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The value of online learning and MRI: Finding a
niche for expensive technologies

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The value of online learning and MRI: Finding a
niche for expensive technologies

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https://amee.org/getattachment/AMEE-Initiatives/ESME-Courses/AMEE-ESME-Face-to-Face-Courses/ESME-eLearning/ESCEL-at-AMEE-2014/ValueOnline-MedTeach2014.pdf

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The Internet already has a wealth of information which the learners can look up information from. Google search is powerful and will pull out tons of information. How can my blog distinguish itself such that learners actually want to use it? How can I format the blog such that information is easily retrieved?

Also TEL largely depends on self directed learning by the learner. Learners also need to play a part to Ensure TEL is successful. Again, need to think of good way to engage them.

Can consider more simple ways to incorporate TEL for now, eg use of emails/WhatsApp etc. The use of padlet is an interesting concept for a more interactive discussion.

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Wen Shan, Biochemistry NUSMedicine:

Variety of tools:

• Dissemination
• Engagement/Interaction
• Analysis
• Assessment

eLearning – how to extract experiential learning from technology-enhanced learning

There is tremendous value in premium direct experience.

Construct a combination of didactic teaching and experiential learning through eLearning.

How does one ensure pre-reading by students? Through incentivization? Quizzes? Or stating that additional or higher-ordered learning can only be built upon pre-engagement?

The ADDIE model – instructional design

Successive Approximation model – more rapid design

Formal versus informal learning.

Information sourcing from a repository followed by peer verification.

The repository can be multimedia. Multimedia content delivery has its merits, especially for a large class.

Bite-sized content design? Story-boarding the lecture.

eLearning requires time and scheduling for it, especially for pre-engagement and content assimilation.

Using Frequently Asked Questions to increase the space and time available for experiential learning.

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The ADDIE instructional model allows us to strategize  every step to deliver the content to the specific audience.

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easy for learners

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Evaluation of an e-learning system

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Analyse.
Learners GPs. Difficulty in seeing the entire spectrum of cases in clinic and identifying the signs for diagnosis.
Content. Recogniton of common fundus conditions

Design.
Learning Objective & Suitable strategy.

Recognition of common eye conditions. Pictorial slides of normal and abnormal for comparison and explanation of the abnormal signs.

Develop. Pictorial Slides as attached

Implement. Part of on boarding educational talks for new GPs and CME refresher for current GPS

Evaluate. Random pictorial test to ensure correct identification and follow up management. Feedback forms.

Let me test this out and see what the feedback is from the GPs.Marcus.

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I find the idea of the teacher in Tel environment as curator exciting

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For me, creating a blog would be the first step to do. I would then base on the learning objectives, content and pedagogy that suitable for the group of the learners, to upload slides, articles and activities for learners to access prior to classroom attendance.

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TeL has several advantages that it allows both the teachers and learners to be free from the constriction of space and time to gain access to knowledge.

It allows real time flow and exchange of questions and answers between the teacher and the learners so multiple interactions can occur at the same time.

However it requires a major investment in the preparation of the content to be put up onto the cyber space and this would require dedicated time and effort.

My question is how is it different as compared to sending a pre-selected and prepared presentations to the learners and allow them to read and study at their own time.

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Khalil Shibli      Interesting
that we are combing through the potential, perceived and real benefits of e
learning and technology enhanced learning but I would be interested to know and
learn how to practically PUT things (contents) together with an appropriate
format (instruction delivery) suitable for digital or e learning. Basically, I
want to learn how did you manage to put all different things together for this
course that I am accessing without jumping in and out of the page? (once it is
loaded) Student: Khalil Shibli

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Khalil Shibli      Interesting
that we are combing through the potential, perceived and real benefits of e
learning and technology enhanced learning but I would be interested to know and
learn how to practically PUT things (contents) together with an appropriate
format (instruction delivery) suitable for digital or e learning. Basically, I
want to learn how did you manage to put all different things together for this
course that I am accessing without jumping in and out of the page? (once it is
loaded) Student: Khalil Shibli

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12:30 pm
Wonderful discussion through the session. Dr. Sanjay highlighted ‘learners’ engagement’ as the key component to take care of while designing any course work through any medium. Dr Qasim quite rightly and humbly expressed that being content expert is not enough to design a course and hiring education and instruction design experts is imperative to make a course successfully delivered. On my table there was an interesting point raised that ‘e learning means no human contact’ so the whole course must be delivered online. I have a humble submission that ‘learning is at its best when it follows social constructivists’ theoretical underpinning. We must interact or make ‘however minimum personal contact’ mandatory and necessary to get the most benefit out of the whole experience. ��N�o�C�pdb-

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Important to note; when, where and what to use as TeL depending on who is the audience.

