MENUCLOSE

 

Connect with us

Author: Brian S McGowan, PhD

RESOURCE: 5 Time-Saving Tips for Online Instruction

Managing your time during an online class is much different than a face-2-face class. During a face-2-face class you have a set number of hours per week in the classroom. You have your typical class prep. You have scheduled office hours that may or may not be visited by students.

Unfortunately, online instruction can easily be added to the habitual tasks of our daily routines–answering emails and all that other work that keeps us bound to our computers. The workday can mix with real life. Before long, you are checking up on the progress of online discussions and answering emails before bed. Before long, your online class can turns you into a workaholic.

via 5 Time-Saving Tips for Online Instruction.

ABSTRACT: Team Players and Collective Performance: How Agreeableness Affects Team Performance Over Time

Previous research on teams has found that agreeableness is one of the strongest personality predictors of team performance, yet one of the weakest personality predictors of individual-level job performance. In this study, we examined why teams with more agreeable members perform better. Data were collected across 4 months at 5 points in time from 107 project teams. We found that agreeableness affects performance through communication and cohesion and that communication precedes cohesion in time. Furthermore, we found that virtualness moderated the relationships between agreeableness and communication, as well as between agreeableness and team performance, such that teams only benefitted from high levels of agreeableness when interacting face-to-face.

via Team Players and Collective Performance: How Agreeableness Affects Team Performance Over Time.

ABSTRACT: Applying the cognitive theory of multimedia learning: an analysis of medical animations

CONTEXT:
Instructional animations play a prominent role in medical education, but the degree to which these teaching tools follow empirically established learning principles, such as those outlined in the cognitive theory of multimedia learning (CTML), is unknown. These principles provide guidelines for designing animations in a way that promotes optimal cognitive processing and facilitates learning, but the application of these learning principles in current animations has not yet been investigated. A large-scale review of existing educational tools in the context of this theoretical framework is necessary to examine if and how instructional medical animations adhere to these principles and where improvements can be made.
METHODS:
We conducted a comprehensive review of instructional animations in the health sciences domain and examined whether these animations met the three main goals of CTML: managing essential processing; minimising extraneous processing, and facilitating generative processing. We also identified areas for pedagogical improvement. Through Google keyword searches, we identified 4455 medical animations for review. After the application of exclusion criteria, 860 animations from 20 developers were retained. We randomly sampled and reviewed 50% of the identified animations.
RESULTS:
Many animations did not follow the recommended multimedia learning principles, particularly those that support the management of essential processing. We also noted an excess of extraneous visual and auditory elements and few opportunities for learner interactivity.
CONCLUSIONS:
Many unrealised opportunities exist for improving the efficacy of animations as learning tools in medical education; instructors can look to effective examples to select or design animations that incorporate the established principles of CTML.

via Applying the cognitive theory of multimedia learnin… [Med Educ. 2013] – PubMed – NCBI.

ABSTRACT: Teaching for understanding in medical classrooms using multimedia design principles

OBJECTIVES:
In line with a recent report entitled Effective Use of Educational Technology in Medical Education from the Association of American Medical Colleges Institute for Improving Medical Education (AAMC-IME), this study examined whether revising a medical lecture based on evidence-based principles of multimedia design would lead to improved long-term transfer and retention in Year 3 medical students. A previous study yielded positive effects on an immediate retention test, but did not investigate long-term effects.
METHODS:
In a pre-test/post-test control design, a cohort of 37 Year 3 medical students at a private, midwestern medical school received a bullet point-based PowerPoint™ lecture on shock developed by the instructor as part of their core curriculum (the traditional condition group). Another cohort of 43 similar medical students received a lecture covering identical content using slides redesigned according to Mayer’s evidence-based principles of multimedia design (the modified condition group).
RESULTS:
Findings showed that the modified condition group significantly outscored the traditional condition group on delayed tests of transfer given 1 week (d = 0.83) and 4 weeks (d = 1.17) after instruction, and on delayed tests of retention given 1 week (d = 0.83) and 4 weeks (d = 0.79) after instruction. The modified condition group also significantly outperformed the traditional condition group on immediate tests of retention (d = 1.49) and transfer (d = 0.76).
CONCLUSIONS:
This study provides the first evidence that applying multimedia design principles to an actual medical lecture has significant effects on measures of learner understanding (i.e. long-term transfer and long-term retention). This work reinforces the need to apply the science of learning and instruction in medical education.

via Teaching for understanding in medical classrooms us… [Med Educ. 2013] – PubMed – NCBI.

