E-EDUMED PROJECT General presentation Taina Avramescu, Prof, MD, PhD University of Craiova Project LLP/LdV/TOI/RO/2010/006 E-LEARNING EDUCATIONAL CENTER IN MEDICINE / E-EDUMED • a two year European funded project that started in january 2011 and will finish in January 2013. • http://www.e-edumed.ro/ AIMS of the PROJECT • To offer up to date and accessible training methods by implementation of e-learning methods in medical education for nurses and doctors (ultrasonography) • To enhance the attractiveness of training, providing the target group with new ways of gaining knowledge (interactive multimedia presentations, online video transmission and simulations, access to the up-to-date medical achievements). AIMS of the PROJECT • To allow creation of interactive model of learning, facilitating flexible and distributed learning by multidisciplinary, multinational and multicultural innovative learning methods to increase the level of medical professionals and attain EU dimension. • To support improvements and innovation, ensuring learning is accessible to all whatever their individual circumstances; encouraging self-directed learning and peer support. Medical e-education- state of art • Medical education is considered by many as one of the most conservative education providers in terms of methods used. Although in other specialties, especially technical education, computer assisted education has long been integrated into educational curriculum, in medical education this happens sporadically. • A growing number of reports draw attention to the need of adjustment of the offer in medical education to labor market needs and the knowledge-based society. • A flexible training offer by developing an online learning community to provide the resources and digital materials to those interested in medicine and to support the development of e learning courses is a real necessity. Positive aspects in medical elearning • Thanks to the growth of educational technologies and the Internet, the number of e-Learning resources available to educators has dramatically increased. • A great number of educational institutions provide a form of web-based learning starting from as early as comprehensive schools and getting as far as university programmes for undergraduate and postgraduate students. • The number of participating countries is increasing, more aspects of higher education are included and the number of activities and projects is growing. Negative aspects in medical e-learning • Medical education has so far been neglected in the process and awareness of the development at medical schools has been limited (1). • Repositories or digital libraries have been established to manage access to e-Learning materials, but they are few at this time (3). • The e-Learning Initiative created a dynamic around eLearning in Europe, but the geographical origin of the partners stems from France, UK, Italy, Germany, Spain and Belgium, so the eLearning Initiative did not manage to equally reach all of EU countries, like Romania, Bulgaria and Hungary (12) • • • • • • UNIVERSITATEA DIN CRAIOVA, RO ECOMEDICA , RO INNOVAMED, HU PROFIMEDIA, HU FORCOM, IT SUNNYMED, BG What have we done until now • Project MeditopEU - Virtual classroom for healthcare professionals • Project CERPS Center - Training Centre for Health Care, Prophylactic and Rehabilitation Services • Project COACH-BOT - Modular e-course with virtual coach tool support • Project Paediatric Ophthalmology WHAT ARE WE GOING TO DO • Together we aim to develop a complex Web site in English and partners languages and a virtual health educational center. • The E-learning health education center will provide on-line education and training materials, by an interactive lifelong learning platform. • 2 interactive training modules in ultrasound and nurses education and a module addressed to patients aiming to improve health culture (will be developed. RESULT 1-NEEDS REPORTS We conducted a research aiming to analyse the training needs in medicine and state of art of medical e-learning in participant countries (Romania, Hungary, Italy, Bulgaria). Based on the outcomes of the research, national reports were produced in order to give the partners a real knowledge of the problems in every participant country. The research results and reports were used as a base for a comparative report regarding e-learning medical Education in the SE of Europe. http://www.e-edumed.ro/ RESULT E-learning platform E-learning platform • An E-Learning platform has been set up for the delivery of the online courses and to host the PBL repository that are the main products to be implemented for the project. • Claroline is the open source E-Learning platform implemented for the delivery of the online course and host the Virtual Classroom (PBL repository). • The e-learning platform hosts asynchronous online courses - educational materials in a traditional style of presentation, PPT and course notes (text and images), questions and tests associated with each section, multimedia lessons that include sections with commented video images. Also the platform includes synchronous online courses - courses implemented in the virtual class e- EDUMED • Learning pathway has been realized through an innovative methodological model combining both theoretical and practical aspects, in order to enhance the learning skills based on the study of real cases thanks to the Problem Based Learning (PBL) approach implemented into a virtual environment (virtual classrooms). • The learning path area is composed by different modules. Within each module, different type and number of learning objects that can be considered as elementary bulks of learning. Three types are included: Multimedia lessons, Video lessons and Quizzes RESULT-Ultrasound module Ultrasound module • The learning pathway consists in 3 Modules: • Module I - THEORETICAL MODULE • Physical-methodological basis – principles; Ultrasound modules; Technics and Ultrasound semiology • Module II – GENERAL