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Utilizing New Technologies for the Improvement of
Problem Based Learning in Medical Education
Georg Kitz, g.kitz@student.tugraz.at
Outline
• Problem Definition / Motivation
• Learning Methods
• Technology Stack
• Prototype
• Usability Testing
• Improvements
• Follow Up Strategies
• Results
• Questions
Problem Definition / Motivation
• Practical Year at Medical University of Graz
• Students work on real cases in hospitals
• Students are assigned to 3 supervisors
• Supervisors are guides for questions
• Communication and feedback works with paper reports
• Grading based on the reports
Problem Definition / Motivation
• Student issues
• Organised note taking and reporting
• Organising multiple case files
• Continuous feedback and guidance
• Supervisor issues
• Handling high student numbers, beside their everyday job
• Delivering fast feedback and guidance
• Multiple supervisor communication
Is it possible to improve Problem Based Learning
by using modern technologies?
Problem Definition / Motivation
• From paper and pen to a modern online reporting and
feedback tool
• Introducing new technologies to the field of Medical
Education
• Integrated flexibility for student users (mobile devices)
Learning Methods
• Active Learning vs. Passive Learning
• Problem Based Learning
• Teacher selects topics to work on
• Student gathers as much information as possible on
his own about the topic
• Teacher is a guide who helps students if needed
Prototype / Technologie Stack
Web portal for Supervisors
Web portal for Students
iPad App for Students
Technologie Stack
Webportal
Django / Python Postgres
iOS App
Objective C / Cocoa
REST API
Prototype / Webportal for supervisors
Prototype / Webportal for supervisors
• Shows every change a student made at one glance
• Browse through all versions of a student’s report
• See comments of all other supervisors
• Enable comment-function based on hierarchical level
Prototype / iPad App for students
Prototype / iPad App for students
• Allows instant reporting in front of the patient
• Allows asking questions as and when they occur
• Allows easy multiple case file handling
• Instant access to supervisors’ feedback
• Improved student + supervisor interaction
Usability Testing
• Thinking Aloud as testing method
• 3 medical students each performing 5 tasks
Usability Testing / Positive Feedback	
✓ Overall feedback was positive and indicated that the use
of the novel system is beneficial for all parties involved
“it is a tremendous timesaver in comparison to the
paper and pen approach and makes the duty of filling
in case files quite enjoyable”
Usability Testing / Minor Flaws + Suggestions
- Differences between iPad and Web Portal
➡ Missing Traffic Light System
➡ History Button Inconsistency
- Mark unprocessed entries
- Mark last commented entry
- Improved image handling
Follow Up Strategies
• Test the supervisor part
• Deploy the system in “production”
• Better authentication strategy
• Add unit testing to build a less error prone system
• Add cucumber/selenium for automatic UI testing
• Add Jenkins for integration tests in order to have fail safe
releases
Results
• Successfully built a web portal
• Successfully built an iPad app
• Successfully tested the student part with usability tests
• Students approved that the system would be a significant
improvement
Is it possible to improve Problem Based Learning
by using modern technologies?
It’s principally possible, but the system needs to be
tested in a real environment over a longer
timespan!
Questions?

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Utilizing New Technologies for the Improvement of Problem Based Learning in Medical Education

  • 1. Utilizing New Technologies for the Improvement of Problem Based Learning in Medical Education Georg Kitz, g.kitz@student.tugraz.at
  • 2. Outline • Problem Definition / Motivation • Learning Methods • Technology Stack • Prototype • Usability Testing • Improvements • Follow Up Strategies • Results • Questions
  • 3. Problem Definition / Motivation • Practical Year at Medical University of Graz • Students work on real cases in hospitals • Students are assigned to 3 supervisors • Supervisors are guides for questions • Communication and feedback works with paper reports • Grading based on the reports
  • 4. Problem Definition / Motivation • Student issues • Organised note taking and reporting • Organising multiple case files • Continuous feedback and guidance • Supervisor issues • Handling high student numbers, beside their everyday job • Delivering fast feedback and guidance • Multiple supervisor communication
  • 5. Is it possible to improve Problem Based Learning by using modern technologies?
  • 6. Problem Definition / Motivation • From paper and pen to a modern online reporting and feedback tool • Introducing new technologies to the field of Medical Education • Integrated flexibility for student users (mobile devices)
  • 7. Learning Methods • Active Learning vs. Passive Learning • Problem Based Learning • Teacher selects topics to work on • Student gathers as much information as possible on his own about the topic • Teacher is a guide who helps students if needed
  • 8. Prototype / Technologie Stack Web portal for Supervisors Web portal for Students iPad App for Students
  • 9. Technologie Stack Webportal Django / Python Postgres iOS App Objective C / Cocoa REST API
  • 10. Prototype / Webportal for supervisors
  • 11. Prototype / Webportal for supervisors • Shows every change a student made at one glance • Browse through all versions of a student’s report • See comments of all other supervisors • Enable comment-function based on hierarchical level
  • 12. Prototype / iPad App for students
  • 13. Prototype / iPad App for students • Allows instant reporting in front of the patient • Allows asking questions as and when they occur • Allows easy multiple case file handling • Instant access to supervisors’ feedback • Improved student + supervisor interaction
  • 14. Usability Testing • Thinking Aloud as testing method • 3 medical students each performing 5 tasks
  • 15. Usability Testing / Positive Feedback ✓ Overall feedback was positive and indicated that the use of the novel system is beneficial for all parties involved “it is a tremendous timesaver in comparison to the paper and pen approach and makes the duty of filling in case files quite enjoyable”
  • 16. Usability Testing / Minor Flaws + Suggestions - Differences between iPad and Web Portal ➡ Missing Traffic Light System ➡ History Button Inconsistency - Mark unprocessed entries - Mark last commented entry - Improved image handling
  • 17. Follow Up Strategies • Test the supervisor part • Deploy the system in “production” • Better authentication strategy • Add unit testing to build a less error prone system • Add cucumber/selenium for automatic UI testing • Add Jenkins for integration tests in order to have fail safe releases
  • 18. Results • Successfully built a web portal • Successfully built an iPad app • Successfully tested the student part with usability tests • Students approved that the system would be a significant improvement
  • 19. Is it possible to improve Problem Based Learning by using modern technologies?
  • 20. It’s principally possible, but the system needs to be tested in a real environment over a longer timespan!