ABSTRACT: How competent are emergency medicine interns for level 1 milestones: who is responsible?

OBJECTIVES:
The Next Accreditation System (NAS) of the Accreditation Council for Graduate Medical Education (ACGME) includes the implementation of developmental milestones for each specialty. The milestones include five progressively advancing skill levels, with Level 1 defining the skill level of a medical student graduate, and Level 5, that of an attending physician. The goal of this study was to query interns on how well they thought their medical school had prepared them to meet the proposed emergency medicine (EM) Level 1 milestones.
METHODS:
In July 2012, an electronic survey was distributed to the interns of 13 EM residency programs, asking interns whether they were taught and assessed on the proposed Level 1 milestones.
RESULTS:
Of possible participants, 113 of 161 interns responded (70% response rate). The interns represented all four regions of the country. The interns responded that the rates of Level 1 milestones they had been taught ranged from 61% for ultrasound to 98% for performance of focused history and physical examination. A substantial number of interns (up to 39%) reported no instruction on milestones such as patient disposition, pain management, and vascular access. Graduating medical students were less commonly assessed than taught the milestones. Skills with technology, including “explain the role of the electronic health record and computerized physician order entry,” were assessed for only 39% of interns, and knowledge (USMLE) and history and physical were assessed in nearly all interns. Disposition, ultrasound, multitasking, and wound management were assessed less than half of the time.
CONCLUSIONS:
Many entering EM interns may not have had either teaching or assessment on the knowledge, skills, and behaviors making up the Level 1 milestones expected for graduating medical students. Thus, there is a potential gap in the teaching and assessment of EM interns. Based on these findings, it is unclear who will be responsible (medical schools, EM clerkships, or residency programs) for ensuring that medical students entering residency have achieved Level 1 milestones.

via How competent are emergency medicine interns … [Acad Emerg Med. 2013] – PubMed – NCBI.

ABSTRACT: Designing and using computer simulations in medical education and training: an introduction

Computer-based technologies informed by the science of learning are becoming increasingly prevalent in education and training. For the Department of Defense (DoD), this presents a great potential advantage to the effective preparation of a new generation of technologically enabled service members. Military medicine has broad education and training challenges ranging from first aid and personal protective skills for every service member to specialized combat medic training; many of these challenges can be met with gaming and simulation technologies that this new generation has embraced. However, comprehensive use of medical games and simulation to augment expert mentorship is still limited to elite medical provider training programs, but can be expected to become broadly used in the training of first responders and allied health care providers. The purpose of this supplement is to review the use of computer games and simulation to teach and assess medical knowledge and skills. This review and other DoD research policy sources will form the basis for development of a research and development road map and guidelines for use of this technology in military medicine.

via Designing and using computer simulations in medical … [Mil Med. 2013] – PubMed – NCBI.

ABSTRACT: Evaluation of medical simulations

Simulations hold great promise for medical education, but not all simulations are effective, and reviews of simulation-based medical education research indicate that most evaluations of the effectiveness of medical simulations have not been of sufficient technical quality to produce trustworthy results. This article discusses issues associated with the technical quality of evaluations and methods for achieving it in evaluations of the effectiveness of medical simulations. It begins with a discussion of the criteria for technical quality, and then discusses measures available for evaluating medical simulation, approaches to scoring simulation performance, and methodological approaches. It concludes with a summary and discussion of future directions in methods and technology for evaluating medical simulations.

via Evaluation of medical simulations. [Mil Med. 2013] – PubMed – NCBI.