In evaluating the method/process of learning; it should be more than liked and enjoyed. It should be somehow assessable and evaluated. But most importantly  whether the knowledge that you have tried to pass on to the student/participant is practically applied in the real world. That is the real success of the teaching module.

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I am not sure If I will be able to apply. I need to see an actual example of how people use It.

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This is definitely the way ahead. The difficulty is getting used to the technology and spending the time needed to constantly update content and reply to comments to maintain relevance.

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Key learning points:

1. Blogs enables curation process for a subgroup of learners, instead of directing students to Google thousands of information.

2. Learning takes place when you take material in and start making connections.

3. If you do preparation like pre-reading, it makes you latch onto content faster. If no preparation,  it might be challenging to relate to new content.

4. There's power in tables, summary slides, index of key recommendations - these are what learners take home.

5. Steps to start curating - collect everything your present, archive it, go through it as team, ensure PDPA compliance, attribute to sources, index/line them up sequentially.

Questions raised and in mind:

1. What is the role of the teacher after they've already seen your content?

engage them during face to face session

2. What is traditional teaching?

sign up for a programme

attend the class

listen to teacher

take test

repeat the cycle

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I think I still need to see an actual example of how this used practically

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Analysis > Design > Development > Implementation > Evaluation

http://www.instructionaldesign.org/models/addie.html

ADDIE model is the generic process traditionally used by instructional designers and training developers. The five phases—Analysis, Design, Development, Implementation, and Evaluation—represent a dynamic, flexible guideline for building effective training and performance support tools. While perhaps the most common design model, there are a number of weaknesses to the ADDIE model which have led to a number of spin-offs or variations.

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I've attended a 5 week online training which drew attention of 12,000 professionals all over the world. The interesting part of this training is that they had online (Facebook) discussions on each topic and encouraged everyones' experience and opinions. The e-learning slides has questionnaire to self check the participants' knowledge on particular activity.

Blog/twitter/what Sapp- usable, accessible, sustaining the work is interesting point

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**Starting a new post as I can't seem to be able to edit my previous post**

I'm Chen Mei, Consultant Anaesthetist from KTPH.

In my clinical practice, I teach medical students, new medical officers and residents. Technology based learning has gained popularity in recent years since I first entered medical school! Besides using it for teaching/learning purposes on site, I have had the opportunity to experience learning and sharing of resources between different institutions. Online discussions of problems faced can easily be done as well. While I know and can see the usefulness of technology in teaching and learning, I'm usually left frustrated with maneuvering around it's use (not great with technology, and usually end up being frustrated with hardware and software issues as well). Hopefully this course will allow me to learn new ways/platforms of using technology in enhancing teaching/learning.

Learning points:
- tutor enthusiasm important!!
- lots of materials online, curation of what's relevant is important. Focus on creating content in most granular and reusable format
- audience reach is massive
- allows for learner to learn at own speed and at a convenient time
- consider pros and cons of TEL vs traditional teaching methods -> important to blend both techniques
- instructional systems design: ADDIE model = Analyze, Design, Develop, Implement, Evaluate
- evaluation process of learning/systems should go hand in hand, different tools available for formative/summation assessment.

- how do we engage the learner???
-> using technology/content as building block for more advanced learning during face to face time
-> peer pressure/group learning and contribution
-> compulsory course
-> post course assessment
-> make content interesting, consider videos/animations etc

My draft blog is at cmliaw.blogspot.com

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For the next activity...

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Live and happenning

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I am Sanjay from Ophthalmology at KTPH. I am involved in developing interactive tools for medical students to enhance their learning experience outside the hospital.

