What's Up, Doc? Leading Technology-Based Innovations in Medical Education (268196093)

8/8/2019 What's Up, Doc? Leading Technology-Based Innovations in Medical Education (268196093)

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Becoming a Better PBL

Facilitator: iPad App ShowsPromise!

Amy L. Wilson-Delfosse, Ph.D.

Professor of Pharmacology and Associate Dean for Curriculum

Case Western Reserve University School of Medicine

President, International Association of Medical Science Educators



Objectives

• Design a customized iPad application to support

facilitation of Problem-based Learning (PBL) groups.

• Reduce burden on faculty time by improving

workflow

• Enhance quality of PBL facilitator feedbackto students



• Experiential learning, scholarship, critical thinking, lifelonglearning

• Active interchange of ideas between students and faculty – students as “ junior colleagues”

• Graduate school environment – independent study andself-directed learning

• Integration of health and disease(normal and abnormal)

• Continuous integration of scientific

foundations and clinical medicine

The Western Reserve2 Curriculum

Guiding Principles



The Western Reserve2 Curriculum

Basic Sciences

and

Early Clinical Training

Core Clerkships

Basic ScienceIntegration

Electives and

Board Study

USMLE Step 1

Acting Internships

Transition toResidency

Advanced

Electives

USMLE Step 2

(CK/CS)

Foundations of

Medicine and Health

Research and Scholarship MD Thesis

Advanced Clinical Experiences and

Residency Preparation

1st Year 2nd Year 3rd Year 4th Year

http://casemed.case.edu/curriculum/



WR2 Foundations of Medicine and Health

Becoming a

Doctor

The Human

Blueprint

Cognition, Sensation &

Movement

Food to Fuel Homeostasis

Host Defense &

Response

Block 1

(5 Weeks)

Population Health,

Epidemiology, Biostatistics,

Bioethics, Health

Disparities

Block 2

(11 Weeks)

Endocrinology, Reproduction,

Development, Genetics, Molecular

Biology,

Cancer Biology

Block 3

(11 Weeks)

Gastrointestinal, Nutrition, Biochemistry

Block 4

(14 Weeks)

Cardiovascular, Pulmonary, Renal, Cell

Physiology, and Pharmacology

Block 5(14 Weeks)

Immunology, Microbiology, Hematology,

Oncology,

Infectious Diseases, Rheumatology, Dermatology

Block 6(14 Weeks)

Neurology, Mind, Musculoskeletal

Summer

Break

(10 Weeks)

Y e a r 1

Y e a r 2

Structure (Anatomy, Radiology, & Histopathology)

Foundations of Clinical Medicine (Tuesday Seminars, Communications, Physical Diagnosis, Patient Based Experiences )

Structure (Anatomy, Radiology, & Histopathology)

Foundations of Clinical Medicine (Tuesday Seminars, Communications, Physical Diagnosis, Patient Based Experiences)

Clinical Immersion Week

Assessment Week


Assessment Week


Assessment Week

July May

August March


Assessment Week


Assessment Week

Field Experiences

Assessment Week

The Foundations of Medicine and HealthThe Foundations of Medicine and Health



A Week in the Foundations of

Medicine and HealthMonday Tuesday Wednesday Thursday Friday

8-10AM

PBLFoundations of

Clinical Medicine

Seminar PBLSelf-Directed

Learning PBL

10AM-12PM Lectures/Medium

Groups/TBL

Structure Anatomy

Histopathology

Radiology

Lectures/Medium

Groups/TBL

Lectures/Medium

Groups/TBL

12-1PM Research and

ScholarshipSeminar

1-5PM Clinical Skills and

Preceptorship

Self-Directed

Learning



• Student-centered small groups (8 students, 1 faculty

facilitator)

• Case-based … Case serves as backdrop upon whichknowledge is built

• New knowledge is

obtained throughself-directed learning

`

The Problem Based Learning Classroom



• Facilitator guides process and provides

feedback rather than teaching content

The Role of the PBL Facilitator

Weekly FeedbackProfessionalism

TeamworkCritical Appraisal



PBL Facilitator App

















0

5

10

15

20

#

o f f a c i l i t a t o r s

Before

App

After

App

0-2h

0-2h

2-4h

2-4h

4-6h4-6h

App Improves Facilitator Workflow

Time spent completing

feedback to students (weekly)



Facilitator Comments

• “Reduced time to complete weekly feedback.

Especially since it is easier to read than my hand

writing!”

• “Everything is all set up so I can spend less time

with the busy work of organizing my

observations.”

• “It saves me time to find and organize the daily

observation sheet.”



Lessons Learned

• If you build it they will come!

Facilitators quickly become dependent on app!

• Faculty believe the quality of their work improves

• Continuing maintenance required – iOS updates

• Promotes reduced use of paper

• Value of combining with iPad loaner program



Acknowledgements

• Elias Kikano

• Minoo Darvish• Fei (Sophie) Shao

• David Pilasky

• Bart Jarmusch

Documents

What's Up, Doc? Leading Technology-Based Innovations in Medical Education (268196093)