Discipline of Paediatrics & Child Health Sydney Medical School Mobile case-based learning in Paediatrics Dr Karen Scott Lecturer, Education Discipline.

Discipline of Paediatrics & Child Health Sydney Medical School

Mobile case-based learning in Paediatrics

Dr Karen Scott

Lecturer, Education

Discipline of Paediatrics and Child Health

The Children’s Hospital at Westmead Clinical School


Context: Paediatrics

• Problem-based learning - years 1 & 2• 8 week term – year 3/4:

– 85 students x 4– 2 lecture weeks + 5 clinical weeks– Tutorials: medical bedside, clinical reasoning,

surgical – Exam week: all paediatric content


Background: Medical Program

• 2007-8 Sydney Medical Program review:– Change in structure of Year 1– 3 Paediatric problem-based learning cases moved– Existing web-based cases: open questions– 2 paediatric self-directed cases


• 2008 research - online formative assessment:– Open vs closed questions– Self-directed learning– Engaged enquiry / “Professional learners”

MacLean et al. (2011)

Background: Self-directed learning


• 2008-9 research - student expectations &

experience: – Clinical attachments– Ways of learning

Scott et al. (in press)

Background: Clinical attachments



Mobile learning

“Learning that used to be delivered ‘just-in-case’ can now be delivered ‘just-in-time’, ‘just enough’ and ‘just-for-me’. [The focus is ] finding information rather than possessing it or knowing it”.

Traxler 2007


Challenge: Privacy

• Camera• Web-enabled• Social media


Aim

Mobile case-based learning scenarios:– Engage– Flexible access– Resources for learning at the patient bedside


Development process

• Stage 1, 2008-9:– Pilot case (anorexia nervosa) + evaluation

• Stage 2, 2010: – Review + 2 cases (rubella; in-born error of metabolism)

+ evaluation in 2011

• Stage 3, 2012–13:– Review + 2 cases (pyloric stenosis; febrile seizures)

+ 7 emergency medicine modules


Project team

• Paediatrics & Child Health:– Dianne Campbell, Meg Phelps, Anne Morris,

Hasantha Gunasekera & Karen Scott

• Sydney Medical School:– Daniel Burn

• Sydney eLearning:– Marianna Koulias, Sharon Kitching, Jo Lockwood &

Pamela Bramas


Format: Clinical reasoning



Integrated resources


Formative assessment


Introductory quiz


Scoring


Evaluation

• 111 students - semester 1, 2011• 97% response rate• Survey - quantitative & qualitative

Koulias et al (2012)

Scott et al (2010)


Answered questions, read explanations


Used on clinical attachments


“I just wanted to say thank you-- I have been doing the self-directed cases all weekend and they're WONDERFUL. Would that every other block could be taught like paediatrics! I even did some cases while out camping thanks to the mobile cases”.


Following steps

• Use of mobile devices in hospital settings• Learning & teaching • Ethics, etiquette, technology & security• Culture of clinical teaching environment


References

Koulias M, Leahy G, Scott KM, Phelps M & Campbell D (2012) "Wherever, whenever" learning in Medicine: Evaluation of an interactive mobile case-based project. Proceedings, Future Challenges | Sustainable Futures Australian Society for Computers in Learning in Tertiary Education (ascilite) conference, 25th – 28th November 2012, Wellington, New Zealand.

Scott KM, Kitching S, Burn D, Koulias M, Campbell D & Phelps M (2010) Wherever, whenever learning in medicine. In C. Steel, M.J. Keppell & P. Gerbic, (Eds.) Curriculum, technology & transformation for an unknown future. Proceedings, ascilite conference, 6 – 7

December Sydney 2010.

MacLean JE, Scott KM, Marshall T & Van Asperen P (2011) Evaluation of an elearning teaching resource: What is the medical student perspective? Focus on Health Professional Education: A Multi-disciplinary Journal, 13, 2: 53-64.

Scott KM, Barrett J, Cheetham V, McCallum Z, Barzi F & Phelps M. (in press) Mismatch between medical student expectations and experiences: Student over-entitlement or medical programs needing reform? Focus on Health Professional Education: A Multi-disciplinary Journal .

Traxler, J (2007) Defining, Discussing and Evaluating Mobile Learning: The moving finger writes and having writ. The International Review of Research in Open and Distance

Learning, 8.


Acknowledgements

Sydney eLearning

A/Prof Sandra West

Dr Jo Lander

Melinda Lewis

Apple


Thank you

Questions?

[email protected]

Discipline of Paediatrics & Child Health Sydney Medical School Mobile case-based learning in Paediatrics Dr Karen Scott Lecturer, Education Discipline.

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