I have enjoyed thoroughly the interactive workshop for the last 90 minutes or so. I would like to start using padlet for enhancing my  interactive teaching experience.

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Hi Everyone, I am Marcus from Ophthalmology. Part of my work involving teaching residents. As ophthalmology is a visual disciplinary, I hope to use technology to enrich and enhance the resident's learning without having to wait endlessly in clinic in the hope of catching a patient with clinical signs.

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Hello!

I’m Sook May from the Centre of Resident and Faculty Development, SingHealth Residency.

Part of my work involves developing and conducting faculty development workshops. Some of the courses that I create are blended courses so I hope to learn some strategies to create learning-effective e-courses and motivate faculty and residents to complete them. I also hope to organize and create an index for our large repository of teaching videos to increase the usability for learners.

Reflection
1. Use of Padlet or other interactive platforms to generate online discussion during a teaching session – a good way to engage large groups in active learning e.g. during lectures

Questions
1. Just a thought – are learners ready to accept a new way to learn? Some may be used to didactic teaching and would prefer the educator to ‘download’ information in a traditional learning session

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Hello!

I am Xuet Ying, a Speech Therapist from TTSH. I am just starting out in clinical mentoring as well as interprofessional education. Previously had come up with a couple of e-learning slides for nurses and doctors to provide swallowing related information that may impact on their daily management of our patients, however some hits and misses, with difficulty sustaining that continual learning.
Current portfolio is in the area of Alternative and Augmentative Communication in patients with communication difficulty, in particular the ALS group.
Im hoping to be able to outreach to a larger group using technology as
1) it is difficult for patients and their carers to attend talks/therapy sessions to support their communication, and
2) the health professionals that are out and about caring for this group of patients may not be well equipped with knowledge to further support the alternative means of communication.
My draft blog is http://st-aac.blogspot.sg/

Key learning points:
1) Curation process for a specific population
2) Role of teacher: set up conditions of learning and interaction
3) Technology is evolving, hence require constant experimenting and exploration of new platforms
4) In classroom setting: limited time, only 1 person can share views, others try and pay attention due to the limited time
5) Graffiti wall: multiple people can share views at the same time.
6) Interactive: able to edit and modify, emphasize key links/information, students can post questions, answer questions

Thoughts

Really interested to see how it works with constant interaction from audience through an online platform. Thought about the failed attempts of using institution-based platforms eg. Blackboard, to achieve this interaction – realised there are missing components that can be then achieved with using a blog/padlet.
Junior staff often ask - how do I find information that is specific and relevant? Most information on Google are often medical based, difficult to find ST specific information
Doctors/nurses often ask – can you tell me what to do? I only have 5 minutes, instead of going through 20minutes of the elearning, can you just tell me what to do for this patient?

Thoughts part 2
Technology need not be complex to achieve the aims of learning, need to have thorough understanding and analysis of learner group to suit the needs. Need to have both types of evaluation – assessment of the learners, evaluation of the effectiveness of the elearning means.

Self-directed learning – learners are encouraged to pace their learning, know when they need to seek support. There is however a challenge – are all learners able to do self-directed learning? What if they are passive learners? What if they do not seek support even when they know they need? What if they wait for answers instead of actively looking for it?

Through ADDIE model – agree with another participant that need to know how to select content, how to deliver content, how to assess learning and the importance of engaging learners

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Hi everyone!
I'm Chew Ling, Public Health specialist in Health Promotion Board; mainly involved in teaching post graduate residents.

Like DC, not tech savvy but am curious to see how I can tap on technology to be more effective in teaching and also reaching out to the lay people. I have observed BlogSpot being used increasingly as a form of communications between teachers and students and what other technology  tools that could be used. See everyone tomorrow!

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Hi,
I'm a Radiologist, involved in teaching post graduate residents and rarely undergraduates as well.
I'm not all that Tech savvy and wish to learn new methods incorporating IT in teaching. I believe we need to keep up with current generation to be relevant and be effective.

https://en.wikipedia.org/wiki/ADDIE_Model

E or technology enhanced learning methods have wider reach, extremely flexible in terms of accessibility.
Keen to learn using it in real life.

