NextGenU.org
the world’s first free university
Erica Frank, MD, MPH
Founder, President, and Executive Director, www.NextGenU.org
Professor and Canada Research Chair, UBC – Faculty of Medicine
Kate Tairyan, MD, MPH
Senior Lecturer, Simon Fraser University
Director of Public Health, www.NextGenU.org
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The first problem we’re helping fix:
democratizing health sciences learning
• In 2006 WHO identified a need for 4.3
million more trained health workers globally
• WHO also said that this will require greater
use of training innovation, especially through
information and communication technologies
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A distributed, computer-assisted, and mentored model:
computer-based knowledge transfer, coupled with peerto-peer and local mentored experiences.
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How are we free?
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Cost-free
Barrier-free
Ad-free
Carbon-free
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Founding Collaborators and Funders
American College of Preventive Medicine
Annenberg Physician Training Program
Centers for Disease Control and Prevention
NATO – Science for Peace
University of British Columbia
World Bank
World Health Organization
World Medical Association
Grand Challenges Canada
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“NextGenU is a visionary undertaking.” – Jeffrey P. Koplan, MD, MPH, Former
Director, U.S. CDC
“NextGenU.org will help globally democratize health science knowledge.” Carmen Carpio, Knowledge Mgmt Officer, World Bank
“NextGenU is an incredible resource for health professionals all over the world.
Open access to health information should literally save millions of lives and
lead to important new discoveries.” -Anne Margulies, former Executive Director,
Open Course Ware, MIT
“NextGenU is expected to make a considerable contribution to the advancement
of e-learning worldwide.” -WHO, Building Foundations for E-Health, 2006
“The internet at its finest… a bonanza… a boon… an incredibly worthwhile
enterprise… a model of what Health 2.0 and Science 2.0 can be… one of the
most altruistic and honorable health service resources on the planet.” -Online
reviews, 2009
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2012-2013 Clinical Public Health and Prevention Trainings
= All core public health areas [Epidemiology, Biostatistics, Health Policy/Mgmt, Environmental Health, Health
Education, co-sponsored by the American Association of Public Health Physicians and the Association for
Prevention Teaching and Research]
= Adolescent Health [American College of Preventive Medicine, UBC]
= Adult and Pediatric Cardiovascular Disease Prevention [Emory University, Latin American Pediatric
Association, Universidad San Francisco de Quito]
= Climate Change and Health [350.org, David Suzuki Foundation, Health Care Without Harm, International
Society of Doctors for the Environment, Physicians for Social Responsibility, UBC]
= Physical Activity and Health [American College of Sports Medicine, Fundacion Sante Fe, U.S. Centers for
Disease Control and Prevention]
= Preventive Medicine [American Association of Public Health Physicians, Public Health Foundation of India,
and the Association for Prevention Teaching and Research]
= Prevention/Treatment of Alcohol Use Disorders [Annenberg Physician Training Program, UBC, UF]
= Prevention and Treatment of Tobacco Use [International Federation of Medical Student Associations,
International Primary Care Respiratory Group]
= Trade and Health [Center for Policy Analysis on Trade and Health]
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2012-2013 Clinical Trainings
= Emergency Medicine [Emory University, Society for Academic Emergency Medicine, International Federation
for Emergency Medicine]
= Family Medicine [MoH Sudan, U of Gezira, WONCA]
= Gynecology/Obstetrics and Perinatal Care [International Federation of Gynecologists and Obstetricians, Latin
American Pediatric Association, Medical Women’s International Association]
= Occupational/ Physical Therapy [Rocky Mountain University of the Health Sciences, Kenyan Physical Therapy
Association]
= Pathology [UBC Department of Pathology]
= Pediatrics [Latin American Pediatric Association]
= Preventive Medicine [American Association of Public Health Physicians, American College of Preventive
Medicine, Association for Prevention Teaching and Research, USF Quito]
= Surgery (Orthopedic) [Presbyterian University of East Africa, College of Surgeons in East, Central and
Southern Africa]
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2012-2013 Basic Science Trainings
= Anatomy: Dental
= Clinical/PH Genetics
= Immunology
= Physiology (cardiophysiology)
= Pre-health professionals certificate (biology, math, medical humanities,
organic chemistry, physical chemistry, physics)
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Matching existing competencies with existing resources
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64 Languages Available
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Afrikaans
Albanian
Arabic
Azerbaijani
Basque
Belarussian
Bulgarian
Catalan
Chinese (Tr)
Chinese (Si)
Croatian
Czech
Danish
Dutch
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English
Estonian
Filipino
Finnish
French
Galician
Georgian
German
Greek
Haitian Creole
Hebrew
Hindi
Hungarian
Icelandic
Indonesian
Irish
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Italian
Japanese
Korean
Latin
Latvian
Lithuanian
Macedonian
Malay
Maltese
Norwegian
Persian
Polish
Portuguese
Romanian
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Russian
Serbian
Slovak
Slovenian
Spanish
Swahili
Swedish
Thai
Turkish
Ukrainian
Urdu
Vietnamese
Welsh
Yiddish 18
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Interactive Activities
Feedback Opportunities
Peer MCQs / cases
Feedback form for each resource
Mentored activities
Peer feedback for posted assignments
Discussion forums
Guided & free text feedback in forums
Instantly translated chat rooms
Course evaluations
Word Games: Crossword, Cryptex,
NextGenU.org version of “hangman”
Live technical support
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Mentored Activities
•Review with your supervisor how to take a focused history appropriate to ED complaints.