ABSTRACT: Adaptive and perceptual learning technologies in medical education and training

Recent advances in the learning sciences offer remarkable potential to improve medical education and maximize the benefits of emerging medical technologies. This article describes 2 major innovation areas in the learning sciences that apply to simulation and other aspects of medical learning: Perceptual learning (PL) and adaptive learning technologies. PL technology offers, for the first time, systematic, computer-based methods for teaching pattern recognition, structural intuition, transfer, and fluency. Synergistic with PL are new adaptive learning technologies that optimize learning for each individual, embed objective assessment, and implement mastery criteria. The author describes the Adaptive Response-Time-based Sequencing (ARTS) system, which uses each learner’s accuracy and speed in interactive learning to guide spacing, sequencing, and mastery. In recent efforts, these new technologies have been applied in medical learning contexts, including adaptive learning modules for initial medical diagnosis and perceptual/adaptive learning modules (PALMs) in dermatology, histology, and radiology. Results of all these efforts indicate the remarkable potential of perceptual and adaptive learning technologies, individually and in combination, to improve learning in a variety of medical domains.

via Adaptive and perceptual learning technologies in med… [Mil Med. 2013] – PubMed – NCBI.

MANUSCRIPT: Reducing the stigma of mental illness in undergraduate medical education: a randomized controlled trial

BACKGROUND:The stigma of mental illness among medical students is a prevalent concern that has far reaching negative consequences. Attempts to combat this stigma through educational initiatives have had mixed results. This study examined the impact of a one-time contact-based educational intervention on the stigma of mental illness among medical students and compared this with a multimodal undergraduate psychiatry course at the University of Calgary, Canada that integrates contact-based educational strategies. Attitudes towards mental illness were compared with those towards type 2 diabetes mellitus T2DM.METHOD:A cluster-randomized trial design was used to evaluate the impact of contact-based educational interventions delivered at two points in time. The impact was assessed by collecting data at 4 time points using the Opening Minds Scale for Health Care Providers OMS-HC to assess changes in stigma.RESULTS:Baseline surveys were completed by 62% n=111 of students before the start of the course and post-intervention ratings were available from 90 of these. Stigma scores for both groups were significantly reduced upon course completion p < 0.0001, but were not significantly changed following the one-time contact based educational intervention in the primary analysis. Student confidence in working with people with a mental illness and interest in a psychiatric career was increased at the end of the course. Stigma towards mental illness remained greater than for T2DM at all time points.CONCLUSIONS:Psychiatric education can decrease the stigma of mental illness and increase student confidence. However, one-time, contact-based educational interventions require further evaluation in this context. The key components are postulated to be contact, knowledge and attention to process, where attending to the students internal experience of working with people with mental illness is an integral factor in modulating perceptions of mental illness and a psychiatric career.

via Reducing the stigma of mental illness in underg… [BMC Med Educ. 2013] – PubMed – NCBI.

ABSTRACT: From Flexner to competencies: reflections on a decade and the journey ahead

This article is a sequel to one published in 2002 only a few years after the initiation of the shift to competency-based medical education (CBME). The authors reflect on the major forces that have influenced the movement and tipped the balance toward widespread adoption of CBME in the United States, primarily in graduate medical education. These forces include regulatory bodies, international counterparts, and the general public. The authors highlight the most important lessons learned over the decade. These include (1) the need for standardization of language to develop a shared vision of the path ahead, (2) the power of direct observation in assessment, (3) the challenge of developing meaningful measures of performance, (4) desired outcomes as the starting point for curriculum development, (5) dependence on reflection in the development of expertise, (6) the need for exploiting the role of learners in their learning, and (7) competent clinical systems as the required learning environment for producing competent physicians.The authors speculate on why this most recent attempt to shift to CBME differs from previous aborted attempts. They conclude by explaining how the recent lessons learned inform the vision of what successful implementation of CBME would look like, and discussing the importance of milestones, entrustable professional activities, and an integrated, rather than a reductionist, approach to assessment of competence. The fundamental question at each step along the way in implementing CBME should be “How do we improve medical education to provide better care for patients?”

via From Flexner to competencies: reflections on a deca… [Acad Med. 2013] – PubMed – NCBI.