The ADDIE model provides us the frame work to come up with an e learning project. The discussion and presentations of ideas from different groups gave further insight into the issues encountered such as evaluation, assessment and challenging learner behaviour.

Continued insightful discussion on technology enhanced learning in the afternoon session.

This is my test blog.

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Hi everyone!

I'm Chen Mei, Consultant Anaesthetist from KTPH.

In my clinical practice, I teach medical students, new medical officers and residents. Technology based learning has gained popularity in recent years since I first entered medical school! Besides using it for teaching/learning purposes on site, I have had the opportunity to experience learning and sharing of resources between different institutions. Online discussions of problems faced can easily be done as well. While I know and can see the usefulness of technology in teaching and learning, I'm usually left frustrated with maneuvering around it's use (not great with technology, and usually end up being frustrated with hardware and software issues as well). Hopefully this course will allow me to learn new ways/platforms of using technology in enhancing teaching/learning.

My draft blog is at cmliaw.blogspot.com

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I am a consultant gastroenterologist at KTPH. My basic medical training was in the UK, which was quite traditional (pen and paper). My postgraduate training was in the US, which utilized more technology (a lot of computers!)
I am currently involved in postgraduate teaching (residents), undergraduate teaching (medical students), and teaching of endoscopy nurses. I look forward to learning new ways of incorporating technology into teaching. The use of technology in everything we do, including education, is quickly becoming the norm. It is also the natural expectation of the younger generation of students and trainees and technology is an important way to engage them.
This is my newly created blog, which includes the slides of a presentation I have recently given to endoscopy nurses: http://telworkshopnus.blogspot.sg/2016/07/workshop.html

Just finished the first part of the workshop. Discussed reasons behind motivation to become better at tecnhology-enhanced learning. Importance of technology in making material widely available and giving the opportunity to students to access material at the best time for them rather than the class or teacher. Enhancement of self-directed learning.

Close to end of Basic Workshop. The second part included learning about the ADDIE (Analyze, Design, Develop, Implement, Evaluate) model and we went over some application scenarios. One key point is that technology-enhanced learning does not necessarily require advanced technology (although having the skill would be nice!) Simple and familiar methods such as email, WhatsApp, etc can often suffice to enhance the learning experience. Seeking collaboration with educationalists is an option if advanced technology is desired. Looking forward to the next Intermediate level - hopefully not too complicated!

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Hi everyone. I am Qasim Ahmed, senior consultant with Pathology Dept, NUH. I am involved in undergraduate and post graduate teaching. I am keen to learn how to use technology to enhance teaching. I am not very IT savvy, but have learnt few things along the way from friends, IT colleagues and my kids! It never fails to amaze me what tools are available out there in the digital technology, just need to find time to learn few. This would be a good opportunity.

My draft blog is at: http://qasimahmed.blogspot.sg/

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Good day everyone, I'm Caroline from Dean's Office - Education Technology.
Currently my job scope and also my passion is to provide support to faculty in enhancing teaching-learning using technology.

In my team, we provide elearning development, learning management system and interactive tools support. For blogs, we usually use blog.nus and also promote it for use of our teachers. We also use Wiki for similar purposes. Here's one blog I did using Blogger: http://carolinenayadzamora.blogspot.sg/

I'm planning to use this for team sharing this coming Thursday :)

From the pre-readings, the below inspires me the most to press on and be the catalyst in promoting technology-enhanced learning.

I'm looking forward revisiting ideas and exploring new updates and current trends during the training.

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Hi everyone!

I'm from the Education Development Unit in SNEC and we are looking to enhance our courses using technology in meaningful ways.

There's so many ways to use technology that it's sometimes difficult to choose the methods that would suit the organisation and our adult learners.
The influence of social media and use of games in learning are also factors affecting the way we teach and learn.

I do not conduct any teaching now as I mainly support the development of the education programmes for our allied health personnel.

Thoughts:
- Influencing subject matter experts to incorporate these tools in their teaching
- Ways to
- Designing the flow of events and instructions to engage your learners
- How to use literature review to validate your instructional methods/andragogy
- How to effectively engage learners and motivate them

My draft blog is at http://oaots.blogspot.sg/

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Hi!

