/Planned </li></ul><ul><ul><li>learning is motivated by an identified need </li></ul></ul><ul><li>Learning occurs on a regular basis throughout residents/surgeons’ work routines </li></ul><ul><ul><li>Office </li></ul></ul><ul><ul><li>Operating room/Scrub sink </li></ul></ul><ul><ul><li>Emergency room </li></ul></ul><ul><ul><li>Surgeon lounge </li></ul></ul><ul><ul><li>Locker room </li></ul></ul>
  7. 7. How adults learn <ul><li>Learning on the fly is a prime example of how adults learn </li></ul><ul><ul><li>identify and formulate ideas/questions that reflect their need to solve problems </li></ul></ul><ul><ul><li>determine how and in what order learning will occur </li></ul></ul><ul><ul><li>determine how learning contributes to their knowledge, skills, competence, performance </li></ul></ul>How to practically implement learning on the fly?
  8. 8. Strategies for Learning on the Fly <ul><li>Four strategies </li></ul><ul><li>Capture ideas and questions as they happen </li></ul><ul><li>Determine what questions to pursue </li></ul><ul><li>Share learning on the fly experiences </li></ul><ul><li>Use learning on the fly to improve practice </li></ul>Royal College Outlook, Fall 2006 http://rcpsc.medical.org/publications/outlook/fall2006/index.php
  9. 9. Internet & Learning on the Fly <ul><li>Fast </li></ul><ul><li>Readily available </li></ul><ul><li>Cheap </li></ul><ul><li>Multiple resources </li></ul><ul><li>Interactive </li></ul><ul><li>Not routine </li></ul><ul><li>Lack of search strategies </li></ul><ul><li>Unfamiliar resources </li></ul><ul><li>Uncertain quality </li></ul><ul><ul><li>Commercial bias </li></ul></ul>Difficult to find high level orthopaedic information
  10. 10. Using Google Notebook for Learning on the Fly
  11. 11. http://www.google.com/notebook
  12. 12. Thank you The Orthopaedic Internet: A Collaborative Resource

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