Tools For Medical Apprentice Learners - Personal Learning Environments

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Talk given at IAMSE 2013 meeting in St. Andrews

Text of Tools For Medical Apprentice Learners - Personal Learning Environments

  • 1. Tools For Medical Apprentice LearnersPersonal Learning Environments"Michael P. DAlessandro, M.D."University of Iowa College of Medicine / University of Iowa Childrens Hospital"michael-dalessandro@uiowa.edu"www.educationalinformatics.org"www.slideshare.net/michaeldalessandro"
  • 2. Disclosures" Nothing to disclose"
  • 3. The Learning Continuum"Data -> Information -> Knowledge - > Wisdom / Mastery"[acquired + organized] [reected] [shared] "Personal learning environment -> Social learning network"[focus on individual] [focus on group]"
  • 4. Learning is an Apprenticeship""In what my be called the naturalmethod of teaching, the studentbegins with the patient, continueswith the patient, and ends his studieswith the patient using books andlectures as tools, as means to anend." "" " " " "- Sir William Osler"
  • 5. How the Medical Apprentice Learns" Diagnosis" Clinical skills related to experience" When seeing a new case you encapsulate itin an "illness script" which you patternmatch to previous cases "illness scripts" inorder to diagnose" Case-based reasoning / Storytelling" Expert is the person who can best capture,organize, and retrieve their experience(cases)" Treatment" Work up driven by medical knowledge"- Schmidt HG, Norman GR, Boshuizen HPA. A Cognitive Perspective onMedical Expertise: Theory and Implications. Acad Med 1990 Oct;65(10):611-21."
  • 6. Future of Medical EducationLifelong Apprenticeship" Connecting education to practice is best wayto change physicians knowledge / attitudes /behaviors and improve patients care /outcomes / lives" ACCME, CME as a Bridge to Quality, 2006" Josiah Macy Foundation, Continuing Education inthe Health Professions, 2008" IOM, Redesigning Continuing Education in theHealth Professions, 2009" Molly Cooke, David M. Irby, Bridget C. OBrien.Educating Physicians: A Call For Reform ofMedical School and Residency, Jossey-Bass, 2010" Most physicians do not know how toconnect their learning to their practice" Or how to easily acquire, organize + makeretrievable their cases + experiences" Purpose of this talk is to show you how toconnect your learning to your practice usinga personal learning environment, learningportfolio and educational social network"
  • 7. Digital NativesMedical Student of Today Is As Old As The Web"Born 1990 = 1 Web site ~ 1992 = 10 Web sites ~ 2013 = > 1 billion Web sites"Will receive less and less of their training in hospital ~ From 100-> 80-> 48 hour work weeks"Preferred learning environment = Web 2.0"
  • 8. E-Memory System - Digitization Of Your Life" A digital archive ofyour life" "Lifelogging"" Made possible /inevitable by" Most memories aredigital" Near-innite spaceto store them" Every improvingtechnology to recallthem" Captures, stores,organizes and makesretrievable yourexperience +reected wisdom" You become thelibrarian, archivist,cartographer andcurator of your life" Early example:www.evernote.com"
  • 9. Learning Portfolio" A digital archive of your medicaleducational life = learning diary" Document + store clinical questions + answers " For each case" Question ~ Story ~ Answer ~ Impact onPractice ~ Resources Used" Educational construct" Case-Based Learning" Constructionism ~ Learning by doing / Creatinglearning artifacts"
  • 10. The Paradigm Shift - Post PC WorldYour Interface To The Cloud:Mobile Phone / Tablet + Web Browser + App Store"Android Blackberry 10 iOS Windows Mobile""It is now clear that the long process of connecting everyone on Earth to a globaltelecommunications network, which began with the invention of the telegraph in 1791, ison the verge of being completed.""- Tom Standage, Finishing the Job (Special report on telecoms in emerging markets), The Economist,September 24, 2009"
  • 11. Personal Learning Environment" Composed of mobile devices, apps, and Web sites that willallow medical apprentice learners to capture, store,organize and make retrievable their medical experience" Help support medical educations increasing emphasis onproblem-based and case-based learning in undergraduate,graduate, and continuing medical education" Help to focus medical learning and allow individuals tobetter enjoy their voyage towards medical mastery" Can be used at all levels of medical education by alllearners and should facilitate communication amongst andbetween learners at all levels" This usage can begin the rst day of medical school and continuethroughout their career"
  • 12. Personal Learning Environment" System that help learners take control of and manage theirown learning including providing support for learners to" Set their own learning goals" Manage their own learning - both content and process " Communicate with others in the process of learning" = summation of software programs / apps / Web sites you use " Learner-centric ~ "This is what I will learn today"" Decentralized ~ Standards are the glue that hold it together"
  • 13. Seeking Answers / Decision SupportSpecialty-Specic Search Engines = "Filtered Google""www.searchingmed.com www.searchingpediatrics.com www.searchingradiology.com"Difference between Speciality-specic Search Engine + App for Decision Support""App helps you quickly nd an answer""Speciality-specic search engine returns articles + chapters that provide context + helpyou learn and remember the answer, especially when coupled with learning portfolio"" "Allows you to receive CME for the answer"
  • 14. Medical Student Personal Learning Environment"Custom search engine Apps / Web sites Learning Portfolio"Librarians indirectly play a key role in this"
  • 15. Pediatric Resident Personal Learning Environment"Custom search engine Apps / Web sites Learning Portfolio"Librarians indirectly play a key role in this"
  • 16. Radiology Faculty Personal Learning Environment"Custom search engine Apps / Web sites Learning Portfolio"Librarians indirectly play a key role in this"
  • 17. My Personal Learning EnvironmentResults" This is a way to enjoy rather than endure your 10,000 hour voyagetowards expertise" My learning has never been so focused, so relevant, so interesting, someaningful, so enjoyable" I have nally become a learning machine, passionately pursuingmastery of medicine"Blooms Taxonomy"
  • 18. The Learning Continuum"Data -> Information -> Knowledge - > Wisdom / Mastery"[acquired + organized] [reected] [shared] "Personal learning environment -> Social learning network"[focus on individual] [focus on group]"
  • 19. For An In-Depth Discussion" Workshop Monday at 3:15 pm at MBS MR 9" Personal Learning Environments - Tools For Medical ApprenticeLearners" Questions" 1. Mobile devices" What form factor and platform are best? " 2. Apps and Web sites" Which are most powerful and most useful? " 3. Your data and information" How do you maintain control of it, keep it secure, keep it backed up, ensure itsinteroperability and migrate it to future hardware and software platforms?" This talk available at" http://www.slideshare.net/michaeldalessandro"