ABDOMINAL ULTRASOUND • Module III—SPECIAL ULTRASOUND ULTRASOUND MODULE Ultrasound module For the ultrasound module the selected approach is based on a modular architecture focused on three levels (power point presentation, level text, image level). Content is structured in the best way to build gradual competences. For each module we developed packages containing a section with anatomical bases, clinical signs and pathological findings, ultrasound images and videos, a system of evaluation and self-esteem of the results. A special section allows chatting, sharing content and tutoring by the provider of the course. ULTRASOUND MODULE- learning path Ultrasound module Anatomy- nr.pages US-nr.pages PPT- nr.slides Quizzes (nr) 161 471 650 150 Methodology: Internet resources Group discussions and ultrasound case analyses Quizzes & examinations Ultrasound laboratory live (virtual classrooms) & video demonstrations (multimedia lessons) Students’ study trainings based on Power Point presentations and texts Students’ self study trainings based on the refferences provided. The US module is available in EN, RO, BG. Ultrasound module Nurse module • The nurse module is designed to give nurses additional education to prepare her/him for advanced nursing practice and to respond to the actual demands in health care in the provision of primary health care to individuals, families but also to communities. Nurse module • The syllabus was designed for nurses in order to offer: • - basic knowledge in nurse training • - new knowledge for the nurse participation into ultrasound patient education before and after ultrasound; this module assures complementary with the other 2 modules on specific target groups (doctors and patients). • -new knowledge and new skills for the role of nurse in patient education- smoking cessation. Patient module • This includes an e-book addressed to patients aiming to improve health culture (general presentation of each disease from other training modules) based on Main Topic Pathologies. Virtual classes • Virtual classes allow a tutor via the Internet to bring together a group of students in real time. The teacher can present materials (case studies, moving images, making complete ultrasound) and can receive information and feedback from students. PowerPoint presentations are also available. Schedule and topics courses will be announced in advance and students can enroll. Glossary of Ultrasound Terms • Includes 331 specific terms of physics ultrasound, clinical useful words in description of US information, image characteristics related terminology and ultrasound equipment terminology in RO;EN;HU;BG;IT. The definitions used in this glossary of terminology either have been provided by the authors of the US training module, or have been extracted wholly or in part, or paraphrased from the internet resources. Ultrasound e-book • includes a synthesis of the specific ultrasound information offered during the course. For every module of the e-book there are several links to corresponding documents: Anato text, US Text, PPT, e-refferences. They are all in PDf format (even PPT presentations). The Multimedia Lessons are in HTML and flash format. A special chapter entitled erefferences was developed, using internet resources Ultrasound e-book • There are some chapters as a working demo (for guests), but the entire product can be consulted only after registration. • In the embedded document we can navigate, zoom-in, zoom-out and open in new window the document. The module use Google viewer to view. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. Călinici T, ICT instruments in traditional and distance medical higher education, PhD thesis, UMF Cluj, 2005, http://www.umfcluj.ro/Document_Files/Doctorat-Rezumate-Teze-deDoctorat/00000199/cpmqk_calinici.pdf Casebeer Li, Brown J, Roepke N, Grimes C, Henson B, Palmore R, Granstaff U, Salinas G.D, “Evidence-based choices of physicians: a comparative analysis of physicians participating in Internet CME and non-participants”, BMC Medical Education (www.biomedcentral.com), 2010. Chumley-Jones HS, Dobbie A, Alford CL. Web-based learning: sound educational method or hype? A review of the evaluation literature. Acad Med. 2002;77 (10 suppl):S86-S93. Gormley Gerry J , Collins K, Boohan M, Bickle I.C, Stevenson M Is there a place for e-learning in clinical skills? A survey of undergraduate medical students’ experiences and attitudes, 2009, Vol. 31, No. 1 , Pages e6-e12 (doi:10.1080/01421590802334317) ; http://informahealthcare.com/doi/abs/10.1080/01421590802334317 Masters, K. & Ellaway R., e-learning in medical education Guide 32 Part 2: Technology, management and design. Med Teach, 2008, 30, pp. 474-489 McKimm J Professional development for medical educators and clinical teachers: challenges and opportunities, 2009, South East Asian Journal of Medical Education Vol. 3 no. 2 Saulescu G - Modular E-Course With Virtual Coach Tool Support, the 5 th International Scientific Conference eLearning and softwarefor Education, Bucharest 2009 Swanwick, T. See one, do one, then what? Faculty development in postgraduate medical education, Postgraduate Medical Journal, 2008, 84 (993), pp. 339-343. Overviews on education systems in Europe and ongoing reforms 2010 http://eacea.ec.europa.eu/education/eurydice/documents/eurybase/national_summary_sheets/0 47_RO_EN.pdf) Leonardo da Vinci II WBT WORLDRO/02/B/F/PP – 141053 2005 Report on the Best Practices in Web-Based Learning across Europe Issued by: European Centre for Education and Training (ECET), Bulgaria Embedding E-Learning in Further Education The EU Health Policy Forum, Strategic Priorities Including Specific Priorities for 2009-2010, February 2009 Brussels Results of the E Learning Initiative - A Survey Conducted by the Time Centre of Grenoble Ecole de Management on Behalf of the European Commission, D.G. “Education and Culture” - June 2007 – http://ec.europa.eu/education/more-information/doc/elearningrep_en.pdf TARGET Medical e-learning