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Training and Instructional Design
Introduction to Training and Adult Learning
Lecture a
This material (Comp20_Unit1a) was developed by Columbia University, funded by the Department of Health and Human
Services, Office of the National Coordinator for Health Information Technology under Award Number 1U24OC000003.
Introduction to Training and Adult Learning
Learning Objectives
1. Describe what is training (Lecture a) 2. Describe what trainers do (Lecture a) 3. Define the levels of learning per Bloom’s
Taxonomic Domains (Lecture a) – Cognitive, Affective, Psychomotor
4. Describe the characteristics of adult learners and factors that impact training design and learning outcomes (Lecture a)
5. Describe the three basic steps of the training cycle (Lecture a)
6. Describe the five phases of the ADDIE model of instructional design (Lecture a)
2 Health IT Workforce Curriculum
Version 3.0/Spring 2012
Training and Instructional Design
Introduction to Training and Adult Learning
Lecture a
Training
3 Health IT Workforce Curriculum
Version 3.0/Spring 2012
Training and Instructional Design
Introduction to Training and Adult Learning
Lecture a
“The extensive training that is required to teach staff and providers to use an EHR
system is one of the larger costs of implementation and an important opportunity for realizing the transformation
in care delivery”
“The extensive training that is required to teach staff and providers to use an EHR
system is one of the larger costs of implementation and an important opportunity for realizing the transformation
in care delivery”
Technology is necessary, but not sufficient, for a successful EHR
implementation
4 Health IT Workforce Curriculum
Version 3.0/Spring 2012
Training and Instructional Design
Introduction to Training and Adult Learning
Lecture a
• WHY? Staff that are knowledgeable and
savvy enough to navigate complexities of
EHR implementation and maintenance is
part of the foundation of successful EHR
implementation
What is training?
5 Health IT Workforce Curriculum
Version 3.0/Spring 2012
Training and Instructional Design
Introduction to Training and Adult Learning
Lecture a
Learning that is provided in order to improve performance on the present job (Nadler,
1984)
Learning that is provided in order to improve performance on the present job (Nadler,
1984)
Training is defined as: Training is defined as:
Training is:
6 Health IT Workforce Curriculum
Version 3.0/Spring 2012
Training and Instructional Design
Introduction to Training and Adult Learning
Lecture a
Competency Based
Competency Based
Sequential Sequential
Tracked Tracked Evaluated Evaluated
Trainers use a variety of methods to disseminate information
7 Health IT Workforce Curriculum
Version 3.0/Spring 2012
Training and Instructional Design
Introduction to Training and Adult Learning
Lecture a
Group Training Group Training
• Diagnosis & Needs Analysis
• Develop training approach
• Program Design
• Materials Development
• Conduct training
• Evaluate training
Individual training Individual training
• Performance coaching
• On-the-job training
• Career counseling
Organizational Development
Organizational Development
• Team Building
• Intergroup meetings
• Brain storming
Who Does the Training?