•Review all your management plans with your supervisor.
•Review with your supervisor the role of your ED in your community and access to care.
•Review with your supervisor the costs of tests in your hospital.
• Review with your supervisor normal and abnormal glucose levels for your institution.
•Perform IV insertions under supervision.
•Perform phlebotomies under supervision.
•Watch any central lines performed by your supervisor.
•Perform bag-mask ventilation under supervision until comfortable ventilating a patient.
•Learn how to operate the defibrillator available to your institution from your supervisor.
•Have your supervisor demonstrate NG tube insertion with you.
•Have your supervisor review and demonstrate catheterization with you.
•Have your supervisor review and demonstrate casting/splinting principles with you.
•Have your supervisor review and demonstrate technique for incision and drainage.
•Have your supervisor demonstrate proper C-spine immobilization.
•Review the procedure with your supervisor if ultrasound is available at your institution.
•Perform local anesthetic infiltration under supervision.
•Review suturing technique with your supervisor.
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Competency 3.1 - Effectively communicate with patients, family members, and other
members of the health care team.
Meet with a health care professional, other than a physician, who works in the emergency
department (such as a nurse, respiratory therapist, or social worker). Discuss with them
what their role is in the emergency department, and gain a brief understanding of their
training. Write a short essay (250-500 words) on the role of this health care provider, and
how their role helps you in managing your patients.
Evaluation criteria:
1. 250-500 words
2. Clearly outline the role of another health care professional (other than physician) in the
ED
3. Describe how the role of this health care provider is important in the care of emergency
patients
4. Describe how the role of this health care provider helps you in managing your patients
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Case #1
A 15 year old female presents to the ED with a ruptured ectopic pregnancy. The gynecologist
wants to take the patient to the operating room and requires consent for the procedure. The
patient’s mother is in the waiting room. You have deemed that the patient is competent, and
understands the risks and benefits of the procedure. The patient has asked that you do not tell her
mother about the pregnancy.
Is this patient eligible to give her own consent at age 15? Would you tell the patient’s mother about
her condition? Write a short essay (300-500 words) justifying your decision, using ethical and
legal principles. Briefly outline the laws for age of consent in your country.
Evaluation criteria:
1. 300-500 words
2. Outline the law regarding age of consent in your country
3. Attempt to justify your decision to either tell or not tell the patient’s mother about her condition
4. Identify at least 2 ethical issues surrounding your decision-making process
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Case #2
A 35 male presents to your ED with fever, malaise, and cough. He tells you that he
has recently been diagnosed with HIV. You suspect that he has pneumocystis
jiroveci pneumonia. His wife is in the waiting room, and the patient tells you that
she does not know of his HIV diagnosis, and asks that you do not tell her. They are
currently sexually active.
Would you tell his wife about her husband’s HIV status, despite the fact that he
asked you not to, in order to protect his wife? Are you obligated to report his
disease to the local health authorities? Write a short essay (300-500 words) about
your decision making process, and justify your decision using ethical and legal
principles.
Evaluation criteria:
1. 300-500 words
2. Outline the law in your country regarding HIV reporting
3. Identify at least 2 ethical issues surrounding this case
4. Attempt to justify your decision using ethical principles
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Research Metrics
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Name
Email
Prior degrees
Current training
Location
Institution
Job title
NextGenU metrics
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Student 2: Sample data for Quizzes and Final Exam
Average for Quizzes
Final Exam
Cumulative
172/75
188/210
86%
96%
89.52%
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Final Exam Sampling
Fullname
Student1
Student2
Student3
Student4
Student5
Student6
Student7
Student8
Student9
Student10
Student11
Cumulative
# of Attempts
Marks
1 59/75
1 75/75
1 72/75
1 68/75
1 72/75
1 71/75
1 69/75
1 68/75
1 66/75
1 74/75
1 69/75
763/825
Percentage Last attempted on
78.7% April 26, 2012, 6:17 am
100% April 26, 2012, 6:35 am
96% April 26, 2012, 6:44 am
90.7% April 26, 2012, 7:25 am
96% April 26, 2012, 7:34 am
94.7% April 26, 2012, 7:39 am
92% April 26, 2012, 7:34 am
90.7% April 26, 2012, 7:42 am
88% April 26, 2012, 8:11 am
98.7% April 26, 2012, 8:07 am
92% May 4, 2012, 11:49 am
92.48%
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Quiz: Competency 6.1. Understand the approach to the approach to abdominal pain
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66.66%
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100.00%
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Quiz: Competency 6.2. Understand the approach to altered mental status
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66.66%
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100.00%
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Quiz: Competency 6.3. Understand the approach to cardiac arrest
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66.66%
2
100.00%
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Quiz: Competency 6.4. Understand the approach to chest pain
100.00%
Quiz: Competency 6.5. Understand the approach to gastrointestinal bleeding
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66.66%
2
100.00%
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Quiz: Competency 6.6. Understand the approach to headache
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66.66%
1
100.00%
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Quiz: Competency 6.7. Understand the approach to poisoning
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33.33%
1
66.66%
100.00%
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Trainee statistics as of this week
• Auditing students from 47 countries
• Credit/certificate students from 55
countries
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Erica Frank, MD, MPH
efrank@NextGenU.org, erica.frank@ubc.ca
Founder and Executive Director, NextGenU.org
Professor and Canada Research Chair, University of British Columbia
Kate Tairyan, MD, MPH
ktairyan@nextgenu.org, ktairyan@sfu.ca
Director of Public Health, NextGenU.org
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