One strategy to utilise material from a comprehensive indexed digital case based and educational repository by using an educational blog:website to support clinical residency training

One strategy to utilise material from a comprehensive indexed digital case-based and educational repository by using an

educational blog/website to support clinical residency training

Dr Goh Poh Sun Associate Professor and Senior Consultant

Department of Diagnostic Radiology National University Hospital

National University of Singapore

What are our objectives in clinical residency training? What training settings do these take place in?

Knowledge - class, practice settings

Skills - practice settings (deliberate practice), class (demonstration and feedback on performance)

Attitudes - practice settings (observation/role models, feedback), class (debrief)

Knowledge

What educational material do we use in clinical residency training?

Text slides/illustrations/multimedia

Clinical case examples/case studies

Why do we do this? What is the pedagogical intent of using this material?

Text slides/illustrations/multimedia - build theory, provide background knowledge

Case studies - build experience, provide opportunities to practice (diagnostic thinking, problem solving)

How can we use eLearning or Technology enhanced learning (TeL) to support our traditional clinical training?

Text slides/illustrations/multimedia - share beforehand/make available online

Case studies - systematically build, and curate a comprehensive collection of clinical case based scenarios, and make this available online (indexed/searchable, hyperlinked) breadth, whole spectrum, complexity, depth

Two examples (personal and from my institution) - source of material, illustrating use of blogs as a TeL tool and platform

Clinical radiology - lecture slides, radiology images

Ophthalmology - slides and illustrations from over one decade of monthly clinical-radiology-pathology case conferences (slides and illustrations/images)

(note all clinical illustrations, radiology and pathology images are anonymised)

Clinical radiology

Slides (teach from blogs, slides exported as JPEG images and posted on a teaching blog - available before, during and after every training session) - illustrated by slides provided for this session

Case studies - prospectively collect examples from day to day clinical practice, regularly (every day), of radiological examples of any educational value and post this on a blog (automatic hyperlinking of every post, and every image), and systematic, regular efforts to index and categorise material (over last 4 years, have personally posted almost 7000 anonymised radiology cases, over 300,000 page views; been shared over 3,000,000 times)

http://learningneuroradiology.blogspot.sg/

http://padlet.com/dnrgohps/infarcts

Ophthalmology

Slides and case studies

http://learningorbitradiology.blogspot.sg/

http://padlet.com/dnrgohps/iMap

How do you use this material?

Illustration - part of formal teaching/training; on the fly/on demand

Mastery training/deliberate practice program - broaden experience, provide uniform experience, deepen experience (see illustration next slide)

- Reimagining a postgraduate radiology training curriculum: a pilot eCurriculum project to shorten radiology residency training (ECR 2015 ePoster number C-1069)

- http://1.bp.blogspot.com/-KocfHpcXCHc/Vf_mC8Kq01I/AAAAAAABjrs/m7PLMG5nUIU/s1600/ECR2015_2.jpg

- http://posterng.netkey.at/esr/viewing/index.php?module=viewing_poster&doi=10.1594/ecr2015/C-1069

Skills

TeL can support clinical training by providing examples of optimal clinical performance

http://physicalexaminationproceduralskills.blogspot.sg/

Digital records of clinical performance can be used for self analysis and instructor feedback/coaching (sports analogy)

Examples of case-based teaching material openly available online

http://www.nejm.org/multimedia

http://www.ajnr.org/ (see case collections)