8 Health IT Workforce Curriculum
Version 3.0/Spring 2012
Training and Instructional Design
Introduction to Training and Adult Learning
Lecture a
Vendors Vendors
• Super-users
• Clinician-to-clinician
• One-on-one
In-house In-house
Roles and Competencies of Trainers
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Version 3.0/Spring 2012
Training and Instructional Design
Introduction to Training and Adult Learning
Lecture a
Analysis/ Assessment
Analysis/ Assessment
Development
Development
Instructor/ Facilitator
Instructor/ Facilitator
Administrator
Administrator
Roles and Competencies of Trainers
10 Health IT Workforce Curriculum
Version 3.0/Spring 2012
Training and Instructional Design
Introduction to Training and Adult Learning
Lecture a
Analysis/ Assessment
• Role industry understanding
• Computer competence
• Data analysis skill
• Research skill
Analysis/ Assessment
• Role industry understanding
• Computer competence
• Data analysis skill
• Research skill
Development
Development
Instructor/ Facilitator
Instructor/ Facilitator
Administrator
Administrator
Roles and Competencies of Trainers
11 Health IT Workforce Curriculum
Version 3.0/Spring 2012
Training and Instructional Design
Introduction to Training and Adult Learning
Lecture a
Analysis/ Assessment
Analysis/ Assessment
Development
• Understanding adult learning
• Skills in feedback
• Writing
• Electronic systems
• Preparing objectives
Development
• Understanding adult learning
• Skills in feedback
• Writing
• Electronic systems
• Preparing objectives
Instructor/ Facilitator
Instructor/ Facilitator
Administrator
Administrator
Roles and Competencies of Trainers
12 Health IT Workforce Curriculum
Version 3.0/Spring 2012
Training and Instructional Design
Introduction to Training and Adult Learning
Lecture a
Analysis/ Assessment
Analysis/ Assessment
Development
Development
Instructor/ Facilitator
• Adult learning principles
• Skills related to
• coaching
• feedback
• electronic systems
• group processes
Instructor/ Facilitator
• Adult learning principles
• Skills related to
• coaching
• feedback
• electronic systems
• group processes
Administrator
Administrator
Roles and Competencies of Trainers
13 Health IT Workforce Curriculum
Version 3.0/Spring 2012
Training and Instructional Design
Introduction to Training and Adult Learning
Lecture a
Analysis/ Assessment
Analysis/ Assessment
Development
Development
Instructor/ Facilitator
Instructor/ Facilitator
Administrator
• Computer competence
• Skills in selecting & identifying facilities
• Cost-benefit analysis
• Project management
• Records management
Administrator
• Computer competence
• Skills in selecting & identifying facilities
• Cost-benefit analysis
• Project management
• Records management
Professional Trainer Organizations
• American Society for Training and
Development
– http://www.astd.org
• iTrain, International Association of
Information Technology Trainers
– http://itrain.org/
14 Health IT Workforce Curriculum
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Training and Instructional Design
Introduction to Training and Adult Learning
Lecture a
Learner
Retention:
Cone of Learning
15 Health IT Workforce Curriculum
Version 3.0/Spring 2012
Training and Instructional Design
Introduction to Training and Adult Learning
Lecture a
what they read
what they read
what they hear what they hear
what they see what they see
what they see and hear together what they see and hear together
what they say or repeat what they say or repeat
what they say, while doing what they are talking about (Hear, See, Say, Do, Teach others)
what they say, while doing what they are talking about (Hear, See, Say, Do, Teach others)
Introduction to Training and Adult Learning
Summary – Lecture a
• Training is key to the successful implementation of an
EHR or changing clinical practice to meet Meaningful
Use criteria
• Training roles include
• Define training needs
• develop training
• Deliver training
• Administration of training programs
• Effective training materials use visuals in conjunction
with text or sound
16
Health IT Workforce Curriculum
Version 3.0/Spring 2012
Training and Instructional Design
Introduction to Training and Adult Learning
Lecture a
Introduction to Training and Adult Learning
References – Lecture a References:
1. California HealthCare Foundation, Training Strategies: EHR Deployment Techniques. Retrieved on June 10, 2010
from http://www.chcf.org/publications/2010/06/training-strategies-ehr-deployment-techniques
2. Retrieved on June 10, 2010 from http://www.astd.org
3. Retrieved on June 10, 2010 from http://itrain.org
4. Retrieved on June 10, 2010 from http://www.learning-styles-online.com/
5. http://www4.ncsu.edu/unity/lockers/users/f/felder/public/ILSpage.html
6. Retrieved on June 10, 2010 from http://en.wikibooks.org/wiki/Learning_Theories/Adult_Learning_Theories
7. Clark DR. (2004). Instructional System Design [monograph on the Internet]. Big Dog & Little Dog’s Performance
Juxtaposition; c2004 [cited 2010 Jun 21]. Available from: http://www.nwlink.com/~donclark/hrd/bloom.html
8. Nadler, Leonard (1984). The Handbook of Human Resource Development. New York: John Wiley & Sons.
17 Health IT Workforce Curriculum
Version 3.0/Spring 2012
Training and Instructional Design
Introduction to Training and Adult Learning
Lecture a