I’m Deborah, Associate Consultant from the Department of Anaesthesia NUH.

Anaesthesia has a strong culture of teaching, and in my department I am involved in both undergraduate and residency teaching.

We teach in both diadectic forms and on the job. Yet we face many challenges, one of the foremost of which is time and manpower, yet while being asked to maintain the same standards of teaching and assuring learner outcomes. Above all, we want to ensure the safety of our patients by training the next generation well.

My department has already moved towards digitizing teaching sessions, resource material and presentations. But these are basic steps and I believe much more can be done. I hope to use technology effectively to achieve more in terms of equipping the learner with useful, practical knowledge, while minimizing confusion, haphazardness and frustration.

Other areas I would like to explore are audience-interaction techniques and platforms (e.g. Sli.do.org), and face-to-face methods like webinairs.

Key messages from pre-workshop reading and preparation – resource material needs to carefully curated and time needs to be invested. Forward planning is essential to ensure time and efforts are not wasted. Knowing the advantages and limitations are essential.

Draft blog here! http://zaptosphere.blogspot.sg/

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Some years ago I started this blog and wanted to use it for teaching and to inspire but as you can see, I was not very disciplined in maintaining it. Maybe, I will try again after attending tomorrow workshop.......

http://blog.nus.edu.sg/antaet/about-me/

The problem with technology is it can be distracting to student's learning and the teacher's work. These days, I noticed I have to shut down the wifi in order to do some real studying.....

Do not get me wrong, technology is GOOD but use it judiciously.

ET

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Hi everyone, I am Zhi peng, a Family Physician based at Choa Chu Kang Polyclinic under NHGP. I am involved in undergraduate clinical teaching for M3/4 students rotating through our department as part of their routine or elective posting under family medicine.

As a family physician I am also involved in providing regular update lectures for different specialties to both our resident physicians as well as rotating medical officers (MOPEXs), family medicine residents etc.

I would like to learn how to use technology to enhance learning experiences for learners of different levels.

One challenge I feel is the need for myself to be experienced and familiar with the technology used to enhance the learning process and i feel this take time and effort to master.

I hope to learn more from the workshop, See everyone on Wednesday!

My draft blog is here: http://cckfmd.blogspot.sg/

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Hello everyone !! I am ET and I teach human anatomy to the M1 students. I am also involved in doing the CLC this coming semester. Technology is huge in my area of teaching...... multimedia helps students to appreciate the human body in  a real sense, 3D, 4D etc.

Simulation is great for teaching the CVS as well........... Yes, Harvey!!

However, overdoing it is bad, Why? read today's papers.... Digital reading is not the same as print reading...... students process the information differently so are we doing good or bad? Double edged !! BE careful.

I support technology in teaching and learning, but let's not forget nothing beats a real teacher, and the on going interactions are priceless!!

See you all on Wednesday.

ET

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Thank you Say Yang for getting this going.

I am Ju Ee, a Senior Consultant with the Department of Pathology, NUH. I teach undergraduates (Medicine, Dentistry, Pharmacy) and postgraduates (pathology, respiratory medicine and many other doctors). My main specialty is Respiratory Pathology hence much of my teaching is related to this.

Because of the wide range of students I teach, I had trouble deciding which aspect of medical education to choose to develop in this workshop. However as Poh Sun is the facilitator and trainer of this workshop, I have decided to choose the topic of developing a structured learning repository incorporating cases discussed at the regular clinico-radiological-pathological conferences (CPC) held in NUH. This would be targeted at postgraduate trainees in respiratory medicine, radiology and pathology.

The CPC is organised by the Division of Respiratory of Respiratory and Critical Care Medicine (RCCM) as a regular monthly educational event. It is held in traditional manner, with a clinician presenting the case history/investigations, a radiologist presenting the radiology and a pathologist presenting the pathology. We usually discuss about 3 cases in an hour and the discussions depend on the individuals presenting and the types of cases. The CPC is attended mainly by RCCM doctors (all levels). Radiology and pathology trainees are welcome to attend but as for most things belonging to other departments attendance is low and they lose out on the learning that may be provided. I hope that by using technology the learning opportunity may be widened.

