Presentation internetadultlearning

Continuing Education:Internet

Adult Learning

Common Themes

• Didactic least effective• Need to be reflective• Adult learner needs to understand what

they are doing• Self directed• Multi-Dimensional is optimal

Raza A, Coomarasamy A, Khan K. Best evidence continuous medical education. Arch Gynecol Obstet. 2009; 280: 683-687.

Fosetlund L, Bjorndal A, Rashidian A., et al. RContinuing education meetings an workshops: effects on professional practice and health care outcomes (review). Cochrane Collaboration. 2009; 1: 1-95.

Adult Learning: Hallmarks

Mezirow• Habitual Action• Understanding• Reflection• Critical Reflection

Sohn• Knowing in action• Recognizing surprise• Reflection in action• Experimentation• Reflection on action

Dunn L, Musolino GM. Assessing Reflective Thinking and Approaches to Learning. J Allied Health. 2011; 40: 128-136.

Adult Learning: Miller

“Knows”

“Knows How”

“Shows How”

“Does”How do we get to the does?

Can the web help get to the does?

Akaike M, Fukutomi M, Nagamune M., et al. Simulation based medical education in clinical skills laboratory. J. Med. Invest. 2012; 59: 28-35

Miller GE: The assessment of clinical skills/competence/performance. Acad Med. 1990; 65: S63-67

Davis DA, Prescott J, Fordis M, et al. Rethinking CME: An imperative for academic medicine and faculty

development. Academic Medicine. 2011: 86; 468-473

Tech/Web?

Adult Matrix of Web Learning

Boulos M, Maramba I, Wheeler S. Wikis, blogs and podcasts: a new generation of Web-based tools for virtual collaborative clinical practice and education. BMC Med Educ. 2006; 15: 41.

Since…2008

• Wikis: Not aware of a wiki for PTs• Social Networks: There are no specific Social

Networks for PTs.– Still the case

• Podcasts: Used in remote locations where continuing education is not easily accessible

• We have come a long way• We have many avenues to learn

Barsky E, Giustini D. Web 2.0 in Physical Therapy: A Practical Overview. Physiotherapy Canada. 2008; 60: 207-214.

Best Evidence

• Interactive better than Didactic

• E-learning– Improved change in practice

• Ideal– Interactive and integrated– Reflective– Identifies gaps in knowledge, performance

Raza A, Coomarasamy A, Khan K. Best evidence continuous medical education. Arch Gynecol Obstet. 2009; 280: 683-687.

The Internet

• Technology can redefine “Together”

• New methods to enhance the learning experience

• Reflection – Something about being

in front of a computer(?)

Chipchase L, Johnston V, Long P. Continuing professional development: The Missing Link. Man Ther. 2012; 17: 89-91

The Internet

• “Augmenting the opportunity for interpersonal interaction mediated through technologies.”

• “Wikis, blogs, podcasting, vodcasting and the advent of cheaper better supported mobile, personal technology makes learning anytime, anyplace more acheivable.”

Chipchase L, Johnston V, Long P. Continuing professional development: The Missing Link. Man Ther. 2012; 17: 89-91

APTA: Professional Development

• Creating, ANTICIPATING, …– Technology as an important medium to learn– PT cannot fall behind

• Generated from outcome measures– What is out there?– How do we measure this?

Internet

• TRIARQ– http://www.triarq.com/

• LinkdIn – Discussions example– http://www.linkedin.com/groups/TRIARQ-Phys

icians-Physical-Therapists-Other-3256964?gid=3256964&trk=hb_side_g

• Video Examples– http://youtu.be/-JlWHqartEM

Personal Experience

• Texas Tech University

(ScD Orthopedic Physical Therapy)– Modules– Readings– Search for literature– Discussion– Class on site– Interactive and Didactic

Challenges

• Reliance on the web/electronic medium

• Deadlines

• Lack of formal mentorship

• Travel

• Cost

• Transition

• Online learning experience

Positive Outcomes

• Become even more self directed

• Become a “producer”

• Reflection

• Feedback

• Network of learners

• Varying backgrounds

• Move to the “Does” quicker (SHU OPTRP)

Other’s Experience 1Can you write up your thoughts on this topic?  Specifically:

-What program did you / are you in? SUNY Upstate Medical tDPT-How you liked the distance learning, Suited my needs well.-How it was like juggling school, travel, your job, your family,

Very difficult. Involved significant personal sacrifice. -Pros: Advanced degree, enhanced learning, networking-new peers. -Cons: significant personal sacrifice. -Suggestions for others thinking about doing what you did. ` If have a family-need supportive family, plan ahead, brush up on time-

management skills.-Cost effectiveness SUNY best bargain-What you most gained. Education.

Please score the following (0=not satisfied , 5= Extremely Satisfied)• Scale 0-5• Workload = 3• Cost = 5• Faculty = 3• Overall satisfaction = 3

Other’s Experience 2Can you write up your thoughts on this topic?  Specifically:

-What program did you / are you in? University of St. Augustine, CMTWill transition to t-DPT

-how you liked the distance learning, Most convenient for my working schedule

-how it was like juggling school, travel, your job, your family, Very difficult (as you can tell by my late responses). There are tons of things on my plate and there often is the case where I have to sacrifice time somewhere in order to accomplish something else

-Pros: convenient, can do work at home and at own pace-Cons: no immediate feedback, limited visual cues-suggestions for others thinking about doing what you did

Time has to be plotted out before you start any venture-cost effectiveness

No different than matriculation-what you most gainedPlease score the following (0=not satisfied , 5= Extremely Satisfied)• Workload 3• Cost 3• Faculty 4• Overall satisfaction 4

Courses 5 year

• Clinical Reasoning– Vs. Guruism, “Experts”

• Accredited Program– Fellowship or PhD

• “Teach you how to become Producers”

• What AND Why?