I would like to learn how to curate the content (clinical info, selected pathology and radiology slides) so that it is user-friendly and encourages learning. I find many sites have too much information. There is the additional challenge of finding content that is of interest to physicians, radiologists and pathologists. I have an idea of perhaps a 'case of the month' to be shared by everyone, but with each specialty choosing its own learning objectives.

I have started my blog: http://sjepathology.blogspot.sg/

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I'm an associate consultant with the Department of Anaesthesia, NUH. I'm involved in both undergraduate and postgraduate teaching and I'm keen to learn how to use technology to enable and enhance medical education.

My thoughts after going through the resources on this site:

1. Did not realise that organising learning materials in a structured repository is so important, namely to:
a. Facilitate modular creation of learning contents to cater to students of different skills
b. Provide consistent learning experience for different batches of students (due to different faculty or variable clinical case experience)
c. Enable sharing of resources among faculty
Eg. Prof Goh's Learning Chest Radiology for Year 1, http://learningchestradiology.blogspot.sg/2015/10/chest-radiology-anatomy-correlation.html

2. IT facilitates pre-lecture preparatory work by students, for eg. doing a pre-test, viewing videos, reading slides. Monitoring of access & grading of pre-tests can be done via suitable eLearning platforms.

3. Enables dynamic & on-going modification of learning contents based on access data, for eg. no of views/ votes/ likes/ downloads, comments.

The slide deck that I have brought to this workshop is, Common Anaesthesia Drugs. It is a topic taught to new junior doctors posted to my department, usually for short duration of 3 months. These junior doctors are often surgeons-to-be, emergency physicians-to-be, passing through our department as part of their own residency program requirements. Pharmacology taught in the traditional way tends to be dry, and yet it is essential for these junior doctors to be well acquainted with the drugs used in the operating room due to their potential for disastrous outcomes should the wrong dose or wrong drug be administered. Pressure of time, presence of distractors (on-going projects, exams in their chosen area of specialisation), and large amount of book knowledge do not help the cause.

A draft of my Blog for this topic can be found here: http://anapharm-newbies.blogspot.sg/search/label/-%20Introduction

Additional take away points during the workshop...

3 DOMAINS of education: 1) Content, 2) Pedagogy, lastly 3) Technology. It is about using Technology to enhance the content and intended pedagogy rather than trying to fit the content & pedagogy to the Technology used.

3 STEPS: 1) Archiving in repository, 2) Curating and attributing sources, 3) Sharing

Curation process is important as Internet search throws up excessive amount of uncurated information.

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Tips on posting (by Poh Sun on July 20th, 2016)

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Tips on posting (by Poh Sun on July 20th, 2016)

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You can choose to post directly on the embedded Padlet wall within the blog, or open the Padlet wall as a separate website by clicking on the link
https://padlet.com/dnrgohps/TeLatCenMED

We encourage you to start writing your post, and continue to build it up each day, a little at a time, a couple of sentences at a time. As long as you use the same computer/tablet/mobile device you can continue to add to and edit your post at any time.

The Padlet wall has been organised so that the latest post is always at the top. This will enable you to find your own post. Please add to / edit your original post as you go along.

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Before the workshop (posted by Poh Sun on July 7th, 2016)

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Before the workshop (posted by Poh Sun on July 7th, 2016)

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Dear participants - Before you come to the workshop, we request all participants to share some information about who they are, their educational background, current teaching setting, how they hope to use technology to enhance their teaching, key messages they took away from their pre-reading and pre-workshop preparation and also share the link of their draft teaching blog - all of this as a post on this online "Padlet" wall (you can continue to develop the same post during and after the workshop - as long as you use the same device.)

We encourage you to actively participate in the workshop, by undertaking the pre-workshop preparation, and workshop activities. What we take away from any educational activity - key ideas that we make a note of, and new things we are able to do - are arguably the most valuable outcomes of any educational and training session.

Take Home Points:
1. Reflect on the workshop content, and instructional process. Review your own Padlet post. Add to this Post by listing ideas which you have found personally useful in your teaching setting. And post workshop action steps.
2. http://www.slideshare.net/dnrgohps/everything-i-have-learnt-about-elearning